Dr. Suresh Bansali

The period around the age of 45 to 50 is very delicate for most women as many changes occur within the body. The changes occur due to menopause or a cessation of the menstrual cycle for a period of at least 12 months or so. Along with a host of physical changes, post-menopausal women tend to suffer from mental problems as well. Some of the factors could be physical changes such as a decline or stop in hormone productions while some of them are psychological effects as well. Some of the common mental problems faced by women are mentioned below:

1. Depression: This is by far the most common mental disorder and affects women while they are going through the process of menopause. After a few years, post-menopausal women tend to recover from this or the symptoms at least taper off. It is estimated that almost 20% of women undergoing menopause suffer from this problem, although the risk of depression is much higher if you have prior history of it.

2. Sleep Disorders: This can be described as not only a mental disorder that affects women but also a symptom of menopause. Sleep disorders can range anywhere between disturbed sleep, insomnia or sleep apnea (breathing difficulty while sleeping), especially in older women. Women undergoing menopause may suffer from this due to hormonal changes which result in hot flashes. These can wake you up in the middle of the night almost daily.

3. Schizophrenia: This is a serious mental disorder and is mostly noticed in women who have a prior history of the disorder. This condition is characterized by delusions and a detachment from reality which often pushes the person to act on their inappropriate imaginations. Schizophrenia usually manifests itself in young adulthood and peaks again at the age of around 45 to 50. If you had episodes of schizophrenia in your early adulthood, then it may resurface during menopause, although most women do see a subsiding of symptoms some time after menopause has occurred.

4. Panic Disorder: Women tend to experience this problem, during or even after menopause, as a new disorder that suddenly develops. This can be quite disruptive in your life. Also, if you have a history of this disorder, menopause may trigger it to show up again.

5. Obsessive Compulsive Disorder: This disorder is another mental health issue that can cause you to be overly obsessive, more so among menopausal women. If you already have had OCD in the past, menopause can trigger a relapse or a bad episode.

6. Bipolar Disorder: In this case as well, menopausal women have a higher tendency for a relapse or the start of a bad episode if they already had even mild signs of it. If you wish to discuss about any specific problem, you can consult a psychiatrist.

Pregnancy can be a tricky time for most women, although it is not a pathological condition. One must be prepared for pregnancy with the best of health in the pre pregnancy period. This also includes women who are suffering from diabetes. The complications during pregnancy and delivery increase manifold if one has not controlled the glucose and blood sugar levels before getting pregnant. So read on to know more about coping with pregnancy if you happen to have diabetes.

Complications: Pregnancy with diabetes can cause severe complications if the blood sugar levels are not controlled properly before pregnancy. This can cause the diabetes to become even worse in the long run, with the onset of various other related ailments like kidney disease, heart disease, eye problems and more. It can also increase the risk of premature delivery, and too much birth weight of the baby as well as low glucose levels right after the baby’s birth. Further, one can also lose the baby to a miscarriage due to excessively high blood sugar levels. This can also affect the glucose and blood sugar level of the baby as the glucose passes through the body.

Related conditions: If you happen to have high blood sugar levels, then you and your baby can get affected in an adverse way. To begin with, you may come down with severe depression regarding how you will be able to manage your diabetes and pregnancy together, and also due to the implications of the condition after the birth of the baby. It can also cause a condition called Preeclampsia in which the pregnant woman’s blood pressure becomes high and too much protein starts to pass from the urine, which can also result in frequent urination and life threatening defects and problems for you and the baby. In such cases, you will have to be hospitalised and the baby will need to be delivered via a C section or a Caesarean Section.

Planning ahead: If you know that you are trying to conceive, the best way is to be fully prepared well in advance. This includes planning ahead for managing the blood sugar levels and keeping the risk of other ailments at bay. You can start by losing excessive weight and seek treatment to bring down the blood sugar levels. Exercising and watching your diet are also some good ways to ensure that your Type 1 or Type 2 diabetes is in control.

Medical Team: It is pertinent to be in touch with your medical team on a constant basis. This team should include the obstetrician and gynaecologist as well as your regular doctor to whom you can report any changes.
Keep health close to your heart when you are pregnant by taking care of all existing ailments.

6 Magical Tips to Cope with Migraine Attacks

Migraines affect up to 18 percent of women and 6 percent of men in the United States. Today, migraines affect as many as four out of every five people in America.  Doctors are still unraveling the mysteries of migraines. Most doctors believe a combination of things that cause people to have migraines. The causes of migraines range from genetics to neurovascular imbalances in the brain.

Why Do Most People Experience Weather Related Migraines?

It is not entirely clear why some people experience more migraines around the change of weather.  Even though the cause of weather related migraines has not been identified, there are ways to decrease the severity, reduce and prevent migraines from occurring.

In a recent survey by the National Headache Foundation, headache sufferers were given a list of possible causes. They were asked to rank them in terms of what commonly brought on their migraines. Three out of every four respondents said that weather triggered their headache pain.

Specific weather triggers included:

• Changes in humidity
• Changes in temperature
• Storms
• Extremely dry conditions

Most people have an idea of what causes their migraines, but the real question is what can you do to help reduce the amount of migraines, decrease the severity or prevent the migraines from occurring?   Below are six tips to help you cope and find a solution to preventing your migraines. 

6 Tips on How to Cope With Your Migraines

Tip # 1 – Keep a Diary of Your Migraines:

Keeping a diary is the first step toward finding a solution, so your migraines do not disrupt you and stop you from having a healthy, happy and productive life.  The first step is to try to figure out what triggers your migraines.  One way to do that is to keep a diary of all your migraines.  If you think weather is a reason for your migraines then record any of the common weather and environmental factors that may have initiated your migraines. Keep a detailed diary and bring this diary to your doctor, so your doctor can figure what the best treatment is for you.

In your diary, you should include:

• What part of the brain do you feel the pain?
• What does the pain feel like?
• The time your headache began and when it ended
• Any changes in the weather, such as storms, high winds, or high humidity
• Any warning signs – symptoms before the migraine occurred
• Any treatment you tried, and whether it helped or made the migraine worse

Tip # 2 – Making Changes in Your Daily Regimen:

Making changes in your everyday life can help reduce the number and severity of migraines you are experiencing. Here are some changes you can incorporate into your life that can help improve the number of migraines you are experiencing.

• Sleep: Make sure you get enough of sleep and try going to sleep around the same time each night.  Interruptions in your sleep schedule, getting too much or too little sleep, can trigger a migraine.
• Exercise regularly: Research has shown that regular, moderate aerobic exercise may reduce the severity, duration, and number of migraines in many people. Regular exercise also helps control stress, another migraine trigger.
• Eat regular meals: Eating healthy meals regularly are important to maintain level blood sugar. A drop in blood sugar can trigger a migraine.
• Drink plenty of water: Make sure you drink plenty of water to avoid dehydration, which can trigger migraine.
• Limit stress: For many migraine sufferers, stress is plays a big factor. Take time each day to relax. Find something that helps you relax like listening to soothing music, taking short walks, meditating or doing yoga.
• Try complementary therapies: Try using complementary therapy to help prevent migraines. For example, you may be able to manage stress and prevent migraines through acupuncture, massages and cognitive behavioral therapy.

Tip # 3 – Incorporate Certain Foods into Your Diet:

If you are a migraine sufferer like me, you are constantly looking for prevention ideas. Certain foods can help fight off and prevent migraines.  These foods include:

• Cayenne: Cayenne peppers are widely recognized as culinary ingredients that add intense heat and flavor to southwest American, Caribbean, Indian and Asian dishes. However, this pepper may also offer healing benefits. Capsaicin, the chemical that gives cayenne peppers their heat, may help reduce blood vessel constriction. This may help prevent rapid blood pressure fluctuations that can trigger migraine headaches.
• Coffee: When it comes to coffee, caffeine can give you migraine relief. It is a major ingredient in many headache medications. However, if you consume too much, it can actually cause migraines. Moderation is key!
• Flaxseed and Fish: An anti-inflammatory diet is beneficial to preventing migraines.  Flaxseeds and fish are packed with omega-3s and fiber can actually help prevent migraines.
• Riboflavin-rich Foods: Riboflavin, also known as vitamin B-2, is one of eight B vitamins necessary for the metabolism of nutrients and protection of your central nervous system. A deficiency of this vitamin may also contribute to headaches, particularly migraines. Adding foods high in riboflavin may help stop recurring migraines by correcting deficiencies. Eggs, avocados, broccoli, romaine lettuce, alfalfa, asparagus, walnuts and mushrooms are abundant sources of riboflavin.
• Magnesium-rich Foods: About 60 percent of migraine sufferers may have magnesium deficiencies. Magnesium is a trace mineral that may help normalize nerve impulses in your brain that transmit pain signals. This may help stop intense pain associated with migraine headaches. It may also help regulate the production of serotonin, a neurotransmitter chemical that may contribute to sudden changes in blood pressure – a contributing factor of migraines. Increase your magnesium intake by consuming foods such as kale, tofu, lima beans, kelp, garlic, apples, bananas and apricots.

Tip # 4 – Consider Dietary Supplements:

• Magnesium: This is probably the most important one as it contributes to relaxing the brain blood vessels that cause the pain. Magnesium penetrates cell membranes, including the mitochondria. Some of the best drugs used to treat migraines are calcium channel blockers.
• Vitamin B2: (riboflavin) – Riboflavin, which is vitamin B2, converts energy from carbohydrates. The riboflavin gives your brain more energy, which makes it less likely to be bothered by migraine triggers.
• Vitamin B6: Vitamin B6 is needed so the body can properly use serotonin and dopamine. These neurotransmitters are necessary for normal nerve cell communication. Researchers have found lower levels of serotonin in people with migraine headaches. Therefore taking Vitamin B6 may help the body better use these crucial chemicals and it is thought be a key vitamin for migraine aura and a natural remedy for migraines.
• Vitamin B12 & Folic acid:  Vitamin B-12 supplements may also be effective for migraine relief if taken along with vitamin B6 and folic acid. A study published in “Pharmacogenetics & Genomics” in June 2009 showed that participants who took all three supplements together saw a reduction in migraine headache frequency and the severity of their pain.

Tip # 5 – Consider the Possibilities of Herbal Supplements:

For centuries, many people have used alternative therapies to help or cure common conditions.    Certain herbs have been used to help reduce or prevent migraines.  Some can be just as strong or effective as prescription drugs. Therefore, it is important to remember, if you consider using any type of herbal supplements, consult your doctor first.  Make sure it does not conflict with any medications you are currently taking.   You should not take any herbal supplements or drugs unless your doctor says it is OK and if you are pregnant, you should not take any herbal supplements because it may harm the baby.

Herbal supplements used to reduce and prevent migraines include the following:

• Alfalfa Leaf
• Barberry Root
• Bay Leaf
• Brazilian Guarana
• Butterbur
• Catnip
• Cayenne
• Chamomile
• Dong Quai
• Evening Primrose
• Feverfew
• Ginger Root
• Green Tea
• Griffonia Seed
• Hawthorne Leaf
• Honeysuckle
• Kola Nut
• Lemon Balm
• Passion Flower
• Peppermint Leaf
• Valerian Root
• White Willow Bark
• Wintergreen
• Wood Betony

Tip # 6 – Prescription Medications:

Not all experts would recommend using medication to prevent temperature-change-related migraines.  However, if you have tried natural, holistic and alternative therapies to try to eliminate your migraines and nothing seems to be effective then you should focus on other alternatives such as prescription medications specifically made to help people suffering from migraines.

Below are some prescription medications for patients suffering from migraines:

1. Antiepileptic drugs: Certain medications used to control seizures are also effective for preventing migraines as well. These drugs may work by calming the neurons in the brain. Neuron “hyperexcitability” plays a role in migraine and epilepsy. Up to 20% of people with epilepsy also suffer from migraines including myself.  Anti – seizure medications that help migraines include:
   1. Depacon (valproate)
   2. Depakote (divalproex)
   3. Topiragen, Topamax (topiramate)
2.  Beta-blockers: These medications are frequently used to treat high blood pressure and heart disease. It is not clear how they help prevent migraines. Nevertheless, beta-blockers improve the blood flow and this may be significant reason why beta-blockers help prevent migraines.  Beta-blockers that have been proven effective for the prevention of migraines include:
   1.  Blocadren (timolol)
   2. Inderal, Innopran XL (propranolol)
   3. Lopressor, Toprol XL (metoprolol)
3. Antidepressants: These medications affect the level of the brain chemical serotonin. Research has shown that Elavil (amitriptyline) and Effexor (venlafaxine) work well for preventing migraines.