Doctor in Alliance Munot Hospital
Cholangiocarcinoma (Bile duct cancer), like any other cancer, leaves a person physically, mentally and emotionally drained. It has been mostly found to affect people above 60 years of age. The signs and symptoms associated are so common that very few people consult a physician. A delayed diagnosis implies delayed treatment. This goes on to aggravate and complicate the situation further. One needs to be a little alert. Any symptoms, no matter how common, should not be taken lightly. Look for the early signs and symptoms and bile duct cancer can be fully cured.
Signs and symptoms associated with Cholangiocarcinoma
Bile duct cancer can be Extrahepatic (occurs in the duct outside the liver) or Intrahepatic (cancer develops within the smaller ducts inside the liver). It must be noted that Intrahepatic Bile duct cancer and Liver cancer are different.
- Bile duct cancer results in blocking the bile duct. This blockage severely effects the secretion of bilirubin and bile from the liver. Thus, the secretions (bile and bilirubin) which are supposed to flow into the intestine move back into the bloodstream. An elevated level of bilirubin in the blood gives rise to a condition, known as Jaundice (a condition resulting in yellowing of the eyes and the skin). The problem lies in the fact that many other factors can equally contribute to Jaundice. Consulting a physician at the earliest is the best resort.
- A sudden or drastic weight loss and loss of appetite is an alarming sign of Cholangiocarcinoma.
- Excessive itching can be an indication of something as big as bile duct cancer. Itching can be an outcome of the increased bilirubin (blood) reaching the skin.
- At an advanced stage of Cholangiocarcinoma, a patient may experience severe abdominal pain.
- At times, the tumour in the bile duct might exert immense pressure on the nearby organs. This can give rise to an enlarged abdominal mass. Bloated feeling is also very common amongst the patients.
- An unusual change in the colour of the stool and urine should not be neglected. The elevated bilirubin level from the intestine is usually eliminated out of the system through the urine. Thus the stool appears lighter and the urine a shade darker.
- A cholangiocarcinoma patient can, at times feel nauseated. Fever is also a common but an extremely important indication.
Bile duct cancer or cholangiocarcinoma can lead to many other complications. Click below to know every minute detail associated with Cholangiocarcinoma.
Feeling acidic after eating a heavy meal can often make you regret those last few morsels. This acidic sensation is known as acid reflux or Gastroesophageal reflux disease, better known as GERD. GERD occurs when the functioning of the lower oesophagus muscles is restricted. This makes the undigested food in the stomach and stomach acids leak back into the oesophagus.
Thankfully, this is not something you have to live with and a few simple lifestyle changes can help resolve the situation.
- Do not lie down after eating: When your body is in a horizontal position, there are higher chances of food being regurgitated into the oesophagus. To avoid this, finish your meals at least 3 hours before going to bed. Sit upright while eating and do not lie down or slouch immediately after eating. This gives the food time to be digested and move out of the stomach.
- Limit your food intake: Overeating is one of the most common triggers of GERD. Cutting down your portion sizes can instantly reduce the number of GERD occurrences. Instead of eating large, heavy meals, shorten the duration between meals and have more frequent small meals.
- Avoid foods that trigger acidity: With time, you will soon realise which types of foods trigger an acidic reaction. Some common triggers are onions, peppermint, caffeine, citrus fruits etc. Keeping a diary can help identify such foods and ease your problem.
- Quit Smoking: Nicotine not only harms your lungs, but can affect your digestive system as well. It is responsible for weakening the muscles that control the opening between the stomach and oesophagus. This allows stomach acids and food from the stomach to re-enter the oesophagus. Alcohol can also worsen GERD symptoms and hence it is better to avoid alcohol is you suffer from frequent bouts of acid reflux.
- Lose weight: Overeating, obesity and acid reflux go hand in hand. Being overweight can put extra pressure on your stomach and abdomen, thus pushing food and gastric juices into the oesophagus. Losing this extra weight should effectively resolve your acid reflux problem if you are overweight.
- Look at your medications: Some types of medication too can cause acid reflux by interfering with the digestive system and irritating the oesophagus. These types of medication include blood pressure medication, asthma medication, Non-steroidal anti-inflammatory drugs, bisphosphonates, sedatives and painkillers. Do not simply stop taking these medications, but talk to your doctor about replacing them with something else.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Six hours of sleep daily is as important as the food you consume and the amount of exercise you do, in a day. Poor sleep can lead to reduced concentration the next day coupled with low productivity. Thus, it is necessary to get at least 6 to 8 hours of sleep daily.
Here are few benefits of getting the required amount of sleep every night:
Sleeping improves memory: Lack of sleep has negative effect on your brain, which affects your memory and retention. If you sleep more, you are more likely to retain things because in your sleep, your mind goes over everything you’ve read when you were awake. This process is called consolidation. Thus, an optimum amount of sleep helps you retain whatever you have learnt during the day better.
Stimulates creativity: Getting sleep for the required number of hours is a necessity as your creativity levels are bound to soar after some good rest. Working relentlessly without a break in between can lead to saturation in your creativity levels. Thus, rest is a requisite for a spur of creativity.
Reduces stress levels: Not sleeping enough adds even more strain on your brain. Sleep deprivation increases stress, which adds to the blood pressure level and cholesterol in the blood, putting you at risks of suffering from coronary diseases. Thus, to keep your heart health intact, it is important to sleep for at least six hours, which is a minimum requirement for your body to rest.
Leads to weight loss: Sleep deprivation can lead to an alteration in your hormone levels, which activates the cortisol (a fat producing hormone), thereby, leading to obesity. It also leads to negative modifications in your diet and a lethargic approach to your regular exercise routine. Thus, the easiest hack to lose weight is to get adequate sleep at night.
Because the benefits you gain out of sleeping for a minimum of six hours are invaluable, you should aspire to give your body the rest it deserves.
A healthy body is a resource to a healthy mind. If we are not healthy, then we would be unable to perform any activity without help. It is also a known fact that everything is associated with energy. When our body lacks the energy, then the body cannot function at its full potential. So it is important to maintain your health.
But in today’s mechanical life, it has become really difficult to maintain health. Improper food habits, weak immune system, and busy lifestyle, all lead to multiple health problems like stress and other diseases. There are many ways to maintain a good health and can be achieved following some steps.
- Follow a good diet
- Make healthy habits
- Avoid smoking
- Avoid drinking and other habits affecting the body organs
- Maintain healthy weight consuming protein enriched food
- Avoid overweight that leads to multiple health problems like sugar, blood pressure etc.
- Exercise daily to rejuvenate your body muscles and to maintain a healthy body
- Limit usage of unwanted tanning creams and sun exposure
- Practice safe sex
- Avoid overweight
- Exercise daily
All the above listed are some measures which should be taken to maintain a healthy and robust health. A healthy body is also associated with a proper metabolism. These will indirectly give you high energy to handle things in life. Always ensure that your diet is loaded with essential nutrients and minerals for an active life. Make sure to have natural and boiled vegetables daily. Along with vegetables, it is highly important to have fruits enriched with proteins and vitamins.
A healthy diet can be maintained in many ways. But it is advisable to consult a doctor for following a proper diet. A healthy body will have a better immune system which protects the body from the attack of different diseases. Having regular exercise is one of the best methods to maintain good health. In case you have a concern or query you can always consult an expert & get answers to your questions!
Lack of sleep can make you feel tired, worn-out and less productive the next day. However, it might not be your fault entirely because the brain tends to become active when the body is at rest, which could be a reason why you aren’t getting enough sleep at night.
Here are a few tips which might be useful for you to sleep at night:
Keep your room dark: Even the faintest light from your mobile is enough to disrupt your sleep. Thus, try and switch off all your lights and gadgets before going to sleep. If doing that doesn’t help either, use an eye mask to keep the light out.
Carefully select your dinner: Don’t go to bed hungry or overstuffed because either of them might cause discomfort while sleeping and lead to a disruption in your sleep. Also, limit your alcohol consumption at night to refrain from making numerous trips to the washroom. Avoid consuming nicotine and caffeine before going to bed as they take a long time to wear off and can cause havoc in your sleep routine.
Don’t exercise before going to bed: Exercising daily is a necessity as it keeps your body healthy and in shape, but exercising right before going to bed can be disruptive as it might make you more pumped up due to the adrenaline rush. Thus, you should avoid exercising heavily right before going to bed.
Plug out all your devices: Create a technology free zone by plugging out all your devices one hour prior to your usual sleep time. The blue light radiated from your devices can trick your brain into believing that it is daylight and cause a disruption in circadian rhythm (which is an ongoing 24-hour physiological process which is regulated by external factors such as sunlight and temperature).
Consume snooze food: Certain food items can be classified as snooze foods as they ensure better sleep at night. Warm milk contains ‘tryptophan’ which is a precursor to melatonin (hormone that is responsible for the onset of sleep) and ensures better sleep or you could have a spoon of honey which releases ‘orexin’ (a chemical that affects wakefulness and appetite) that reduces alertness levels.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Viral fever refers to a wide range of conditions caused by viral infections of the body. These infections lead to an elevation of body temperature, along with a variety of other symptoms such as headaches, body aches, chills and skin rashes. Viral fever can affect people of all age groups and may even be highly contagious if it is not contained and treated.
What causes viral fever?
Viral fever is caused by the infestation of viruses that spread through various avenues. These viruses enter the body and multiply at a specific site, leading to an infection that manifests itself as the symptoms of fever. This fever may be chronic or acute, depending on the nature of the infection and can easily spread from one person to another.
Some of the ways in which viral fever spreads are as follows:
Consumption of contaminated food and water.
Contact with contaminated surfaces.
Contact with infected animals.
The symptoms of viral fever begin to show after an incubation period during which the virus multiplies within the body. The nature and duration of the illness varies from case to case. The most common symptoms of viral fever that accompany high body temperatures include the following:
Redness of the eyes
Inflammation of the throat
How is viral fever treated?
A case of viral fever can be quite easily treated if there is an absence of complications. For this, the illness simply needs to be diagnosed early. The use of antibiotics and steroids for treatment is advised against unless the infections have escalated beyond a certain extent. Some of the ways to treat viral fever are:
Prescription of antiviral medication
Adequate bed rest
Ample fluid intake
Administration of nasal decongestants
In most cases, the illness gets treated within the span of a few days. However, if the symptoms persist any longer, it is advisable to consult a specialist to check for underlying problems or complications. In case you have a concern or query you can always consult an expert & get answers to your questions!
Nuts were rediculed till a few years back by the diet-conscious population because they are high in fats. However, now they are being embraced by the very same people because of their heart healthy, anti diabetes and weight loss properties.
Recent research has transformed mindsets. Extensive studies published in reputed journals prove that nuts not only promote heart health and fight diabetes, but they also aid in weight-loss. Nuts are nutritional nuggets containing phytochemicals and unsaturated fats, which are a type of fat that promotes heart-health. They also contain high levels of Vitamin E, folic acid, magnesium, copper and antioxidants.
Promoters of weight loss
Nuts are some of the most filling food items available in your kitchen cabinets. The high fibre and protein in nuts makes you feel full faster. This means you will never binge eat on nuts, you will not reach for the pizza in the fridge and therefore, not pile on the kilos. Because of this, nuts are a dieter’s dream.
The American Journal of Clinical Nutrition says that dieters stick with their diet plan longer if nuts are included in it. In fact they don’t feel they are on a diet, if they’re allowed to eat nuts while dieting. Other prestigious studies suggest that women who eat nuts tend to be slimmer than women who don’t. Nuts like peanuts can increase your metabolic rate. So you burn up more calories and lose weight.
Nuts also stabilize your blood sugar as they are low glycemic index foods. This means they are digested more slowly and release sugar gradually into the bloodstream, as compared to food items such as rice that is a high glycemic index food. Low glycemic index food products also provide long-term energy and decrease cravings.
Nuts contain calories, but these calories come along with awesome health benefits. Since, one ounce of nuts contains 160- 200 calories, it’s important to remember not to binge on other fatty foods like ghee along with nuts. Balance is important while having these nutrient-dense foods. If you don’t do this, you will end up putting on weight instead of losing it.
Apart from portion control, nutritionists suggest that you do the following:
- Eat nuts along with other food items, like mix and match nuts with fruits, sprinkle nuts on soups, cheese or breads and eat them with salads.
- Eat small portions and avoid eating handful of nuts at a go.
- The nuts that are really good are walnuts, almonds, Macadamia nuts, pecans and cashews. So try to include more of these. Also, if you are allergic to peanuts, stay away from them.
- Avoid sweet or flavoured varieties of nuts. These contain extra doses of salt and sugar and can end up making you fat.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Parenting in the recent past has become extremely stressful than what it used to be a couple of generations earlier. This stress has increased manifold if the child has special needs. Be it a physical or an emotional disability, the caretaker has a lot of additional responsibilities when raising a child with special needs. Also bringing up such a child is extremely rewarding in the long run, when you see them accomplish things in life, for which your contribution is far greater than in normal children.
Read on to for some guidance on how to manage a child with special need.
- Understand the problem your child is facing: The problem may become evident prenatally, at birth, or sometimes it will reveal itself as the child grows up. Whatever the case, once identified, understand the various issues it brings along. This is true especially in case of syndromes like Down's or learning disabilities, which have more implications. Review the medical history thoroughly with the doctor to understand the child better and play your role better.
- Supportive community: There are a lot of supportive communities, which will consist of similar people and so a lot of mutual support and help would be available. The emotional components of empathy and sympathy play an equally important role here.
- Let’s face it: Caring for such a child is an ongoing process. The sooner this fact is accepted, the easier the journey will be. The children need to be reassured that they are not alone, they are differently perfect, they need to forgive themselves, to not be hard on themselves, and not to lose heart. The parent and the caretakers also need to realize that it is like a never-ending marathon and bracing up for this long haul is very important. There might be times when mistakes happen, tough decisions are taken, and you have to be hard on the child and yourself. However, don’t lose heart and encourage both the child and yourself. It is okay for these slips to happen, just accept them.
- Live for today: On a daily basis, forgive small wrongs both for your child and yourself. Trust your instincts, celebrate the little wins, don’t compare your child to anybody else, and protect him from getting bullied. The child needs to be told that you are unique and special and to set your own pace and compete against yourself. Work on your sense of humor and get professional help for both the child’s needs and your additional responsibilities.
While the stress of caring for a child with special needs is quite high, these are very small and simple ways to deal with the stress of raising a child with special needs.
Your eyes are one of the most important sense organs, which help in perceiving up to 80 percent of all major impressions. All your important daily activity like reading, internet surfing, driving etc are done with the help of your eyes. You should never take your eyes for granted. There are many ways in which you can take care of your eyes to ensure that you see and experience the world at its very best.
- Quit Smoking: Smoking makes you vulnerable to a majority of health related problems. When it comes to the health of your eyes, smoking can place you at a risk of uveitis (inflammation of the middle layer of your eye which includes ciliary body, iris and choroid) and cataracts (clouding of the lens in your eyes leading to a blurry vision).
- Wear sunglasses: Proper sunglasses can protect you from the harmful ultra violet (UV) rays of the sun. You should still use sunglasses even if your contact lenses offer UV protection. Too much of UV rays can cause pingeucula (yellow bump on the eyeball) and other serious eye problems. Polarized lenses can help to give your eyes proper protection while driving.
- Screen time: Minimize the amount of time staring at the computer screen as it can cause
- Anti- Glare: Use an anti-glare screen on your computer at work so that the strain and pressure on your eyes are less.
- Regular exercise: Exercise such as walking can prevent degeneration of the macula (present in the center of the retina in your eyes) which typically occurs by the time you reach the age of 60.
- Don't Ignore: You should look at changes in your vision as an early warning sign. The changes would include difficulty to see in low light, hazy and double vision, along with abnormal swelling and severe pain in your eyes.
You should visit your eye doctor for check ups at least once every two years. Eye diseases like diabetic retinopathy have no early warning symptoms and can only be diagnosed through a comprehensive eye exam. You should also ensure that the prescription for your contact lenses and eye glasses are up to date.
Coughing is a common problem of the respiratory tract and often indicates a deeper problem. It can be very irritating and can affect eating habits and socialization. A cough which persists for more than 4 weeks is believed to be chronic in nature. Tuberculosis (TB) is the most common cause of chronic cough in India. TB is an airborne bacterial infection caused by the organism - 'Mycobacterium tuberculosis', that primarily affects the lungs, although other organs and tissues may be involved. Cardinal features are:
- Chronic cough with or without sputum.
- Fever more in the night time.
- Poor appetite.
- Unintentional weight loss.
Read on to know about other common causes of chronic cough and how to manage them.
- Allergies: People with allergies usually have a chronic cough, which gets aggravated when exposed to the allergens such as pollen or environmental dust. Staying away from allergen provides relief. Antihistamines are also useful, which most people detected with allergies keep in handy. Inhalers might be required, if there is associated congestion or shortness of breath.
- Asthma: This is a very common chronic condition, caused by inflammation and swelling of the lungs, in addition to wheezing and shortness of breath. Asthma patients often suffer from a chronic cough. An asthma attack usually happens during the night or early morning, and is triggered by colds, cigarette smoke, air pollutants or allergens, which can even include certain foods. Most asthmatics usually carry their steroids, inhalers, and bronchodilators, as the onset of attack can be unpredictable.
- Bronchitis: This condition of inflammation of the bronchial region is very common among smokers and among the elderly. There is excessive mucus accumulation, which the body tries to clear via coughing. The lungs are weakened and therefore, the coughing is painful.
- Gastroesophageal reflux disease (GERD): This is a problem of the digestive system, but regurgitation of food into the airway induces cough. GERD is a chronic issue and so most people also end up with a chronic cough. It is worse with sitting up than with sitting down. Treatment includes H2 blockers to suppress acid production and dietary changes including small, frequent meals and avoiding spicy food items.
- Upper airway cough syndrome: There could be multiple problems in the upper airway, which leads to a constant postnasal drip. Here, there is constant dripping of the sputum into the air passage, which can lead to a chronic cough whenever there is impaired air flow. This can be caused by various forms of chronic sinusitis and rhinitis. People diagnosed with this condition usually resort to antihistamines and decongestants for relief.
- Other causes: There are a number of other causes as noted below. Smoking, tuberculosis, congestive heart failure, pertussis or whooping cough, foreign body in the airway, cancer in the airway passage, chronic aspiration of foods, etc. can all lead to chronic cough.
The key is to identify the reason that is causing the chronic cough. Most people who are diagnosed are educated to handle it and carry the required medications including steroids, bronchodilators, and inhalers.