Dr. Renu Sharma

A Jet Airways aircraft Boeing 737, travelling from Mumbai to Jaipur with 166 passengers on board, had to return to the airport as the crew forgot to turn on the cabin pressurisation system which maintains air pressure inside an aircraft to a comfortable level.

The mistake led to several passengers suffering from nosebleed, bleeding from ear and severe headache. Some of the passengers were even admitted to the hospital with these complaints.

What does Air Pressure mean?

Air pressure, also known as Barometric pressure or atmospheric pressure, is the weight of the atmosphere pressing down on earth. It is measured by a barometer in units called millibars. The standard or average atmospheric pressure at sea level on the earth is 1013.25 millibars per square inch, which is about 14.7 pounds.

What are the causes of Air Pressure?

Air pressure is caused due to air molecules present in the atmosphere. The higher the altitude, the lower is the air pressure, which makes it tough for humans to survive without proper equipment.

The aircrafts use cabin pressure by pumping in ‘bleed air’ to maintain barometric pressure. This pressurisation becomes highly necessary when the aircraft touches altitude above 10,000 feet (3,000 meters) from sea level.

What health issues do low Air Pressure cause?

Low air pressure can cause mild as well as death threatening conditions which include:

Blood pressure: As the air pressure reduces, the blood pressure also starts falling. It can be observed if you are feeling dizziness or a blurred vision.

Severe headache: Change in barometric pressure can lead to severe headache or migraines by creating a pressure difference between the atmosphere and air-filled sinuses.

Joint pain: As per a study, the change in barometric pressure increases the severity of joint pain and arthritis.

Blood sugar: Change in air pressure bring cold fronts , which is not good for a diabetic person.

Hypoxia: The lower oxygen pressure reduces the oxygen tension in the lungs, subsequently in the brain. This can lead to dimmed vision, sluggish thinking, loss of consciousness and eventually death.

Altitude sickness: In the most common response to hypoxia, the human body starts hyperventilation. It does help in partially restoring oxygen in the blood but it also leads to carbon dioxide to out-gas which increases the blood pH level. In this condition, people may suffer fatigue, nausea, headache, sleeplessness and even pulmonary oedema.

Decompression sickness: It leads to tiredness, forgetfulness, headache, stroke, thrombosis and subcutaneous itching.

Barotrauma: As the aircraft climbs or descends, passengers may face discomfort or acute pain as gases trapped inside their bodies try to expand. The most common problems faced due to this situation include air trapped in the middle ear or paranasal sinuses by a blocked Eustachian tube. It can also cause pain in gastrointestinal tract or even the teeth.

What emergency steps should be taken in situation of low air pressure?

The effects of low air pressure may vary from person to person. Some people do not feel any health problems even while being at an altitude as high as 8,000 feet while some would start feeling restless from 5,000 feet onwards.

There may be many precautions including carrying an oxygen cylinder always while travelling to the high altitude places. In aircrafts, oxygen masks are provided to each passenger but if you are planning to go on a trek, you must know some important aspects of surviving at high altitude places. Have a look:

• Avoid smoking and alcohol consumption
• Avoid switching on the heater
• Take proper sleep at night with a pillow under your head
• Keep yourself hydrated and do not over-hydrate
• Do not overeat
• Never exert yourself

Emergency tips to keep yourself safe at high altitude places:

• Ginger or ginger water
• Garlic
• Clove
• Lavender oil

These things can help you keep your mind and body fit even at the reasonably high altitude places.

The perception of happiness has changed drastically over the past few decades. The constant pursuit has resulted in over expectation. Nobody wants to adjust or do any form of compromise today. Even the concept that “Marriages are made in heaven” stands as a question mark and the divorce rates are constantly rising. So, if you don’t want to settle with a legal notice and try to give another chance to make a comeback, a set of specialized therapists called counselors are waiting with their arms open, trying to let you know the cause of your unhappiness.

Marriage is all about commitment, devotion, spirituality, chemistry and even hard work. Don’t get amazed by the word ‘hard work’ here. This is a ‘must-have’. You have to work on anything and everything to continue the way it was and counselors simply guide you by listening to your problems. Seeking a counselor’s help instead of ruining it till the last is a good indication that you still want to put your efforts into this marriage. They listen to your problems and provide solutions accordingly to make it work for you over a long term.

So, before calling it an end, give it a chance and visit a counselor to act on whatever is left of this union. They are problem solvers and with their skills and advice, things can be normal as before.

1. Marriage counselors will guide you throughout without being biased, helping you with ways to resolve a conflict. Good communication skill is a very important for a healthy marriage, and a good guide about it will help you in listening to each other.
2. It’s obvious to expect in a relationship and presenting about your needs carefully before your spouse will help in building the much-needed understanding. So how should you work on it? You’ve counselors to show you the path.
3. The art of talking can be improved during counseling sessions. Without being offensive, you can then be assertive and place your words into the situation.
4. For the unresolved issues, there will also be a solution. During sessions, the marriage counselor gives you an environment to speak your heart out, and you can simply elaborate on how you feel when things get messy. Based on your answers, you will have solutions to your problems. Open out about your feelings more and more so that your spouse can understand the effort and vice versa.
5. Without the quarrels, understanding will be much deeper, and you may seem to find out ways to work it just the way you wanted your marriage to be.

Marriage needs monitoring in every aspect. So before it’s too late, grab your chance to avoid the guilt that you may have later on. If your hearts have clicked before, a little effort will reunite it again. Give counseling a chance to protect yourself from future regrets.
 

How Ayurveda can treat chronic problems by balancing the Vata, Pitta and Kapha doshas in different parts of the body.

Hello, everyone, I am doctor P.K Srivastava. Especially I am talking about the problems that are chronic and many of them are located as no result. After so many investigations and ultimately the people come at last to me. I examine through the pulse and specialist in Pulse diagnosis. So I take the pulse of the patient and thought that I am going to the inside for their Vata, Pitta, Kapha balance or imbalance. So accordingly I find the problems with their Vata, Pitta, and Kapha and in which part of the body they are to be power having the pain. So I would like to say to everyone who is having such problems are not to remove from anywhere I invite those people who come to me. I am doing the service of mankind service to God.

As like that I went to the abroad so many countries through the mercy Ayurveda I found everywhere the people are welcome us and they have courage themselves and encourage ourselves also through the pulse diagnosis. And I try to my best to cure the disease. The symptoms by making their Vata, Pitta, Kapha balances. Mainly I am a specialist in Ayurveda and the gyne problems. Many of the people ladies they come of which so many problems which are not curable and I tried my best to cure them. This metabolic system is the main source of the energy if it is in the balanced state. If it is not balanced because of irregular diets and the behaviors. The people go to the shop and go to the streets and enjoy the food on the street where so many dirty things are around it.

Are there like their tests? Either it is decreasing their system of digestion or increasing them? So sometimes the Pitta is aggravated and after aggravation, it is vesicated creating the hyper acidity. Tympanitis, Constipation, Pain in the body or sometimes this gas goes up to the head having so much pain and people ask me I have pain the body I have severe pain in the head and I have taken so much pain relieving medicines But the effect is for three or two hours. I examined their pulse and found the pain is not the headache the pain is related to the gastric discomfort. So I am myself tried to balance these people and increase the digestion improvement and ultimately they felt ok. So I would like to invite everyone. I am sitting here in BF 125 Sector 27 Indira Market Noida. So the name of my clinic is Panacea Ayurveda health care. So please come and show your pulse. I will try my best to solve your problems. Doesn't matter it is the children case or ladies or gents. It is related to the mental or nervous system, digestive system or the lungs asthma, or joints pain Spondylitis, Migraine, sinusitis, the other problems are solved here.

One thing I would like to say that I am connected with the lybrate.com or you may check or call through Lybrate to me. So I will solve your problems. Anyhow, thank you.

My name is Dr Tarun Jhamb and I’m an MD Medince. I am practising for last fifteen years. I am connected to Lybrate. I’m also practising at Columbia Asia Hospital and we will discuss the health topic one of which is Dengue Fever. We know for the next three months, there is a possibility of Dengue Fever in the rainy season. Dengue is a mosquito borne viral fever and it just spreads from the bite of the mosquito and spreads person to person. Most of the times it is self-treatable and it’s a preventable disease but there are a few cases which have gone into complications which are known as Dengue Shock Syndrome or Dengue haemorrhaging Fever.

Common symptoms of the Dengue Fever is the high-grade fever, 104- 105 temperature with body ache, joint pain, muscle pain, rashes all over the body, and severe weakness. A person becomes very dilapidated within one or two days and feels very uncomfortable and he becomes sick. It is a treatable disease. Lots of liquids and electrolytes are required.

What are the dos and don’ts for this disease?

Do is, we have to take care of not getting stagnant water in coolers or in and around the home. We should take care of using the mosquito repellent, material or the jellies. We can use the net to avoid the mosquito bite. We should intake a lot of water and electrolyte supplements. We should take bed rest for few days. We need to see the doctor as soon as we see the symptoms of dengue fever.

Things we don’t have to do, do not use disprin or the voveran tablet during the fever because these are the blood thinners. Do not avoid or delay the treatment. As we see the symptoms like bleeding from anywhere on the sight and black stool, continuous vomiting and severe weakness and continuous fever which leads to fainting.

These are the serious symptoms which should be immediately taken care of and we should seek the help of the doctor. It is a preventable disease. We should take care of the blood testing where we find the dengue test at initial four to five days, likely to be positive and antibody test after four to five days, is likely to be positive. Platelets are falling after four to five days and remain for the next three to four days and then it automatically starts. Some people require hospitalization as well as the platelet transfusion. The upper limit of the platelet is up to ten to fifteen thousand where we can prevent or avoid the platelet transfusion. But if it is going down lower or there is any sign of bleeding up to forty thousand then we have to give the platelet transfusion request.

If you need any of my help, I am available at Lybrate. My home clinic is Naman Medicare at Gurgaon, Sector IV.

Thank you