Supreme Health Care

Seasonal changes can be very exciting for most people. Each season brings with it a new set of colours and nature takes a new turn. However, for people with seasonal allergies, a seasonal change also comes with a set of allergies. From skin rashes to wheezing to breathing difficulties, the list of symptoms can be quite long. Asthma is the most common problem, and the attacks can be quite bothersome with wheezing attacks and breathing troubles.

With advancements in the field of medicine, there is a lot of relief for asthma patients. A little understanding on how asthma attacks happen will help in understanding how to control it. Asthma is an allergic reaction caused by narrowing of the airway with thick mucus, which makes breathing difficult. During an attack, the person can have a dry cough, face shortness of breath and wheezing.

Asthma is often triggered or worsened by some factors, and being aware of these can help prevent or manage an attack:

1. Common allergens like pollen, mites, ticks, furs of animals, bird feathers, specific foods (peanuts, milk products, eggs, etc.) and mold spores appear during change of season.
2. Environmental chemicals like cigarette smoke, car fumes, dust, etc., can also trigger an attack.
3. Attacks of cold or flu can lead to an asthma attack.
4. Workout during cold weather can be problematic, but exercise can also help control asthma attacks. Lung function improves sufficiently, but an exercise regime should be drawn up for the patient based on his condition.
5. Stressful emotions like anger and anxiety can also lead to an attack or make it worse.
6. Some medications like aspirin, beta blockers, glaucoma drops can aggravate attacks of asthma.

Once you know the triggers, here are some common measures that can help prevent and relieve the wheezing.

1. The preventers reduce the inflammation in the airway tube and the swelling. While they do not provide immediate relief during an attack, using these in the long term helps avoid attacks. These are low-dose inhaled corticosteroids such as beclomethasone, fluticasone, and budesonide. Doctors would advise their usage even when there are no symptoms, as asthma attacks can be triggered when they are not taking these medications for a while. Newer drugs include leukotriene antagonists like montelukast and zafirlukast. Relievers are used for symptom relief and include Salbutamol (short acting) and Salmeterol/Formoterol (long acting). Peak flow meter may be useful in acute attacks, wherein the peak flow rates can be reduced.

A good strategy is to use preventers regularly and rely on relievers during an attack. The first one helps build resistance and so reduces the incidence of attacks. Reach out to a doctor if a severe attack ensues (lasts more than 3 hours).
 

Ever wondered why you needed to share your family’s health history at a doctor’s clinic? Specific questions regarding health issues of your immediate family or close blood relatives give your doctor an insight into various health risks you might have now or in future. Those are medical conditions inherited by parents or grandparents through genes. Genes are passed from parents to children in DNA of eggs or sperms. Even a single mutation (fault) in gene can influence body systems and may lead to disorders. If any of the parents have a faulty gene, there are 50:50 chances of the child inheriting it.

Hereditary heart diseases are also a result of mutation in one or more genes and tend to run in families. Genes control almost all aspects of cardiovascular system including strengthening blood vessels, pumping capacity or communication of cells in the heart. A single genetic variation is enough to alter cardiovascular processes increasing the risk of developing a heart disease, attack or a stroke. Some of the most common hereditary cardiac disorders include; Arrhythmias, congenital heart diseases and cardiomyopathy. A family history of heart attack or stroke is also an established high-risk factor for the family members. High blood cholesterol, medically known as familial hypercholesterolemia also tends to run in families.

Unfortunately, many of these conditions cannot be prevented since they are acquired through genes. But there are many ways in which these could be managed before they become complicated or fatal.

Let’s look at some ways by which we can deal with hereditary heart diseases and increase a patient’s chances of survival:

1. Early Diagnosis And Treatment: When one person in the family is diagnosed with a heart disease, it is strongly advisable for other family members to go in for screening. An early diagnosis can help in better treatment and management of the disease and impacts positively on patients’ life. Medical screening of siblings is highly recommended in case a person suffers a sudden cardiac death especially at a young age.

2. Watch out for these symptoms at a young age: Abnormal heart rhythm, asthma that does not get better with inhaler, seizures that do not improve with medication, extreme fatigue or shortness of breath are warning signals and need immediate medical attention.

3. Genetic Testing: Family members may opt for genetic testing to check if they carried genes of an inherited disorder.

4. Genetic Counselling: Genetic counselling deals with problems like anxieties and fear of attacks, confusion over disease and emotional difficulties in accepting the situation.

We may not be able to change the family history but we can surely change our environment, lifestyle and habits. Eating healthy and following an active lifestyle does help in prevention and management of such diseases.

The structure of the ear can be broadly divided into three parts; the outer ear or visible part, the middle ear and the inner ear. The middle ear is highly susceptible to bacterial and viral infections. Ear infections can affect infants, children and adults. Ear infections are triggered by the blockage or swelling of tubes within the ear. These tubes are known as eustachian tubes.

This may be caused by:

• Allergies
• Sinus infections
• Cold or flu
• Excessive mucus
• Smoking
• Swollen adenoids or an adenoid infection
• Change in air pressure

Symptoms of an ear infection may be noticed in one or both ears. These symptoms vary from person to person. In some cases, they may come and go while in others, they can be experienced for a long stretch of time. In most cases, symptoms of a chronic ear infection are less noticeable as compared to an acute ear infection.

Some of the most common ear infection symptoms are:

• Ear pain: In the case of an ear infection in only one ear, the pain may be mild but if it has affected both ears, the patient can be caused considerable pain in the ears. This pain is usually more severe when the patient is lying down.
• Discharge of pus from the ears: Ear infections that affect the eardrum can cause fluid or pus to flow out of the ears. In some cases, there may also be a little bleeding. Do not plug the ears to keep this discharge from flowing as it can aggravate the infection further.
• Loss of hearing: A blockage in the middle ear can make sounds appear muffled. This can temporarily affect hearing. It is usually relieved when the infection is cured.
• Sensation of pressure in the ear canal: The buildup of fluid within the ear canal can make it feel full and create a sense of pressure. If the infection affects only one ear, this pressure can cause a sense of dis-balance.
• Fussiness in young infants: Ear infections can be very painful and uncomfortable for young infants. It can make it difficult for them to sleep, make them cranky and more irritable than usual.
• Fever: Ear infections can cause a fever that is often higher than 100 degrees. If it crosses 102 degrees, a doctor must be consulted immediately.
• Loss of balance: The ears not only help us hear but also influence our sense of balance. A middle ear infection can cause dizziness, vertigo and nausea.
   

A respiratory disorder, the inflammation of the lining in the bronchial tubes, which are responsible for carrying air to and from your lungs is known as bronchitis. Allergic bronchitis is a disorder that develops, if you have severe allergies which result in a bronchial immune system reaction.

Allergic Bronchitis requires medical diagnosis by your healthcare provider who can differentiate the allergic form of bronchitis from the normal form of bronchitis by searching for other symptoms related to the allergy. Allergic bronchitis often occurs due to seasonal allergies, making it an acute condition. If you are suffering from lingering bronchitis issues caused due to allergies, an allergy test is recommended so that the doctor can accurately assess the condition.

The symptoms of allergic bronchitis are similar to the regular form bronchitis. Only difference is that the symptoms are triggered by allergies. Some of the symptoms are given below:

1. Cough which may form mucus

2. Body aches and breathlessness

3. Headaches, blocked nose and sinuses

4. Fever with chills

5. Wheezing

Over the years, Ayurvedic practitioners have prepared and prescribed a number of remedies that can address the issue of allergic bronchitis.

Some of the Ayurvedic remedies are listed below:

Below listed remedies should be taken 3 times in a day for quick relief.

1. 2 grams of Shringyadi Churna should be taken along with 100 mg of Kaphachintamani and Kaphaketu.

2. Talisadi churna should be mixed with honey and ginger juice.

3. 2 grams of Sitopaladi Churna should be mixed with 200 mg of Praval Pisthi as well as 100 mg of Rasa Sindur.

4. Haridra khand (one spoon) should be taken along with a cup of warm milk.

5. Other natural remedies, according to Ayurveda include:

   1. Haldi (turmeric powder) mixed with a glass of milk

   2. Juice of Vasa

   3. Tulsi (Basil leaves ground to make a juice)

   4. Equal quantity of black pepper, dried ginger and long pepper (piper longum) mixed with honey

Cochlear implant is a medical device that provides direct electrical stimulation to the hearing nerve in the inner ear. Children and adults with a severe hearing loss may be helped with cochlear implants. A cochlear implant is a prosthetic substitute directly stimulating the cochlea and it does not cure deafness or hearing impairment.

A cochlear implant completely by-passes the normal hearing mechanism and stimulates the auditory nerve directly by means of an internally implanted electrode assembly. The implant consists of an external portion that located behind the ear and an interior portion which is surgically implanted under the skin. An implant has a microphone, a speech processor, a transmitter and an electrode array. The sound from the environment is picked by microphone and transmitter and receiver/stimulator sends them to speech processor to convert them into electric impulses. The speech processor placed with the microphone behind the ear, or it is a small box-like unit worn in a chest pocket. The speech processor digitizes the sound signals and sends them to a transmitter just behind the ear. The electrode array collects the impulses from the stimulator and sends those to different regions of the auditory nerve. The electrodes stimulate the fibers of the auditory nerve, and sound sensations are perceived.

A cochlear implant is very different from a hearing aid. Hearing aids amplify sounds so that they can be detected by damaged ears. Cochlear implants bypass damaged portions of the ear and directly stimulate the auditory nerve. Hearing via a cochlear implant is different from normal hearing and takes time to adjust. However, it enables many people to understand other sounds in the environment, recognize warning signals, , and understand speech in person or over the telephone.

The benefits from a cochlear implant depend on many factors, such as the age of the patient when he or she receives the implant, the hearing loss present pre or post patient developed language skills and finally the motivation of the patient and family support.

Once a person is referred for cochlear implant, more testing is done which includes audio logic testing, psychological testing, medical examination, and tests performed by the surgeon. It is done to ensure that the candidate will benefit from a cochlear implant and will have the motivation to participate in the process. Once the decision is made to go ahead, the surgery is done. Sometimes it involves an overnight stay in the clinic, and sometimes it is done on an outpatient basis. Six weeks post-surgery, patient is fitted with the external microphone and speech processor and implant is activated and programmed.

The best candidates are those having severe hearing loss in both ears, limited benefit from hearing aids, medical condition that makes surgery risky. Children can be considered for cochlear implants if they have the similar conditions as adults and in addition have support from their educational institutions to development of auditory skills.

Bladder prolapse is a condition wherein a woman’s vaginal wall ceases to adequately support the urinary bladder. The front wall of the vagina gives support to the bladder under normal circumstances but when this wall weakens, it allows the bladder to droop and become prolapsed. This can lead to a wide range of medical problems such as urinary difficulties, stress incontinence (leakage of urine while coughing or sneezing), pain and discomfort, etc.

Prolapsed bladders are generally associated with menopause. Also known as cystoceles or fallen bladders, they are categorized into four different types depending on the extent to which the bladder has prolapsed.
Grade 1: This is the mild stage wherein a small portion of the bladder droops into the vagina.
Grade 2: This is the moderate stage in which the bladder droops far enough to reach the opening of the vagina.
Grade 3: This is when the condition becomes severe and the bladder protrudes from the body through the opening of the vagina.
Grade 4: This occurs when the bladder has completely prolapsed. The entire bladder protrudes outside the vagina and is normally associated with other forms of pelvic organ prolapse such as uterine prolapse (the sagging of the uterus from its normal spot) and rectocele (prolapse of the wall between the vagina and the rectum).

What are the causes of prolapsed bladders?
Following are the factors that lead to the condition of prolapsed bladders:

1. Menopause: The vaginal walls are known to become weak upon the onset of menopause. This occurs because the body inhibits the production of oestrogen, the hormone that renders strength to the muscles of the vagina. As a result, the bladder is no longer supported by the vagina.
2. Childbirth: The process of childbirth puts a tremendous amount of stress on the vagina and often leads to deterioration of the muscles of the vaginal wall. This in turn leads to the condition of prolapsed bladder.
3. Straining: Anything that puts strain on the walls of the vagina can lead to this condition. This includes lifting heavy objects, chronic constipation, obesity, excessive coughing and sneezing or any other factor that damages the pelvic floor.

What are the symptoms of a prolapsed bladder?
Symptoms of a prolapsed bladder vary from case to case, depending on the category and extent of the condition. Some of the most commonly experienced symptoms of the condition are as follows:
Tissue sticking out of the vagina (that may be tender and/or bleeding)

1. Frequent urge to urinate
2. Urinary incontinence (unwanted leakage of urine)
3. Pain during urination
4. Pain during sex
5. Frequent urinary tract and bladder infections
6. Pain in the vagina, pelvis, lower abdomen or lower back
7. Incomplete urination

A rising number of teenage girls in the country are getting affected with Poly Cystic Ovarian Disease or PCOD. Though an advanced menarche has become very rampant these days, there are many young women who are suffering from a delay in menarche which in turn is leading to PCOD as opined by gynaecologists. Obesity and sedentary lifestyle among young people have caused a rapid doubling of PCOD cases in the past five to eight years.

Occurrence and Symptoms:

Gynaecologists report that they get at least 15 fresh instances of PCOD cases, and a considerable number of teenagers aged 16-17 are not getting their menarche. Such patients are recommended to take a strictly balanced diet which will help them to lose weight. Initially, their mothers think that they would experience their menarche in proper time, but some girls are diagnosed with PCOD when taken to a family gynaecologist. Even worse, they could never imagine that their obesity can pave the way for such a grave health issue. PCOD can cause numerous other problems like delayed and irregular menses, rapid weight gain and tremendous difficulty in losing weight, developing acne and blocked skin pores.

Furthermore, it leads to thinning of hair and excessive growth of hair on chest, back and face. Infertility, continual miscarriage, high blood pressure and high blood sugar are also common with PCOD.

Help yourself with the right diet:

There is no proven evidence regarding the cause of PCOD though gynaecologists are of the opinion that some females possess a predisposition to this disease, and it may run hereditarily in the family. You can alleviate your PCOD symptoms to a considerable extent by regulating your diet properly.

Have loads of fruits and green leafy vegetables and try to abstain from dairy products as many experts believe that dairy products are a direct cause of an increase in insulin levels, which can aggravate skin troubles along with other PCOD symptoms. Avoiding red meat and eating lean meat instead will help the condition and reduce the chances of infertility. It is always recommended to avoid hydrogenated and saturated fats, which are normally found in animal and dairy-based food. Try to put a stop to cheese, cottage cheese, clarified butter, pork, lamb, beef, etc. and certain baked products like cookies, cakes and fudges as they will trigger a rise in your blood sugar and cholesterol levels.

The following dietary tips can be helpful with the condition:

• High levels of the insulin hormone causes PCOS symptoms like high blood sugar, increased hair growth, weight gain etc. So, refined foods rich in fat and carbohydrates should be consumed in small amounts.
• Whole foods in their natural, uncooked form should be consumed fruits, vegetables, nuts, beans etc. These are low glycemic foods that reduce the glucose circulation by insulin.
• Intake of salt should be very limited. You should not consume more than 3 grams a day.
• Green vegetables have antioxidants. These are good for women with PCOS because they have a high amount of oxidative stress.
• Your daily diet should contain at least 30 grams of fiber to improve the digestion process and remove toxins.
• Milk and dairy products are best avoided because milk helps to increase the level of testosterone (male hormone) in the body.
• Soy products should also be avoided, especially if you are trying to conceive, because they interfere with the ovulation cycle.
• Processed fat is harmful but essential fatty acids found in avocado, fish, olive oil and nuts are important for the body.
• High levels of male hormones also cause high cholesterol. So foods which have high saturated fats like butter, cream, coconut oil and fatty meat should not be included in the regular diet of women with PCOS.
• Protein-rich foods like lean meat, fish, legumes, whole grains are beneficial as protein can stabilize blood sugar. These foods also keep you feeling full and prevent over-eating.

PCOD is such a condition which you can never afford to overlook. If you had been facing any of the common symptoms, then it is probably time to pay a visit to a responsive gynaecologist.

Psoriasis is a long term disorder that affects the skin. In this condition, the skin cells start to grow at an accelerated rate with thick red and white welts on the skin. While normal skin cells grow and flake off within four odd weeks, the new skin cells in this condition crowd the skin before these old skin cells go away. 

The patches that occur as a result of this condition are known as plaque build-up which mostly appears on the scalp, feet, knees, elbows and lower back. Let us find out more about this condition and how it may be treated with the help of homeopathy:

Causes and Triggers-

The most common triggers for this condition include bacterial and viral infections. Stress during inducing situation also acts as a trigger. Cuts, snake bites or other insect bites can lead to this condition. Smoking and excessive alcohol consumption may also be the cause of Psoriasis. This condition can also appear as a side effect of other medication too.

Symptoms-

The symptoms include ridge like patches which are thick and pitted. Also, the patient may complain of pain and stiffness in the joints as well as itching, soreness and puffiness. Scaly spots may also appear on the skin which may eventually become dry and cracked before bleeding begins.

Types of Psoriasis-

There are various types of psoriasis which must be treated in different ways. Scalp psoriasis is a common form, while skin and nail psoriasis may also be found in many patients. Guttate and Palomar Plantar Psoriasis are other rare forms where puss filled sores may appear on the skin.

Homeopathy Treatment-

The main treatment in homeopathy includes working on the immunity of the patient along with a cure for the inflammation. Arsenic Album is one of the main medicines used in this case as well as Kali Brom, which is best for treating cold skin which has blue corrugated sores. Thyrodium may also be used in case the patient is experiencing dry skin with cold hands and feet. Radium Brom can also help in curing excessive itching and oozing that may appear on the face. Apis Mellifica can be used for taking care of rashes that may be caused in this condition while Calendula is a medicine used for topical application. This medicine is used for soothing the skin which has undergone severe inflammation. Sulphur is a homeopathic medicine that is used for a variety of skin ailments and disorders.

Length of Treatment-

One must remember that homeopathy treatment is a long term process and it usually takes time for the effect to start showing on the condition and symptoms.

‘Hives’, also known as urticaria, is the outbreak of pale red, swollen bumps on the body. It can occur on any part of the body including the face, back, arms or legs. It is a type of hypersensitivity reaction in which the cause for the reaction is idiopathic (unknown). Also, it can come in various shapes and sizes. Hives can be associated with redness, itching, and a burning and stinging sensation. These can last for more than a minute or even more than that; up to days.

What causes hives?
Most of the times, hives are idiopathic, i.e. the reason that causes this type of hypersensitivity reaction is unknown. The bumps are caused by the action of histamine that makes the plasma in the blood leak out of the small blood vessels. Histamine is a substance that is released from a specialized cell and is what causes allergic responses in general. There are three types of hives- namely, acute, chronic urticaria and physical urticaria. Acute urticaria is when the hives last for less than six weeks. Chronic urticaria occurs when the hives last for more than six weeks.

Physical urticaria refers to the condition when the hives are triggered due to causes such as heat, cold, sun exposure, sweating, pressure and exercise. Although, this condition is mainly idiopathic, there are common causes that may trigger this condition such as:

• Foods such as nuts, fish, chocolates, milk and milk products
• Environmental triggers such as pollen grains, dust etc
• Medications such as ibuprofen or paracetamol
• Insect bites
• Latex
• Blood transfusion
• Bacterial infections including strep throat and urinary tract infection
• Pet dander
• Plants such as poison oak or poison ivy

What are the symptoms of hives?
Hives are usually self-diagnosable. The various symptoms of urticaria are:

1. Swollen red bumps known as wheals
2. The red bumps can occur suddenly and subside all of a sudden as well
3. “Blanching” which is characterized by the whitening of the swollen red part.
4. They occur on any part of the body and can change shapes, and sizes. It can become larger or it can reduce in size; it can also move around in the body.

The onset of winter brings with it chilly and dry winds. For some, it’s the time to enjoy the chill weather with hot water baths and soothing drinks, and for others it’s time to brave the long persistent cold and flu like symptoms which cause sickness and discomfort.

People who are allergic to the winter season can catch a cold on the slightest exposure to cold air. Sometimes, it’s difficult to ascertain whether it is cold or an external allergen. In people prone to winter allergies, the allergies are mainly caused due to the allergens present in the environment. Mostly, winter allergies are also caused by the same allergens that are triggered in the summer season.

Thus, people who have some or the other form of seasonal allergy is likely to suffer from allergies as the season changes.

1. Pet dander (flakes of skin in an animal's fur or hair) allergies are believed to escalate in winter since pets are mostly indoors during this season. The best way to deal with this is keeping the pet’s area clean and dry, washing and changing of the bedding regularly, and avoiding physical contact as much as possible.
2. Dampness of clothes, blankets and shoes at home can be an allergy trigger for many people. The best way to control this type of allergy is to keep damp clothes and shoes in sun for some time. However, this may not work in many countries with extreme cold climates, which lack sunshine in their environment.
3. Decaying leaves and other yard waste can cause allergies due to mould and mildew. Mopping and sweeping the floors and garden can help alleviate the problem to some extent.
4. Dry climate can cause irritation in the nose and throat. It’s important to replenish the body with adequate liquids and water rich fruits and veggies. It’s important to choose your drinks wisely. Too much tea or coffee can also dehydrate the body. Go for ginger lemon honey infused in warm water for best results.
5. Allergy symptoms can also be caused due to too much moisture in the environment. It can give rise to a stuffy or runny nose, sneezing and coughing. Thus it’s best to avoid sitting in a moist environment for long.
6. Sinus congestions are also common during the winter season. Steam inhalation and hot showers can help relieve the symptoms and provide relief.

Whether you are allergic to pets, moisture, dampness, dry weather or chilled winds, the thumb rule is twofold—to understand what triggers your allergies and to avoid your exposure to those allergens. As we all know, allergies have no cure and they need to be managed. Drugs also help in controlling the allergy symptoms to some extent. However, it’s best to prevent them as far as possible. If you are confused about what triggers your allergy, make sure to consult your doctor.