बीमारी चाहे कोई भी हो उसके कारण और विकृति का जानकारी होना महत्वपूर्ण है. ज्यादातर अल्सर का कारण वात और पित्त के उत्तेजक कारक पर निहित होते हैं. अल्सर रोग कई प्रकार के हो सकते है, जैसे पेप्टिक अल्सर, पेट के छाले, अमाशय का अल्सर, या गैस्ट्रिक अल्सर. अल्सर तभी बनते है जब अमाशय के परत को खाना पचाने वाला एसिड नुकसान पहुंचाने लगता है. ये एसिड इतना तेज होता है की आयरन के ब्लेड तक को आसानी से गला सकता है. इस एसिड के अधिकता का कारण स्ट्रेस और खराब लाइफ स्टाइल के साथ अनुचित आहार होता है.
आजकल की खराब लाइफस्टाइल जैसे की ऑयली फ़ूड, फ़ास्ट फ़ूड, और अनुचित आहार के साथ आलस्य, मानसिक तनाव आदि के परिणामस्वरुप ज्यादातर व्यक्ति पेट से संबंधित रोग से पीड़ित रहते हैं. पेट के छाले, एसिडिटी, कब्ज़, गैस, अल्सर, पाइल्स, एनल फिशर आदि ऐसे कुछ प्रमुख पेट से संबंधित रोग होते है. हालाँकि इसके उपचार के लिए भी कई विकल्प मौजूद होते है. आयुर्वेद के अनुसार, अल्सर के उपचार के लिए एक संयुक्त दृष्टिकोण सबसे ज्यादा लाभदायक होता है.
आयुर्वेद के अनुसार, बाॅडी में होने वाले अल्सर होने के निम्न कारण हैं:
* अनुचित खानपान के कारण पेट में जख्म बन जाता है जिसे अल्सर कहते हैं.
* चाय, कॉफ़ी, सिगरेट और शराब का ज्यादा सेवन करने से अल्सर होता है.
* ज्यादा खट्टे, मसालेदार, गर्म चीजों का सेवन करने से अल्सर होता है.
* तनाव, जलन, गुस्सा, थकन, मानसिक परेशानी, एंग्जायटी आदि कारणों से भी हो सकता है.
* कभी-कभी पेट में जहरीला रोग पैदा होकर दूषित द्रव्य जमा होकर आमाशय और पक्वाशय में जख्म बन जाता है.
अल्सर के लक्षण-
* जब किसी व्यक्ति को अल्सर रोग हो जाता है तो रोगी के पेट में जलन और पेट दर्द होने लगता है.
* खट्टी डकार आती हैं.
* उल्टी होती है
* भोजन अच्छा नहीं लगता
* कब्ज़ की समस्या हो सकती है
* दस्त के साथ ब्लड आ सकता है
* कमजोरी का आभास हो सकता है
* बेचैनी होती है
अल्सर का आयुर्वेदिक उपचार-
1. आंवला- एक चम्मच आंवले का रस और एक चम्मच शहद मिलाकर पीने से पेट में दूषित द्रव्य निकल जाते है जिससे अल्सर ठीक हो जाते है. इसके अलावा आंवले का एक चम्मच चूर्ण के साथ सोंठ का आधा चम्मच, जीरे के चूर्ण का आधा चम्मच और एक चम्मच मिश्री को मिश्रित कर लें, फिर इसे सुबह शाम सेवन करने से पेट के दर्द ठीक हो जाते है और दर्द व उल्टी से राहत मिलती है.
2. निर्गुण्डी- 50 ग्राम निर्गुण्डी के पत्ते को ½ लिटर पानी में धीमी आग पर पकाकर चौथाई शेष बचे तो 10-20 मिलीलीटर दिन में 2 से 3 बार पीएं. इससे पेप्टिक अल्सर रोग से छुटकारा मिलता है.
3. केले- केले में एसिड की मात्रा कम करने और घाव को भरने वाले गुण पाए जाते है. रोजाना 3 केले खाने से पेट में जख्म को ठीक करने में मदद मिलती है.
4. पान- पान के हरे पत्ते को आधा चम्मच रस रोजाना पीने से पेट दर्द और और जख्म से राहत मिलती है.
5. घी- हल्दी और मुलेठी को चूर्ण पानी में उबालकर ठंडा करके पेट पर लगाने से अल्सर रोग में राहत मिलता है.
6. देवदारु- देवदारु, ढाक, आम की जड़, गजपीपल, सहजन, और असंगध, को गाय के ताजे मूत्र में पीस कर पेट पर लेप करने से पेट का जख्म ठीक होता है.
7. सोंठ- 1 चम्मच चव्य और 1 चम्मच सोंठ को पीसकर गाय के मूत्र में मिलाकर रोगी को सेवन करना चाहिए. इससे पेट के जख्म और दर्द ठीक होते है.
8. दूध- अल्सर रोगी को रोजाना दूध पीना चाहिए साथ ही आनर का रस व आंवले का मुरब्बा खाना चाहिए.
9. हरङ- 2 छोटी हरङ और 4 मुनक्के को पीस कर सुबह खाने से पेट की जलन और उल्टी ठीक हो जाती है.
10. एरण्ड- एरण्ड तेल के दो चम्मच को गाय मूत्र या दूध में मिलाकर सेवन करने से आंतो का अल्सर ठीक होता है.
अल्सर में भोजन और परहेज:
* अल्सर होने के दौरान भोजन में दूध, सब्जियों का सूप, मसाले कस्टर्ड और दलिया लेना चाहिए.
* रेशे वाले आहार का सेवन करना चाहिए क्योंकि इसके खाने से अल्सर से उत्पन्न पेट की जलन ठीक होती है.
* ज्यादा मीठे और खट्टे पदार्थो का सेवन नहीं करना चाहिए.
* अनन्नास, संतरा, अमरूद और टमाटर का सेवन हानिकारक होता है.
* चाय, काॅफी, शराब और स्मोकिंग नहीं करना चाहिए.
The name 'fast food' comes from the fact that it can be prepared and served in a jiffy and not mention, tastes delicious. Don't be fooled by the smell and the taste, they have such little to no nutritional value that they can hardly be called food. They are rich in calories, fat and sugar that lead to various kinds of health conditions. Popular junk foods include gums, sweets, carbonated drinks, desserts, fried foods; you probably love them now but after knowing their effects on your health you might want to eliminate them from your diet.
Here are some of the conditions which can be caused by the consumption of excessive fast food:
1. Heart diseases-
Fast food contains high amounts of trans or saturated fats that can clog your arteries and lead to high level of cholesterol later in life. People who have junk food more than four times a week increase their risk of dying by 80%.
Adolescents who have poor eating habits are at high risk of being obese. Gaining a lot of weight beyond a recommended proportion can cause many health problems. Junk foods have sugar and calories that lead to weight gain. It has also been noticed that people who are prone to eating more fast foods are less likely to consume fruits and vegetables and this further weakens their immune system.
3. Peptic Ulcer-
Peptic ulcer is a disease that occurs in the gastrointestinal tract; it is acidic in nature and causes extreme stomach ache. Spicy oily and salted food combined with stress and alcohol can lead to this condition.
Busy work schedule prevents many people from cooking at home and they take resort in fast food but it is advisable not to let work get in the way of your health. Consuming regular fast food coupled with poor lifestyle and lack of exercise leads to obesity which in turn causes type 2 diabetes.
Cut down on junk foods and incorporate fruits and vegetables and also make time to include a daily exercise routine to maintain a healthy lifestyle.
Ayurveda is an ancient Indian life science that requires you to make various lifestyle changes along with the use of medication that is based on herbs and condiments with massages and Yogic postures. This field of medicine believes in getting to the root of the problem so as to cure it and prevent it in the future as well. Gastritis is no different and enjoys the same kind of attention when it comes to Ayurveda. Here is everything you need to know about the Ayurvedic perspective of gastritis.
Definition: As per Ayurveda, gastritis is known as Urdhva Amlapitta, which can lead to the occurrence of stomach ulcers when the inflammation of the stomach lining goes untreated for a prolonged period of time. This inflammation is the basic outcome of the condition.
Causes: Problems in the Vata Dosha, one of the four Doshas in the body, can cause this condition. Also, a build up of Ama or toxins due to poor digestive health, can lead to the occurrence of this disease. As per Ayurveda, there are many reasons that may cause this toxin build up and the imbalance in the Vata Dosha. This includes eating spicy food on a regular or frequent basis and taking too many drugs like pain killers and analgesics which can lead to this condition. Also, too much of alcohol consumption and greasy food can cause gastritis. Further, one of the main causes of gastritis as per Ayurveda, is the presence of too much stress and worry, and the lack of a proper routine when it comes to eating, sleeping and exercising.
Symptoms: The main symptoms include appetite loss and nausea, as well as discomfort and pain in the abdomen. Gastrointestinal bleeding and blood discharge may also occur for patients suffering from this condition. Headaches and vomiting are also common symptoms of this condition.
Medication: There are various Ayurvedic medicines that can help in treating this condition. Sukumara Ghrita are ghee based preparations that can be taken every morning with a glass of warm milk in order to activate the digestive fires and improve the digestive powers. The difference can usually be seen in a matter of days. Dhatri Lauha includes amla juice which should be taken twice a day. Lemon juice, ajwain, amla and ginger are also helpful in such situations.
Lifestyle Changes: Avoiding spicy and greasy food as well as stopping alcohol abuse and smoking can help in curing this condition. One should also stay away from excessively stressful mental and physical tasks.
Taking the right steps at the right time for a proper routine with good habits can help in treating this condition as per Ayurveda.
If you are being treated for Parkinson's disease, how can you maximize the effect of Levodopa? The effect of levodopa can be maximized by increasing its absorption from the digestive system. In particular, taking levodopa on an empty stomach is very important.
Ulcers and perforations of cornea are some very serious clinical conditions, which threaten vision rapidly and progressively, and disintegrate the eye globe. They need to be taken care of immediately to prevent irreparable damage to the eyes. In spite of the advanced medical research and practice, severe injuries, infections, and diseases of cornea can lead to serious corneal perforations, which require surgery necessarily as the ultimate solution.
Urgent reconstructive surgery might be necessary to avoid consecutive endophthalmitis, formation of synechiae (anterior and posterior), and secondary glaucoma to prevent spread of pathogens toward posterior pole of eye globe. This surgery is also performed to avoid other severe complications including inflammation.
The approach of performing surgery to retain corneal integrity depends on localization, size, state of internal globe tissue, and depth and severity of corneal tissue damage. The state of inflammation and causative infection influences the choice and sequence of surgeries. Urgent Penetrating Keratoplasty, Total Penetrating Keratoplasty, and Corneal or Corneo Scleral Patch Graft, or combination of surgical approaches, also called ‘Keratoprosthesis’, which are performed only for end-stage, progressive corneal pathology, or the last-chance medical treatment.
Ramon Castroviejo, in 1951, described Penetrating Keratoplasty as a method to replace a larger diseased cornea and sclera lying adjacent to it with donor tissue.
The goal of Penetrating Keratoplasty is tectonic repair of large corneal perforations to restore the integrity of the eye globe and correcting or resolving many other conditions of the eye simultaneously.
When to Perform Penetrating Keratoplasty?
Penetrating Keratoplasty is performed for perforated cornea in the following cases:
Keratoconus and ectasias.
Corneal dystrophies including Fuchs endothelial dystrophy.
Noninfectious ulcerative keratitis.
Post infectious keratitis.
Microbial keratitis including Fungal and Bacterial keratitis.
Regraft unrelated to allograft rejection.
Regraft related to allograft rejection.
Surgical procedure involves the following steps:
Preparation of donor tissue is the first step. A corneal button slightly larger than the host corneal opening helps in reducing post-surgical excessive corneal flattening, reducing risk of secondary glaucoma, and enhancing closure of wound.
Afterwards, host cornea is trephined; viscoelastic is filled into the anterior chamber followed by placement of donor tissue on the endothelial side down of recipient's eye.
Cornea is then sutured in place, interruptedly or continuously. Interrupted sutures are preferred in inflamed, vascularized, or thinned corneas and in paediatric cases.
Penetrating Keratoplasty is the true and last-chance medical treatment to treat large corneal perforations. It is the only ophthalmologic surgical procedure which restores ocular integrity, and at the same time takes care of infections, inflammations, and necrotic tissue. Such a holistic approach minimizes the risk of endophthalmitis and prevents the spread of disease to the globe of the eye. It also improves the probability of graft survival and has a good potential to improve visual acuity.
Penetrating Keratoplasty is an effective surgical process. However, it is always advisable to consult an experienced and skilled surgeon before opting for this method.
A lower limb ulcer or a leg ulcer is characterized by the formation of a chronic sore. These sores take more than a month to heal, and tend to develop on the insides of the leg. It is characterized by symptoms of pain, swelling in the affected area and itching. The skin around the ulcer tends to harden and get discolored. A foul smelling discharge is also common.
These sores tend to form if there is a minor injury in the leg. This tends to develop when the blood circulation inside the veins of the leg is hampered, that results in an increase in blood pressure. The high blood pressure can damage the vessels under the skin, making them fragile. The skin tends to break and form ulcers easily after a cut or a wound has been sustained.
There are certain factors that increase the risks of lower limb ulcer; them being:
Obesity: Being overweight can lead to an increase in blood pressure in the leg, augmenting the risk of lower leg ulcer.
Varicose Veins: This disorder is characterized by swollen veins resulting from malfunctioning valves. This disorder of the veins increases the risks of lower limb ulcers.
Age: Ageing increases the chances of lower leg ulcer. This is because old age and its related disorders tend to limit your movement.
The symptoms of lower limb include discoloration of the skin, swollen ankles, a heavy feeling in the lower limbs, flaky and itchy skin and enlarged veins in the legs. A foul smelling discharge from the wound and high fever are common symptoms as well.
The treatment begins with cleaning the affected area. Medicines are applied on the area, following which the dressing is applied on the wound. In order to treat the swelling and improve the circulation in the legs, a compression bandage is also wrapped around the area. These bandages help in easing the blood circulation and relieving pain.
In order to facilitate quicker healing of the ulcer, it is recommended to remain active and ditch a sedentary lifestyle completely. It is advised to keep your leg elevated while you are sitting or lying down; this helps better the blood circulation. Avoid smoking and consuming alcohol as they inevitably slow down the healing process.
Dyspepsia is a disorder of the stomach that is characterized by pain in the upper part of the stomach. It is not a single disorder but a collection of symptoms such as nausea, burping and bloating. It results when the acid of the stomach comes in contact with the mucosa of the digestive tract.
These acids cause a breakdown of the mucosa leading to inflammation and irritation which leads to indigestion. It may also result from eating disorders or certain medications.
The symptoms of this disorder tend to occur mostly after consuming food and drink. In some cases, the symptoms tend to go away after eating or drinking. The symptoms of dyspepsia are -
1. You may feel bloated on a regular basis
2. You may experience discomfort in your stomach
3. Loss of appetite
4. You may experience constant burping
5. You may feel nauseous
6. Symptoms of heartburn
7. You may also experience chest pain and breathing difficulties
8. You may be affected by jaundice
The various causes of dyspepsia are -
1. Irritable bowel syndrome which hampers the movement of food through the intestines
2. If you are unable to properly digest dairy products
3. Gastroesophageal reflux disease that results in reflux of the acids of the stomach
4. Any inflammation of the gall bladder
5. Various medicines such as aspirin, steroids and antibiotics may lead to dyspepsia
6. If you suffer from depression or anxiety then it may lead to dyspepsia
7. Excess consumption of chocolate, coffee and alcohol
Dyspepsia may be controlled by modifying your lifestyle. Some of the changes that you may make are -
1. Don't sleep immediately after eating, wait for at least two hours before you go to bed
2. Avoid spicy foods as they tend to aggravate symptoms of dyspepsia
3. Space out your meals, eat multiple smaller meals instead of a few large ones
4. Restrict smoking and alcohol consumption
5. Lose weight as being overweight may lead to dyspepsia
6. Avoid wearing tight clothes
7. Exercise on a regular basis to keep your body healthy and maintain optimal weight levels
Dental health is not limited to your teeth. Sores, ulcers or irritations can develop in and around the mouth. Fortunately, they usually heal on their own within a week or two.
Mouth sores come in several different varieties and can have any number of causes, including:
- infections from bacteria, viruses or fungus
- irritation from a loose orthodontic wire, a denture that doesn't fit, or a sharp edge from a broken tooth or filling, biting tongue or inside of the cheek.
- the symptom of a disease or deficiency.
- stress or anxiety.
- some medications eg- painkillers.
Get yourself examined if there is any new ulcer or any ulcer lasting longer than 3 weeks.
Are mouth ulcers or sores cancerous?
Mouth cancer and mouth ulcers are distinctive in their symptoms. However, as mentioned earlier, new or persistent ulcers require checking.
There are some fundamental differences between mouth ulcers and what might be cancer:
- mouth ulcers are often painful whereas mouth cancer is not.
- mouth ulcers will clear up in about 2 weeks, whereas mouth cancer will not go away and will often spread.
- mouth cancer patches may be rough, hard, and not easy to scrape off.
- mouth cancer is often a mix of red and white areas or large white areas that appear on the tongue, the back of the mouth, the gums, or on the cheeks.
- mouth cancer is often linked to heavy drinking or tobacco use.
In many cases, the pain and discomfort from mouth ulcers will lessen in a few days and then disappear in about 2 weeks with no need for treatment.
For people with much more painful or frequent recurrence of mouth ulcers, we may prescribe a solution to reduce swelling and lessen pain. Also, we may prescribe an antimicrobial mouthwash or an ointment to be applied directly to the infected patch. This can help to ease discomfort.
There are some situations, however, where a person should see a doctor as soon as possible. Some of these circumstances include:
- the appearance of a non-painful ulcer in one or more areas of the mouth
- unusual ulcers that appear in a new spot in the mouth
- ulcers that are spreading
- ulcers lasting longer than 3 weeks.
Others may want to seek medical attention or treatment for their ulcers if:
- they are particularly painful or big
- a fever appears
- they develop after starting a new medication
- Secondary bacterial infection
Hunner's ulcers, simply put are painful ulcers in your urinary bladder. These ulcers are inextricably linked to another disorder called the painful bladder syndrome or intestinal cystitis. They occur in 10 to 15 percent of people with interstitia cystitis. These, in fact, are red patches or lesions on the bladder wall which can stiffen tissue and cause reduced bladder capacity. Hunner’s ulcers bleed, ooze pus and can be of different sizes. The ulcers in the bladder can be extremely painful and uncomfortable.
These are called Hunner’s ulcers because they were first described by Dr. Guy LeRoy Hunner, a Johns Hopkins gynecologist, in 1915. Since Hunner’s ulcers are seen only in people with intestinal cystitis, it’s important to know more about this painful life-altering bladder disorder before we can even understand how to deal with them.
Interstitial cystitis (IC)
IC is also called painful bladder syndrome. Another important thing to know about IC is that it strikes more women than men. IC is a chronic disorder and there’s no cure for it. It causes recurring bouts of pain and pressure in the urinary bladder and the pelvic area. This is often accompanied by an urgent and frequent need to urinate. Sufferers may have to rush to the ‘loo’ as much as 40, 50, or 60 times a day.
Hunner's ulcers can only be accurately diagnosed by doing a cytoscopy which involves inserting a fibre-optic tube through the urethra to look at the bladder wall closely. During this procedure, a tissue sample from the bladder wall is usually also taken to rule out bladder cancer. Cytoscopy is usually done with hydrodistention under local anesthesia. This involves filling the bladder with a liquid for stretching it to provide a closer view of the bladder wall. Usually, a urologist performs this surgery along with a gynaecologist. IC and also Hunner’s ulcers are both a diagnosis of exclusion. This means that they’re diagnosed only after a number of other conditions have been ruled out.
Hence, the urologist will first take your thorough medical history, followed by a physical exam and a pelvic exam for women patients and perform tests for ruling out infection, and other disorders like bladder stones and cancer, kidney disease, multiple sclerosis, endometriosis, sexually transmitted diseases amongst others. Only after these tests are inconclusive or uncertain and if there is blood in urine, will the urologist go for cystoscopy.
There's no cure for IC, but Hunner’s ulcers can be cured by burning them off the bladder wall. Called fulguration, the process uses electricity or laser to burn the ulcers on the bladder wall. Resection is also used in which skin from around the Hunner’s ulcer is cut for removing both the ulcer and the inflamed tissue around it. The problem is that ulcers may recur in the same location.
So, managing IC becomes critical. Your doctor can try to treat the patient with one treatment or with a combination of treatment depending on the condition of the patient.
Pain medicines are the first line of treatment to manage Hunner’s ulcers and IC both, and many patients do go in for this. Patients also find relief by modifying their diet to remove foods and drinks like caffeinated beverages- tea, coffee, colas etc. Sodas, artificial sugars and fruit juices, especially Cranberry juice can trigger intense pain and discomfort, so these are usually contraindicated. Another important aspect is patient education about normal bladder function and tips on self-care and behavioural modifications like stress control to manage Hunner’s ulcers.
The name 'fast food' comes from the fact that it can be prepared and served in a jiffy and not to mention, tastes delicious. Don't be fooled by the smell and the taste, they have such little to no nutritional value that they can hardly be called food.
They are rich in calories, fat and sugar that lead to various kinds of health conditions. Popular junk foods include gums, sweets, carbonated drinks, desserts, fried foods; you probably love them now but after knowing their effects on your health you might want to eliminate them from your diet.
Here are some of the conditions which can be caused by the consumption of excessive fast food:
Cut down on junk food and incorporate fruits and vegetables and also make time to include a daily exercise routine to maintain a healthy lifestyle.