quite interesting & informative. .
Very nice and useful.
Very useful sir thanks
thnks for kindly inf.
Wonderful post on Chillies. They are powerful anti oxidants. This has so many medicinal properties. Like locally the Capsaicin works as a good local treatment for painful Sensory Neuropathy. Thanks for the post sir
Really, so many things, i too didn't know about it. thanks for sharing such informative post sir.
nice info.l never knew capsicum has so many uses!!
l mean chillies..capsicum frutescens.
Wonderful post on chillies dr. I knew about its carminative & digestive stimulant action But other so many ......... really wonderful to hear about its action in jaundice, diarrheal laringitis And efficacy in neuropathy. In our Indiana culture that's why all such herbs r used on regular basis to keep us fit. Thank u dr for such post.
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World Arthritis Day 2018 World Arthritis Day (WAD) was established in 1996 by Arthritis and Rheumatism International (ARI) to raise awareness of issues affecting people with rheumatic and musculoskeletal diseases (RMDs). It is celebrated every year on 12th October. 'Don't Delay, Connect Today' theme initiated in 2017 by the European League Against Rheumatism (EULAR) continues to give importance on early diagnosis and access to care in 2018. ‘Don’t Delay, Connect Today’ campaign calls on people including the public, physicians, health professionals and policy-makers to connect early for earlier diagnosis of RMDs and timely access to evidence-based treatment. The overall goal is to highlight RMDs as major public health problem globally and that early diagnosis and timely access to treatment can prevent further damage and burden on the individual and society. Why is early diagnosis important? Early diagnosis is important to prevent further damage, if not treated early daily activities are affected, reducing the quality of peoples' life and affecting physical abilities. Delay is often due to a lack of awareness hence it’s important to know the symptoms of RMDs and consult a healthcare professional early. RMDs are commonly divided into inflammatory and non-inflammatory types: Common non-inflammatory RMDs are degenerative spine diseases, osteoarthritis, osteoporosis and fibromyalgia Common inflammatory RMDs are rheumatoid arthritis, ankylosing spondylitis, reactive arthritis, connective tissue diseases and polymyalgia rheumatica. RMDs can be hereditary; can also be triggered by lifestyle factors such as smoking, excessive weight, sedentary lifestyles, increasing age and having occupations that lead to injury and overuse of joints/muscles; however, in some cases the causes are unknown. Early medical treatment of inflammatory RMDs, particularly in the first 12 weeks, can prevent joint and organ damage and improve long-term function. What is Arthritis? The word arthritis actually means joint inflammation; in public health arthritis is used as a shorthand term for arthritis and other rheumatic conditions. What are the most common types of arthritis? The most common forms of arthritis are osteoarthritis, gout, fibromyalgia, and rheumatoid arthritis. What are the symptoms of arthritis? Symptoms of arthritis in affected joint are- swelling, pain, stiffness, decreased range of movements. How does body weight influence arthritis? Maintaining a healthy weight reduces the risk of developing osteoarthritis. Health tips for living with RMDs/Arthritis- (a)Healthy living- Improve your wellbeing by keeping high on emotional wellbeing, self-management and motivation and by making healthy life style choices such as: Don't smoke. Avoid stress- As stress can alter behaviour, affect sleep patterns, change appetite and increase muscle tension therefore use relaxation techniques to help manage stress. Get adequate sleep- Get enough quality sleep to protect your mental and physical wellbeing and quality of life. Reduce alcohol intake (b) Healthy eating- Healthy and balanced diet is important for people with rheumatic and musculoskeletal diseases (RMDs). Control your salt and sugar intake: Try to reduce sugar intake as it is high in calories especially in soft drinks, ready meals and confectionery foods. Salt intake should be less than 5 grams per day for adults. Too much salt can cause high blood pressure, an increased risk of heart disease and osteoporosis. (c) Physical activity and fitness- Being physically active is good for general health and can have specific benefits for people with RMD/Arthritis. Consult your doctor or physiotherapist about the type of exercise most appropriate for your condition. Exercise may be in the form of cycling, dancing, walking, gardening, swimming, yoga etc. Source : NHPDr. Hemant Adhikari13 Likes21 Answers
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Today my topic is on #Inflamation#Swelling of Organs.Most of the peoples are worrying about this I will try to give solutions. Inflammation is a process by which your body's white blood cells and the things they make protect you from infection from outside invaders, such as bacteria and viruses. But in some diseases, like arthritis, your body's defense system -- your immune system -- triggers inflammation when there are no invaders to fight off. In these autoimmune diseases, your immune system acts as if regular tissues are infected or somehow unusual, causing damage. Inflammation Types Inflammation can be either short-lived (acute) or long-lasting (chronic). Acute inflammation goes away within hours or days. Chronic inflammation can last months or years, even after the first trigger is gone. Conditions linked to chronic inflammation include: • Cancer • Heart disease • Diabetes • Asthma • Alzheimer’s disease Inflammation and Arthritis Some types of arthritis are the result of inflammation, such as: • Rheumatoid arthritis • Psoriatic arthritis • Gouty arthritis Other painful conditions of the joints and musculoskeletal system that may not be related to inflammation include osteoarthritis, fibromyalgia, muscular low back pain, and muscular neck pain. Homoeopathic Remedy Options • Aconitum napellus. This remedy may be helpful for pain and inflammation that comes on suddenly after exposure to cold wind and weather. ... • Arnica. ... • Belladonna. ... • Bryonia. ... • Calcarea phosphorica. ... • Ledum palustre. ... • Pulsatilla. ... • Rhus toxicodendron.Dr. Rajesh Gupta1 Like5 Answers
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*Restless leg syndrome (RLS* ☝ *Today about*☝ Definition Restless leg syndrome (RLS) or Willis-Ekbom disease(WED) is a common cause of painful legs. The leg pain of restless leg syndrome typically eases with motion of the legs and becomes more noticeable at rest. Restless leg syndrome also features worsening of symptoms and leg pain during the early evening or later at night. Restless leg syndrome Restless leg syndrome is often abbreviated RLS; it has also been termed shaking leg syndrome. Night time involuntary jerking of the legs during sleep is also known as periodic leg/limb movement disorder. History The first known medical description of RLS was by Sir Thomas Willis in 1672. Willis emphasized the sleep disruption and limb movements experienced by people with RLS. Initially published in Latin (De Anima Brutorum, 1672) but later translated to English (The London Practice of Physick, 1685), The term “fidgets in the legs” has also been used as early as the early nineteenth century. Subsequently, other descriptions of RLS were published, including those by Francois Boissier de Sauvages (1763), Magnus Huss (1849), Theodur Wittmaack (1861), George Miller Beard (1880), Georges Gilles de la Tourette (1898), Hermann Oppenheim (1923) and Frederick Gerard Allison (1943). However, it was not until almost three centuries after Willis, in 1945, that Karl-Axel Ekbom (1907–1977) provided a detailed and comprehensive report of this condition in his doctoral thesis, Restless legs: clinical study of hitherto overlooked disease. Ekbom coined the term “restless legs” and continued work on this disorder throughout his career. He described the essential diagnostic symptoms, differential diagnosis from other conditions, prevalence, relation to anemia, and common occurrence during pregnancy. Epidemiology Except perhaps in Asian populations, RLS is a common disorder, occurring in about 10% of the population. The age-adjusted prevalence of RLS determined by telephone interviews in a random population of 1803 adults in Kentucky was 10%. A Canadian survey of 2019 adults estimated the prevalence of RLS symptoms at 17% for women and 13% for men. A population-based survey in West Pomerania, Germany, of 4107 subjects found an overall 10.6% prevalence. Using standardized questions in face-to-face interviews, Rothdach et al. reported an overall prevalence of 9.8% in 369 participants ages 65-83 years in Augsburg, Germany. In a study from Japan, 4612 participants living in urban residential areas were assessed for a single symptom of RLS by a self-administered questionnaire of the following two items: (1) Have you ever been told you jerk your legs or kick sometimes and (2) have you ever experienced sleep disturbance due to a creeping sensation or hot feeling in your legs? The prevalence of RLS ranged from 3% in women ages 20-29 years to 7% in women ages 50-59 years and correlated with age. In contrast to the first three studies, RLS had a higher prevalence in men than women, with the difference reaching significance in those 40-49 years old; in men there was no positive correlation with age. Face-to-face interviews of 157 consecutive individuals ages 55 years and older participating in a health screening program and 1000 consecutive individuals ages 21 years and older from a primary health care center in Singapore yielded much lower prevalence data. Using IRLSSG criteria, the prevalence of RLS in this predominantly Asian population was 0.6% in the older (1 male) and 0.1% (1 female) in the younger cohorts. In the Kentucky and Singapore studies, there was no gender difference; however, in the two German studies, the prevalence was higher in women and in the Japanese study it was higher in men. The Canadian study reported a significantly higher occurrence of bedtime leg restlessness in women. Types Restless legs syndrome (RLS) can be either primary or secondary, and the causes vary. Primary RLS is a neurological disorder. Although the majority of people with RLS begin to experience symptoms in their middle years, some may have signs of the problem in childhood. Their symptoms may slowly progress for years before becoming a regular occurrence. Secondary RLS tends to be more severe than the primary type and stems from another underlying condition, including the following: Anemia or low blood-iron levels Folate deficiency Nerve damage due to diabetes or other conditions Kidney disease or dialysis Attention deficit disorder (ADD) Attention deficit/hyperactivity disorder (ADHD) Pregnancy Rheumatoid arthritis Parkinson’s disease Risk factors RLS/WED can develop at any age, even during childhood. The disorder is more common with increasing age and more common in women than in men. Restless legs syndrome usually isn’t related to a serious underlying medical problem. However, RLS/WED sometimes accompanies other conditions, such as: Peripheral neuropathy: This damage to the nerves in your hands and feet is sometimes due to chronic diseases such as diabetes and alcoholism. Iron deficiency: Even without anemia, iron deficiency can cause or worsen RLS/WED. If you have a history of bleeding from your stomach or bowels, experience heavy menstrual periods or repeatedly donate blood, you may have iron deficiency. Kidney failure: If you have kidney failure, you may also have iron deficiency, often with anemia. When kidneys don’t function properly, iron stores in your blood can decrease. This, with other changes in body chemistry, may cause or worsen RLS/WED. Causes The cause of restless leg syndrome is unknown in most people. However, restless leg syndrome has been associated with Pregnancy, Obesity, Smoking, Iron deficiency and anemia, Nerve disease, Polyneuropathy (which can be associated with hypothyroidism, heavy metal toxicity, toxins, and many other conditions), Other hormone diseases such as diabetes, and Kidney failure (which can be associated with vitamin and mineral deficiency). Some drugs and medications have been associated with restless leg syndrome including: Caffeine, Alcohol, H2-histamine blockers (such as ranitidine [Zantac] and cimetidine [Tagamet]), and certain antidepressants (such as amitriptyline [Elavil, Endep]). Occasionally, restless leg syndrome run in families. Recent studies have shown that restless leg syndrome appears to become more common as a person ages. Also, poor venous circulation of the legs (such as with varicose veins) can cause restless leg syndrome. Symptoms The International Restless Legs Syndrome Study Group described the following symptoms of restless legs syndrome (RLS): Strange itching, tingling, or “crawling” sensations occurring deep within the legs; these sensations may also occur in the arms. A compelling urge to move the limbs to relieve these sensations Restlessness — floor pacing, tossing and turning in bed, rubbing the legs Symptoms may occur only with lying down or sitting. Sometimes, persistent symptoms worsen while lying down or sitting and improve with activity. In very severe cases, the symptoms may not improve with activity. Other symptoms of RLS include the following: Sleep disturbances and daytime sleepiness Involuntary, repetitive, periodic, jerking limb movements that occur either in sleep or while awake and at rest; these movements are called periodic leg movements of sleep or periodic limb movement disorder. Up to 90% of people with RLS also have this condition. In some people with RLS, the symptoms do not occur every night but come and go. These people may go weeks or months without symptoms (remission) before the symptoms return again. Complications Restless legs syndrome rarely results in any serious consequences. However, in some cases severe and persistent symptoms can cause considerable mental distress, chronic insomnia, and daytime sleepiness. In addition, since restless legs syndrome (RLS) is worse when resting, people with severe RLS may avoid daily activities that involve long periods of sitting, such as going to movies or traveling long distances. Diagnosis and test There’s no single test for diagnosing restless legs syndrome. A diagnosis will be based on your symptoms, your medical and family history, a physical examination, and your test results. Your GP should be able to diagnose restless legs syndrome, but they may refer you to a neurologist if there’s any uncertainty. There are four main criteria your GP or specialist will look for to confirm a diagnosis. These are: an overwhelming urge to move your legs, usually with an uncomfortable sensation such as itching or tingling your symptoms occur or get worse when you’re resting or inactive your symptoms are relieved by moving your legs or rubbing them your symptoms are worse during the evening or at night Blood tests Your GP may refer you for blood tests to confirm or rule out possible underlying causes of restless legs syndrome. For example, you may have blood tests to rule out conditions such as anaemia, diabetes and kidney function problems. It’s particularly important to find out the levels of iron in your blood because low iron levels can sometimes cause secondary restless legs syndrome. Low iron levels can be treated with iron tablets. Sleep tests If you have restless legs syndrome and your sleep is being severely disrupted, sleep tests such as a suggested immobilisation test may be recommended. The test involves lying on a bed for a set period of time without moving your legs while any involuntary leg movements are monitored. Occasionally, polysomnography may be recommended. This is a test that measures your breathing rate, brain waves and heartbeat throughout the course of a night. The results will confirm whether you have periodic limb movements in sleep (PLMS). Treatment and medications Treatment for RLS is targeted at easing symptoms. In people with mild to moderate restless legs syndrome, lifestyle changes, such as beginning a regular exercise program, establishing regular sleep patterns, and eliminating or decreasing the use of caffeine, alcohol, and tobacco, may be helpful. Treatment of an RLS-associated condition also may provide relief of symptoms. Other non-drug RLS treatments may include: Leg massages Hot baths or heating pads or ice packs applied to the legs Good sleep habits A vibrating pad called Relaxis Medications may be helpful as RLS treatments, but the same drugs are not helpful for everyone. In fact, a drug that relieves symptoms in one person may worsen them in another. In other cases, a drug that works for a while may lose its effectiveness over time. Drugs used to treat RLS include: Dopaminergic drugs, which act on the neurotransmitter dopamine in the brain. Mirapex, Neupro, and Requip are FDA-approved for treatment of moderate to severe RLS. Others, such as levodopa, may also be prescribed. Benzodiazepines, a class of sedative medications, may be used to help with sleep, but they can cause daytime drowsiness. Narcotic pain relievers may be used for severe pain. Anticonvulsants, or antiseizure drugs, such as Tegretol, Lyrica, Neurontin, and Horizant. Although there is no cure for restless legs syndrome, current treatments can help control the condition, decrease symptoms, and improve sleep. Lifestyle and home remedies Making simple lifestyle changes can help alleviate symptoms of RLS/WED. Try baths and massages: Soaking in a warm bath and massaging your legs can relax your muscles. Apply warm or cool packs: Use of heat or cold, or alternating use of the two, may lessen your limb sensations. Try relaxation techniques: such as meditation or yoga. Stress can aggravate RLS/WED. Learn to relax, especially before bedtime. Establish good sleep hygiene: Fatigue tends to worsen symptoms of RLS/WED, so it’s important that you practice good sleep hygiene. Ideally, have a cool, quiet, comfortable sleeping environment; go to bed and rise at the same time daily; and get adequate sleep. Some people with RLS/WED find that going to bed later and rising later in the day helps in getting enough sleep. Exercise: Getting moderate, regular exercise may relieve symptoms of RLS/WED, but overdoing it or working out too late in the day may intensify symptoms. Avoid caffeine: Sometimes cutting back on caffeine may help restless legs. Try to avoid caffeine-containing products, including chocolate and caffeinated beverages, such as coffee, tea and soft drinks, for a few weeks to see if this helps.Dr. Shailendra Kawtikwar11 Likes20 Answers
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70 yo man k/c/o dm & htn since 8 yrs. recently diagnosed with diabetic retinopathy. has on & off pain & swelling in rt foot phalenges only which comes back after stopping nsaids. x-ray shows no fracture.uric acid normal. 2d echo,Doppler right lower leg & ecg was done. serum creat,hgt, hba1c,lipid profile within normal limits.please interpret ecg n correlate with Doppler study & suggest further treatmentDr. Priya Sonavdekar2 Likes22 Answers
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Health Benefits of Alfalfa Grass ............................................................... Alfalfa grass is a flowering plant that is very common and the alfalfa grass health benefits are plentiful. The following will uncover 5 surprising health benefits of alfalfa grass… It is a perennial plant, which means that it grows and blooms over the spring and summer. During the fall and winter, the plants die back. In the spring, they return from the rootstock. The basic benefit of alfalfa is that it is very nutritious when it is consumed. This plant is high in chlorophyll, micronutrients, and vitamins A, B1, B6, C, E, and K. It also contains calcium, iron, zinc, and potassium. Finally, it contains more protein than most plants. What Are the Health Benefits of Alfalfa Grass? Other than the nutritional value, alfalfa has several health benefits. These include: Anti-Inflammatory Properties: An alfalfa study was published in the July 2009 issue of Journal of Biomedical Science. The study was performed on animals that were injected with compounds that contained inflammation. The animals that were not fed alfalfa sprouts had increased inflammation compared to those who were fed alfalfa sprouts. Bolsters Immune System: A study was performed and published in the March 2009 issue of “Lupus”. During this study, animals were injected with alfalfa sprout ethyl acetate extract. The scientists doing this study wanted to see if alfalfa sprouts could be beneficial for people who suffer from autoimmune diseases, such as lupus. The animals that were given alfalfa had lower T-cell counts at the end of the study. Antioxidant Effects and Radiation Protection: A study was conducted in Turkey, and the results were published in the February 2008 issue of Photocheistry and Photobiology. According to the study, alfalfa can protect the cells from damage from x-rays, due to its antioxidant properties. The animals that were given alfalfa before having an x-ray had less free radicals and cell damage than those who were not given alfalfa. Lower Cholesterol: High cholesterol can lead to stroke and heart disease. A study was performed and published in the May 1087 issue of Atherosclerosis. According to the study, patients with high cholesterol were given alfalfa for 8 weeks. At the end of the study, their LDL, also known as bad cholesterol, dropped by 30 percent. After the study, the patients stopped eating alfalfa, and their cholesterol returned to the previous levels before the study was conducted. The study indicated that regular consumption of alfalfa could successfully reduce cholesterol. Improves Certain Medical Conditions: Alfalfa has been used to treat a variety of medical conditions, including kidney, bladder, and prostate conditions. It can also increase urine flow. Patients with osteoarthritis, rheumatoid arthritis, upset stomach, and asthma can benefit from alfalfa. Side Effects of Alfalfa Grass Alfalfa is relatively safe for adults. However, if you take large amounts of alfalfa for a long period of time, the seeds can cause a reaction that is similar to lupus. Also, alfalfa can make the skin more sensitive to the sun. It is important for light skinned people to wear sunblock when going outdoors. Patients who are pregnant should avoid alfalfa. There is evidence that alfalfa can act like estrogen, which can have a negative effect on the pregnancy. Its estrogen effect can also be harmful for patients who suffer from breast cancer, uterine cancer, and ovarian cancer. If you have diabetes, you should check your blood sugar levels often, as alfalfa can lower your blood sugar. You may think that you are eating right, and your blood sugar levels are fine, but the alfalfa can have an effect on it. Patients who have had a kidney transplant should avoid consuming anything with alfalfa. There has been one reported case of a patient who had a transplant and rejected it due to their consumption of alfalfa. Because alfalfa boosts the immune system, it can make the anti-drugs that are given after the surgery, less effective. How to Take Alfalfa Grass The most common way to ingest alfalfa is to add alfalfa sprouts to a salad. You can also purchase alfalfa supplements and take them with your daily multivitamin. Alfalfa Grass in Green Powder Drinks If salad is not your favorite thing to eat, and you would rather not take a daily supplement, you can purchase green powder drinks that contain the right amount of alfalfa that is healthy for your diet. Green powder drinks such as Total Living Drink Greens contain numerous ingredients, including alfalfa grass, which are rich in vitamins and nutrients. Just having a drink or two a day can greatly improve your health. Alfalfa grass grows all over the world, and is very plentiful. For years, many people did not know the many health benefits of alfalfa grass. As studies were conducted on this grass, more and more people began putting alfalfa sprouts in their salad, and even eating them on their own. As the health food industry began seeing the importance of this grass, many companies began using alfalfa in their green drink powders.Dr. Sanjay Kumar Mallick9 Likes29 Answers