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Rajma-chawal, red kidney beans are used extensively all over the globe.They are called 'kidney beans' due to their shape which resembles the human kidney. They are one of the tastiest beans and belong to lentils food group. Red kidney beans are known as 'rajma' in India and they form an important part of a vegetarian diet due to their excellent protein content. But the protein they contain is incomplete and they should always be paired with a cereal (carbohydrate) to improve their biological value, in other words, improve the quality of protein.
Nutrition in rajma (Nutritive value per 100g)
Energy - 340 kcals
Protein - 24g
Carbohydrates - 56g
Fat - 1g
Magnesium - 184 mg
Let's have a look at the health benefits of red kidney beans:
Red kidney beans fall into the category of low glycemic index foods and they do not spike the blood glucose levels post meal in diabetics. In other words, they raise the blood glucose levels very slowly. Also, they contain good quality carbohydrates and lean protein which makes them a healthy option. And the cherry on the cake is that they are low in fat too. Also, the two amino acids which regulate insulin levels - arginine and leucine are present abundantly in red kidney beans.
Lowers cholesterol levels
Rajma is a tremendous source of soluble fibre which helps lower cholesterol levels. Soluble fibre forms a gel when it comes in contact with the stomach contents and this binds the cholesterol and prevents its re-absorption back into the system, thus lowering blood cholesterol levels.
Nutritious red kidney beans are also a very good source of potassium and magnesium along with soluble fibre and protein which helps maintain blood pressure within normal range and protects the overall heart health. Potassium and magnesium dilate the blood vessels and arteries thus assuring smooth blood flow.
Help lose weight
These fibre rich beans when consumed, occupy a lot of space in the stomach thus providing a feeling of fullness for a longer period of time and they are low in fat too. This makes it an appropriate pre-workout option as it will provide sustained energy throughout.
Strengthens the immune system
The health benefits of rajma are not just limited to its fibre and protein content as it is full of antioxidants too. These antioxidants boost our immune system and protect it from the harmful effects of free radicals by scavenging them and limiting the damage. Antioxidants are also believed to have anti-ageing properties.
Combine rajma with vegetables in the form of salads or soups to make it more nutritious. Eating red kidney beans every day can become boring or monotonous, here is another interesting way to incorporate it into your daily diet: Red kidney bean flour/powdered beans can be added to wheat flour to make more nutritious chapattis or Indian flat bread, khakra, wraps, chilas, dosas, pancakes, etc.
I have missed my chums for about a week. Have got done urine pregnancy test which was negative. What is the procedure for medical abortion and cost. How I find if there is some other problem or pregnancy?
I am a 27 years girl from last 3 months I am facing a lot of pain in my stomach during the time of periodical times. I have taken pain killers but not getting any help. What should I do?
My boobs hurting me for the past two days and ive been frequently peeing alot and last night my back start hurting me and its been hurting ever since.
Mujhe kabhi kabhi sans lene me bahut hi problem hoti he or me thik se baat bhi nahi kar parehi hu. Kyu ese hora hai mere saath, pls suggest me?
Hi My mom is having thyroid and now she is 40 plus. She is facing problem with her uterus. She has undergone lacroscopy also. But now again some of the doctors are saying that it' s better to remove the uterus. So please I want your suggestions.
I have abdominal pain any of pain but the doctor said that I have tubal cyst of 17 cm .and 5 month before intake my ultrasound there is noting in the report but in present month have 17 cm tubal cyst in ultrasound please tell me it can possible.
HI I am 28 years old tomm I arise with a new prbm. My problem is I gt a red discharge. My periods are over 15 days back. What should I do?
The most common causes of painful sex for women
If you often experience pain during intercourse with your partner, and no remedy seems to be working, the following may be the culprits:
#1 Lack of lubrication. Insufficient lubrication is one of the main causes of painful sex for a female, and in many cases, men also feel discomfort when there’s not enough lube. It can be caused by insufficient arousal, possibly resulting from a lack of foreplay, but it can also be caused by a range of other factors.
Some medications have been linked to decreased levels of arousal, which also affect lubrication levels. Birth control, allergy medications, sedatives, antidepressants, and high blood pressure medications are known to cause lowered levels of arousal in women. Decreased estrogen levels after having a child, while breastfeeding, and after menopause can also cause insufficient lubrication.
#2 Infection or Inflammation. Infections are common causes of irritation and inflammation linked to pain during sex. Rough sex is also a factor that causes inflammation and swelling in the vaginal cavity, making penetration difficult.
Yeast infections, also incredibly common, can lead to itching and burning during sex. Even a urinary tract infection, can give you an unpleasant, tingly, or burning sensation while having sex.
#3 Trauma, injury or surgery. Painful sex can also be caused by trauma or injury following an accident or surgery, such as a pelvic surgery or a fracture. Episiotomy, which is the emergency surgery to increase the size of the birth canal while in labor, is also considered a type of trauma that can result in painful sex. Female circumcision, though less common in the Western world, can also cause excruciating pain during intercourse.
Cancer treatments, including chemo and radiation therapy, can affect the sensations in the vagina, causing painful penetration. A hysterectomy or other pelvic surgeries can also cause unwelcome changes down there.
#4 Illness or a health condition. A range of illnesses and serious health conditions can make sex a less than pleasant experience. Pelvic inflammatory disease, an ectopic pregnancy, uterine prolapse, retroverted uterus, cystitis, uterine fibroids, irritable bowel syndrome, ovarian cysts, endometriosis, and hemorrhoids are all culprits that cause severe pain during sex. These conditions range from moderate to severe, and often require antibiotics and prescription medication in order to heal properly.
Vaginismus is another prevalent condition that causes muscle spasms within the walls of the vagina, and it causes incredible pain. Without seeking medical examination, you may ignore the warning signs, and thus make the problem worse.
#5 Sexually transmitted diseases. STDs are a common cause of painful sex, and the symptoms of the disease can also be intensified by engaging in penetration without treatment. These symptoms can also be passed to your sexual partner, making it just as uncomfortable to have sex for them as well. Herpes, genital warts, and HPV can all lead to pain, though symptoms are not always recognized in the early stages.
#6 Childbirth. An ectopic pregnancy can make for a very rough recovery and uncomfortable sex. In addition, having sex too soon after giving birth *less than 6 weeks* can be just as dreadful if the vaginal canal hasn’t healed properly yet.
Sometimes, a woman’s vaginal opening may be cut to allow a larger opening for the baby to come through, and this requires sufficient healing time to prevent complications or infection. It is important to wait 6 weeks, or as long as is recommended by your doctor, before having sex if you have recently given birth. You should also steer clear of any rough play until everything down there is back to normal.
#7 Psychological and emotional causes. There are quite a few emotional and psychological causes that make sex largely uncomfortable. Stress is a factor that tightens the muscles in your pelvic region as a result, and this can cause discomfort and difficulty during sex. Deep-seated insecurity, depression, anxiety, low self-worth, body image issues, relationship conflicts, or being afraid of intimacy are also possible causes.
Sexual abuse at any point in your life could also affect your views on sex as an intimate and safe act between consenting individuals. The emotional trauma as a result of sexual abuse could cause physical symptoms to manifest while having sex. Having fear associated with sex can also cause you to tighten your pelvic muscles, which often causes discomfort during penetration.
If you feel that sex is painful for you because of an emotional or psychological issue, a therapist may be able to help you deal with the problem, so that you may later enjoy the pleasures of sex.
There is no shame in seeking help for problems that arise in your sex life. Sexual intimacy is a natural and beautiful thing, so be sure to get assessed if you often experience discomfort.
My friend has a history of irregular periods and was diagnosed with psod and was on medication. She has her last period in december starting and after that none for last 3 months. She had intercourse in 21 march for the first time and unprotected one. Though she had pill within 2 he's of having it. She is tensed that she might get pregnant. Please clarifywhat needs to be done further. Awaiting response eagerly.
Hello doctor, Can you help me by telling any of infertility specialist near by faridabad who can treat blocked tubes (one tube is blocked and other is partially blocked shown in HSG test). As my tubes are blocked due to D&C did in march 2015. As my first pregnancy turned into miscarriage in march 2015 and I had conceived in jan 2015 and married in dec 2015.
In 5 Years, Threat Of Drug-Resistant Superbugs Doubles
A 72-year-old woman in Bengaluru consulted a hospital physician about a severe skin infection and fever. She had previously consulted a couple of general practitioners, who prescribed a course of penicillin for three days and fluoroquinolones—both antibiotics—for two days.
There was no relief.
So, the consultant ordered a culture sensitivity test of pus from the skin lesions to identify what was causing her ailment and figure out what antibiotics it would respond to.
Here’s what the report said:
Pathogen: Klebsiella pneumoniae
Susceptible to: No antibiotic
Resistant to: All antibiotics, including advanced drugs like fluoroquinolones, carbapenems and even the last resort combination usually reserved for severe cases of ICU infection, colistin-tigecycline.
With nothing to offer the patient, save a prescription for paracetamol to keep her fever in check, the doctor sent the patient home, and asked her to return after a week.
In such cases, sometimes, the body’s immunity kicks in and throws off the infection, the physician, Sheela Chakravarthy, consultant (internal medicine) at Fortis Hospital, Bengaluru, told IndiaSpend.
Sometimes, resistance to one or more drugs abates, allowing treatment to be resumed. Chances of that happening are greater at home, not in the hospital, which is a more infectious space where sepsis—a disproportionate and potentially life-threatening immune response by your body to an infection—could set in, she explained.
Most patients, however, succumb to the infection.
Chakravarthy faces situations where she has nothing to offer patients, not because they are suffering from terminal illnesses, such as some forms of cancer, but even when they present with what should be curable infections, “almost every day”, she said.
What Chakravarthy described is the consequence of rampant, inappropriate consumption of antibiotics, spurring the development of superbugs, as the recently released State of the World’s Antibiotics Report 2015 affirms.
India is fast becoming home to superbugs
Escherichia coli, Klebsiella pneumoniae and Staphylococcus aureus are three of the deadliest pathogens facing humanity, according to the World Health Organisation (WHO). And India is gradually but increasingly becoming home to multi-drug resistant strains of these pathogens, according to the State of the World’s Antibiotics Report 2015.
Escherichia coli is notorious for causing food poisoning and urinary tract infections.
In 2010, 5% of Escherichia coli samples in India were resistant to carbapenems, last-resort antibiotics for bacteria that are resistant to first-, second- and third-line drugs. By 2014, 12% of E. coli samples were similarly resistant.
Klebsiella pneumoniae causes pneumonia, septicaemia and infections in the urinary tract, lower biliary tract and at surgical wound sites, to name a few.
While 29% of Klebsiella pneumonia isolates were resistant to carbapenems in 2008, this increased to 57% in 2014.
For comparison, fewer than 10% of Klebsiella pneumoniae infections in Europe are carbapenem-resistant.
Staphylococcus aureus can cause skin and soft tissue infections, bloodstream infections, pneumonia and surgical site infections. A particularly nasty strain of, methicillin-resistant Staphylococcus aureus (MRSA), is common in India and increasingly hard to treat.
MRSA was responsible for 40% of post-surgical site infections, according to a 2013 study by the Jawaharlal Nehru Medical College and Hospital, Aligarh.
Between 2009 and 2014, the incidence of MRSA in India has risen from 29% to 47%.
People with MRSA are 64% more likely to die than people with a non-resistant form of the infection, according to the WHO.
How ignorance is spurring the development of superbugs
“My understanding of antibiotic is that it stops bacteria growing in body…I think amoxicillin is for throat infection.”
–An urban participant of a study of perceptions about antibiotic use and resistance among urban and rural doctors, pharmacists and public in Vellore.
Mox, short for amoxicillin, has become a household word across India.
A little knowledge, however, is a dangerous thing. It encourages self-medication, even when medicine is unnecessary, such as when people suffer viral infections—against which drugs are ineffective. Most viral fevers dissipate on their own after a few days with rest, hot fluids and a check on the fever.
Consuming too many antibiotics contributes to pathogen drug resistance.
“Resistance is an outcome of accumulated use,” said Ramanan Laxminarayan, vice president, Research and Policy, Public Health Foundation of India, and director and senior fellow, Centre for Disease Dynamics, Economics & Policy, US, and co-author of the State of the World’s Antibiotic Report 2015.
Indians often rely on corner pharmacists, whose knowledge of dosages may be limited.
Here’s what a rural pharmacist participant of the aforementioned Vellore study said: “Amoxicillin, 6 tablets is to be taken [for full course].”
Amoxicillin’s full course depends on the kind and severity of bacterial infection.
When an antibiotic of lower strength or fewer pills than needed is prescribed, the body cannot fully eradicate the pathogen. Sensing it has come under attack, the bacterium responds by evolving into more resilient, antibiotic-resistant strains.
But with a course of antibiotics, say generic Amoxicillin, costing about Rs 160, close to a day’s wage in many states, and a doctor’s consultation costing anywhere between Rs 100 and Rs 1,000, more than a day’s wage in most places, patients are bound to cut corners.
Another Vellore study participant summed up the situation thus: “If I have money I go to hospital. If not, I get medicine from pharmacy shop. If I get better, I stop and keep for future use.”
Stopping a course of drugs mid-way also contributes to antibiotic microbial resistance.
In a 2015 study in Chennai, 70% respondents confessed to stopping the medication when they felt better. Only 57% completed the antibiotic course.
“Less is more”: the key to preserving antibiotic efficiency
Educate health professionals, policy makers and the public on sustainable antibiotic use, says the State of the World’s Antibiotics Report 2015.
That is sensible advice.
Denmark and Sweden boast of low rates of antibiotic use and near-zero rates of antibiotic resistance because the risks of antibiotic overuse are widely known.
Instituting regulations on antibiotic use has reduced the proportion of MRSA in Europe and the US by about a fifth over the last eight years.
India requires more stringent regulations for antibiotic use.
It isn’t enough to tell physicians that they should prescribe antibiotics only when essential to cure bacterial infections. The right way is to order a culture sensitivity test, which costs money, and the patience to wait for the result.
“Patients want instant and cheap relief, and are willing to shop around for a doctor who obliges,” said Dr Himanshu Shekhar, medical director, SCI International Hospital, New Delhi.
“Some judge doctors on how fast the prescribed medicine cures. Practice pressures lead many doctors to prescribe advanced drugs, without getting a culture-sensitivity test done.”
So, it’s also not enough to have 24 advanced antibiotics, including third- and fourth-generation cephalosporins, carbapenems, and newer fluoroquinolones, under the ambit of Schedule H1 of the Drugs & Cosmetic Rules, 1945, with effect from March 1, 2014.
That means these drugs cannot be sold over-the-counter, but they are still freely prescribed.
Chakravarthy’s suggestion: “Make Schedule H antibiotics available only through hospitals and health centres.”
“Changing antibiotic usage behaviours is critical to preserve the efficacy of existing and new drugs,” proposed Laxminarayan.
India also sorely needs regulations to check antibiotic use in animals raised for human consumption, to meet the State of the World’s Antibiotic Report 2015 recommendation to reduce and eventually phase out sub-therapeutic antibiotic use in agriculture.
Sub-therapeutic use implies mixing antibiotics in animal feed to make them grow faster and to prevent infections from devastating the herd or flock.
India is among the world’s five biggest consumers of antibiotics for livestock. IndiaSpend has earlier reported increasing evidence of antibiotic-resistant bacteria in animals in India, and how this impacts humans.
“Using antibiotics to make animals fatter faster is a waste of a precious resource,” said Laxminarayan.
How surgeons contribute to antibiotic resistance
Surgical antibiotic prophylaxis refers to the prescribing of antibiotics before, during and after operations to prevent infection.
Between 19% and 86% of patients in hospitals in India receive “inappropriate antibiotic prophylaxis”, according to the State of the World’s Antibiotics Report 2015. A prophylactic is preventive treatment for a disease.
Ideally, antibiotic prophylaxis should be administered as a single dose within 60 minutes of the skin incision. However, a 2013 Mangalore-based study found timing adhered to in 22% of cases in a government hospital, 64.9% cases in a medical-college teaching hospital and 80.7% of patients in a tertiary care corporate hospital.
“Smart antibiotic prophylaxis also includes choosing narrow-spectrum antibiotics to target the organism most likely to present concerns based on the kind of surgery being performed, this avoids needless exposure to antibiotics for the other microbes and helps prevent resistance,” said Vimesh Mistry, assistant professor, Pharmacology, Baroda Medical College.
Staphylococcus aureus, which lives on the skin, is most likely to cause infection during surgery. But surgeons frequently make poor antibiotic choices.
“We found appropriateness of choice of antibiotic in 68% cases and 52% compliance with the in-house prophylaxis guidelines,” said Tanu Singhal, infectious diseases specialist, Mumbai, and co-author of another study on antibiotic prophylaxis conducted in PD Hinduja Hospital, Mumbai.
Other prophylaxis inaccuracies include the unnecessary prescribing of antibiotics, inaccurate dose and inaccurate duration of prescription.
“We logged 63% accuracy in prescription duration. Surgeons tend to prescribe antibiotics for too long fearing post-surgery infection,” said Singhal.
In the trade off between protecting the patient better and increasing the risk to society of a pathogen developing resistance, surgeons are choosing the former.
Needed: A back-to-the-basics approach to health
Reducing the need for antibiotics through improved water, sanitation and immunisation is another strategy recommended in the State of the World’s Antibiotics Report 2015.
“Vaccination against pathogens such as the diarrhoea-causing rotavirus and pneumonia-causing Klebsiella pneumoniae helps curtail antibiotic demand, thereby reducing the chances of resistant strains developing,” said Laxminarayan.
In Canada, the widespread use of pneumococcal conjugate vaccines for pneumonia in children has reduced the incidence of pneumonia caused by strains the vaccine covers.
However, just as antibiotic usage spurs the development of superbugs, vaccination is a double-edged sword.
Canada is seeing a rapid increase in the incidence of other strains of pneumonia not protected against by the vaccine.
So, it is better to focus on the basic constituents of health.
Making available clean drinking water and improving sanitation would prevent people from getting sick in the first place. India still has a lot to do on both these fronts.
Improving individual immunity is the best bet to ward off infections, and that is also achievable by healthier eating, exercising, healthier living and the better management of chronic conditions like diabetes and asthma that increase vulnerability to infections when they are not kept in check.
Dr Himanshu Shekhar
( Above Article , with My Inputs was published in a leading Health Magazine)
Is Anal sex natural? My partner wants to try it but I am hesitating as I have heard tht it's something not natural and very painful too. How to eliminate pain while doing it.
I had protected sex with my partner 7 days back. It was first time for her and she had severe stomach ache for 2-3 days and now is feeling constipated. Her next periods are due on 15-16th of this month. Though we cross checked our protection, i. E, the condom leakage and everything was fine and I'm pretty much sure that I didn't ejaculated in her, is there still any chance of pregnancy looking at the symptoms. Should we go through a pregnancy test now or after the periods are missed, if so happens? Kindly help.
I am 20 years old and I want to get pregnant but I could not become pregnant. So, what to do for pregnancy?
Does thyroid 9.06 found recently for first time after prolonged bleeding cause problem with uterus thickening or period irregularity? Can correction of thyroid by taking eltroxin 25 mg be helpful.
I often feel pain in left nipple/breast (gaps of months and pain stays for 3-5 days) . I don't understand what all can be the reason behind .
Aches and pains are ailments that affect one and all at some point or the other. The myriad quick heal methods like pain killers and hot cold packs might accord temporary relief, but they aren't really effective in terms of curing the root of the problem. All these bodily pains are related to some innate illness and these painkillers merely provide superficial respite. Thus, a large number of people are growingly looking at alternative therapies, which not only remedy the pain, but also help in fighting the source of the disease.
Acupuncture for the longest time has occupied the imagination of many as a viable alternative to the harrowing mainstream clinical procedures. Integral to the ancient medicinal practises of the orient, acupuncture is replete with palliative properties and has been known to benefit a phenomenal number of people enduring serious distresses.
It is a natural way to stimulate the health boosting properties we are imbued with. The philosophy behind acupuncture endorses the fact that your bodies are hardwired to deal with any ailment from within. Acupuncture simply enhances such in- built defences and enables you to lead a healthier life. While you may be skeptical of the long drawn process that acupuncture involves, the benefits are many. Amongst other things it reduces your dependence on drugs, which is indeed an important aspect to consider. It generally involves gently pricking the pressure points of your body with sterilized needles and relying of the healing powers of your latent heat pressure.
It is especially effective in curing the following pains:
- Osteoarthritis: Acupuncture enhances the bone immunity and abates the joint pains immensely.
- Chronic headaches: Acupuncture relieves the stress on your cranial nerves and soothes the headaches that are caused by it.
- Menstrual Cramps: Menstrual cramps are caused by the contractions in the uterine muscles during the periods. Acupuncture hugely palliates such traumas.