Weight Loss without loss of money

Most of us run blindly after advertisement of weight loss products or regimens whose end results are often disappointing to us.Some involve drainage of our hard earned money and some our precious time.

I don’t support or oppose such ads.I want to provide you some insights about this topic.First of all you should find out,whether you require any weight loss on health point of view or not.To know this find your height in centimeter and weight in kilogram.Subtract 100 from your height and the result would be your Ideal Weight in kilogram on health point of view.

Suppose your height is 170 centimeter,

Your Ideal Weight should be 170-100=70.             70 kilogram

So for a 170 centimeter height person should weigh 70 kilogram.

If your height is 170 centimetres and your actual weight is 80 kilogram,you have 10 kilogram excess from your ideal weight.

You can keep your weight between 65 to 75 kilogram and stay healthy.I mean to say,you can have 5 kilogram excess or 5 kilogram less from your ideal weight (calculated by subtracting 100 from your height in centimeter).

Now,what are the things which can help you in reducing weight.

1.If you have high blood pressure,you can reduce your both blood pressure as well as weight by using diuretics.Tea and coffee are good diuretics.Diuretics are the substance which can cause excessive urination. This results in loss of water and salts from your body.The drawback of diuretics is,it can also reduce potassium and calcium from your body.So while using diuretics as a weight loss measure,you should take plenty of green vegetables and seasonal fruits.Those who have normal or low blood pressure and those who are dehydrated by diarrhea or vomiting or by excessive sweating due to manual work or exercise should avoid using diuretics.

2.Weight gain may be due to some disease.For example hypothyroidism.This is a condition in which your body is not making a chemical thyroxin.This chemical is important for breakdown of your body fuel and release of energy and to keep you warm.How to know that your weight gain is due to hypothyroidism?

Give your blood sample in clinical Laboratory for the freeT3 T4 and TSH.When reports arrive,check the normal range of each of three parameters and look for your value.If T3 and T4 value is less in your report in comparison to the normal range and TSH is higher than its normal range value,you have hypothyroidism.In that case you can take thyroxin tablets 50 microgram per day under advice of your local licensed medical practitioners and check your weight  at every two weeks.Apart from this you need to know little more about thyroxine.It is made up of iodine and amino acid tyrosine(many amino acids joined in chains to form protein) .So naturally your diet should have iodised salt and good quality proteins like egg white and soybean.One more thing you should know that,you should avoid cauliflower, cabbage, gourds because these vegetables contain some chemicals which hold the iodides and do not allow iodine to be absorbed in your body.

3.Be vegetarian if you want to lose weight faster.Animal foods are generally rich in calories.Try to eat sprouts and salads first of all before any meal you take as much you can before going to main course.Take a full glass of black tea or coffee daily.Avoid fat and salts as much as possible.Be careful about hidden salt in your diet.Avoid pickles,if you want to lose your weight.

4.The key concept to lose weight is following;keep in mind!

Your sixty percent of body weight is due to water.If you want to reduce your weight by ten kilogram,you have to lose six kilogram by losing water content alone.Water accumulated in the body due to salts,particularly sodium chloride we use as table salts.To reduce your weight,it may be good idea to be on salt free diet at least three days per week.Mixture,chips,pickles and readymade junk snacks holds alot of salts,so it is better to avoid them.Apart from this many persons who have protein deficiency in their body may have excess body water because the water can not be drawn from their non vascular compartments due to low plasma oncotic pressure of their vascular compartment. Here you just need to understand that proteins in your blood vessels draw water from other compartments of your body.That drawn excess water comes out in urine via kidneys. So to reduce weight by losing water requires adequate protein intake.I repeat again,the richest protein source is egg white for non vegetarians and soyabean for vegetarians.Don’t be fooled by purchasing protein powders readymade at ten times more cost than their direct sources.One important question,how much protein one should take daily?This is quite easy to calculate.Just know your weight in kilogram and that figure in gram would be your daily protein requirement.Suppose your weight is seventy kilogram.This implies your protein requirement is seventy gram daily.This you can manage by taking seventy gram boiled egg white or  soybean or pulses.Further if your doctor has prescribed you protein restrictions, for any disease, you should take according to his advice.For muscle builder the protein requirement is increased.But that increased protein intake to be incorporated in your muscle fiber,you need to contract that muscle for at least three minutes.In such cases there is moderate weight loss but body acquires good shape.

You can actively reduce your body water by taking tea or coffee as a diuretic(a substance which causes more urine to form in your body releasing water and salts from your body).Any tea or coffee will do this,again don’t be confused with advertisements about tea promising greater benefits.Just have natural,cheapest pure tea,don’t waste your money in expensive brands.

Apart from water reduction remaining forty percent of your weight can be reduced by calorie and fat restriction.Fat restriction itself provide you immense impact on calorie intake because calorific value of fat is more than twice the value of carbohydrates.  

Two ounces of candy corn has more calorie than a potato with one tsf butter.

Muscular exercise increases your muscle endurance as well as strength.Muscle endurance and strength are both different things.

Cycling,running,jumping are all aerobic exercises,these are also cardio exercises.

Push up and curl ups are endurance activity

Stretching is done for flexibility.

Rectus abdominis is referred commonly as abs.

Dynamic stretching is better than regular warm up.

Stretching of muscle doesn’t prevent soreness.

Stretching is not helpful for cardio.

Stretching which involves bouncing is called ballistic stretching.

Stretching elongates the muscles.

Stretching for 60 second important for desired results.

All the best!

Insomnia or sleeplessness a common problem

Many of you have a common complaints of insomnia or having difficulty in sleep.It is easier to prescribe an alprazolam or diazepam tablet.Frequently you have problems of sleep and you seek such prescription from your doctor.Many of you get it from the chemist shop directly where drug control system is not very effective.

Let us analyze the problem.

You go to bed!,close your eyes! and try to sleep!,but you can’t.Why?….. You try to sleep but you can’t sleep.Your eyes are closed but your mind is working,your thoughts jumping from one topic to another topic,you are changing postures on the bed.You look at the time in your mobile phone kept near your head and you see,oh!my god it is 12.45.Again you remember you have to do a lot of work tomorrow.Again your thoughts filled your mind,you get up for toilet and take a glass of water and back to sleep.And its very late around 3A.M. when you could get your sleep and next morning you have to get up early and you are mentally tired.No freshness in mind to work properly.The story can differ person to person.Now the question is what should you do?

I am writing some points below which would help you out in the majority of such situations:

1.Avoid taking tea, coffee or chocolates in evening.There is a system in our brain which keeps us alert.You don’t need to remember the name of this system.Ascending Reticular Activating System.Its work gets activated by the chemicals found in tea,coffee, chocolates and tobacco.Apart from this,use of tea and coffee in evening would cause more urine to form in your body and you would have to disturb your sleeping process to empty your bladder at night.

2.Your mind takes some energy to initiate sleep.For this you need to have glucose level adequate at the time of sleep.So never skip your dinner otherwise you would be unable to sleep or you feel difficulty in sleeping.

3.Nature of food affects your sleeping process.Proteins keep your mind alert and interferes withwth initiation of sleep.If you take many boiled eggs or protein rich substance in your dinner,you may have difficulty in sleeping.Carbohydrates helps in sleeping process,if you eat more carbohydrate you can get sleep easily.Mind it,I am talking about your dinner,those protein rich food are good for your breakfast to keep you alert whole day.

4. If you still feel difficulty after the above point correctly addressed,you have to check for negative energies in your room.Avoid red color curtains or bedsheets in your bed room.Red color increases your blood pressure and blue color decreases it.High blood pressure keeps you alert so hinders your sleep.You keep pillows to raise your head from your body level during sleep,do you know?why you do so!.Because your head should get less blood pressure in comparison to body.Avoid multicolor printed bedsheets,pillow covers and curtains.Your cot height should be low because every thing at higher energy level tends to be unstable.When your cot height is more,more difficult for you to get sleep.Higher cot level keeps you at higher potential energy.You should not keep television in your bedroom.If you have no other choice,cover your television with black cotton cloth.Your bedroom should have proper ventilation for fresh air from outside.Your bedroom should be dark properly to initiate sleep.Your dress should be comfortable and your bed too.

5.If you are alcoholic you should go to bed earliest possible. If you have taken alcohol in evening and its effect removed before going to sleep,it would be next to impossible to initiate sleep and you may have headache.In such condition you can try soft drinks or sugar water solution with lime juice.

6.If you are concerned about any problem which you cannot share with anyone,you can write your all negative feelings in your diaries or notebooks.Believe me! you would get a nice sleep.

7.You are worried about tomorrow regarding some urgent work,chalk out your plan and sequence of your actions on a paper,then go to sleep.Don’t keep any worry of your mind mentally unadressed before going to sleep.You can find the best solution of your problem just before sleep and you would get a nice sleep.

8.A real story as an eye opener for health care provider…

When I was in my health centre a man Mr. X. approximately 35 years old came to me at 11 P.M. said,”sir!  I am unable to sleep,please give me some sleeping pills!”It was easier for me to prescribe him some sleeping pills.But I created little problem for myself and tried to probe him about his mental condition and thoughts.I took time to listen his problem.His problem was following:

Mr.X.is a married man with his three kids living together in town.His younger brother around thirty years old,lives in his native village with his wife and kids.His younger brother had taken some money one year back and refused Mr.X. to return that money.That money, which Mr.X.could not get back from his brother,generated tension in his mind.Mr.X. was only concerned for his own wife and kids.He was thinking that he had lost his money by helping his younger brother and there is no hope of getting back.His younger brother told him straight that he didn’t owe any money.So Mr.X couldnot sleep by thinking about his monetary losses.

I asked Mr.X to recall twenty five year back, of childhood days. “recollect the scene when you were young and were living together with your younger brother!both of you running,playing and enjoying together in your childhood days!Imagine!how pleasant was that!suppose, you had few pennies and your brother asked you to give some money to buy some lozenzes!what you would have done!”

Mr.X replied,”sir!I would have given the whole lot of pennies to him with great pleasure”.l said,”Then why are you bothered for the money which he is not returning back!Do a phone call to him and say that you don’t want your money back and add,  in future also if he needs more,you would give him with great pleasure. “

Now Mr.X was changed totally.His paradigm shifted.Now he is looking his situation with a new angle.He got satisfied and did exactly as I had advised him.Now he is sleeping well without any difficulty. he doesn’t require sleeping pills.

This happens in thousands of cases of sleeplessness where tactful listening to the person with problem can provide drug free solution to sleeplessness.But we take a couple of minutes only in prescribing sleeping pills.

If you have taken into account of all the previous concepts of sleeplessness. Some more things can be considered.

1.Your bedroom should be free of noise and unwanted lights or illuminations.

2.Your bed should be arranged such that your head is directed south while you sleep.Here one thing is important to note that,you remain at higher energy level by your thoughts and you find difficult to sleep.The south direction decreases your energy level and makes it easier for you to sleep.Further I would like to add,those people who have low self esteem or feeling lack of energy,should sleep facing east direction.

3.Your bed should be placed in your bedroom such that,it is nearer to the southern or western wall of the room.

4.It is a nice idea to go through your textbook or magazine if you are not feeling sleepy on the bed.This will focus your thoughts to the contents of the book and the time when you feel sleepy,just put aside your book and sleep.

5.If you are a spiritual person,repeatedly chant a mantra while you are on bed and your eyes closed,mentally without using your lips,you would get the sleep.

6.If you don’t have any mantra to chant,just do reverse counting from 1000 to 1 mentally,you would fall asleep.

7.If you have insomnia,take cold bath in winter and take warm bath in the summer season.

8.If you believe in yoga, get a CD of yoga nidra and play it in your bedroom and follow the instructions while lying on bed.

9.Listen to your favourite music at low volume to concentrate your mind.

Burn:Insight for First-Aid & self-care

Burn is common event in our day to day life,extending from minor issues to the life threatening burn.In general community,there are a lot of misconceptions regarding the right approach of care in burn.So it is important to have proper understanding about the way it can harm our health.A common individual who does not have science back up relies upon the information gathered from his social surroundings about particular health scenario.Let us understand few things to comprehend it fully.

1.Burn due to any cause transmits heat to a particular point or area of contact on our body.From this point or area of contact the heat spreads in all direction.Even if we remove the burning agent,the transmitted heat continues spreading and damaging adjoining parts until its intensity to damage gets reduced in the process.Take an example of wax.When we make a contact by flame to a lump of wax and remove the flame,it continues to melt even after removal of flame from the wax.This I call after effect of burn.Similar after effect as I said earlier,occurs in our body,after removal of burning substance.To curtail this after effect we need to take out excess heat transmitted in the process of burn.

So,this is wise to put cold water or apply ice ASAP after burn.In my life I have seen many learned persons who are not in favor of putting water or ice after burn.Some of them believe that this application of water causes blisters to form.Sorry! this is not correct belief.Blister is formed due to damage of skin and reactions caused by that damage.

So,once more I should remind !  Apply Water immediately after burn and in the condition where large area was in contact of flame,;it is better to shower whole body for five minutes at least to remove excess transmitted heat and reduce after effects.The application of water has only motive to remove excess transmitted heat energy which can harm further as after effect.Application of water after delay of two hours has no value.

2.Our body is protected by a boundary wall from all sides called the skin.It has got many protective functions.First-it protects us from many disease causing germs.Those germs cannot enter our body if our boundary wall(skin) is intact.Second it also insulates our body from heat and cold with the help of fat layer under it.Third it also protects our body from losing internal water directly outside by drying.

3.Burn causes damage to the skin in proportion to the amount of heat transmitted through an area or a point of skin.The damage of the boundary wall (skin) of your body allows external germs to pass easily to your body and you can have serious life threatening infections.Apart from this,there is loss of water from the body from the damaged area,which results in dehydration of body,so it is wise to allow the person with burn to take plenty of water,Oral Re-hydration Solutions (ORS) to protect his life.

4.Our bodies internal temperature or core temperature is constant and maintained around 98.6 degree F or 37 degree C.

This is maintained as such even if we go to the polar region,because nature has provided birds and mammals an excellent heat regulating system.

So,if the area of burn is more the internal body heat loss directly to the external environment is more and the person feels cold and shivering due to loss of insulation in damaged skin.

So,the burn wound should be covered by antiseptic dressing with changing frequency every alternate days.This minimises the germ entry to the body,loss of internal heat from the body and loss of water by direct evaporation from the body.

5.Just after burn,there is intense pain and in many case the person may die from the pain and inflammation,so after application of water,or ice, the person should be given NSAIDS orally or preferably Injection apart from this a single dose of dexamethasone may be given to save the person from severe inflammation and one dose of tetanus toxoid and proper antibiotic coverage(WARNING! Use under expert medical guidance).

6.Since such patients require meticulous care and monitoring, so they should be admitted in specialized burn unit.

7.Ler us revise our approach -Just after burn wash affected area with cold water or tap water for five minutes.

-Cover the affected area by antiseptic dressing.

-Anti Inflammatory and dexamethasone for pain.

-Prophylactic antibiotics for infection

-Oral water,fluids or ORS

-Tetanus toxoid

-Hospitalisation in burn unit.

Note- dexamethasone may increase the chance of secondary infection,but for initial intense inflammation in a single dose may be life saving and this should not be repeated subsequently. And this should be given strictly under qualified doctors’guidance.

8.Burn causes damage of our body cells.Proteins are required to repair our damaged body structures.So we should take adequate protein in diet.I have said about sources of protein.I again repeat here soybean is the best source of protein for vegetarians and egg white of boiled egg for non vegetarians. Here I need to say I stress on boiled egg because raw egg white contains a chemical avidin which blocks a vitamin-B complex component biotin.So raw egg white can cause you biotin deficiency and resulting hair loss.Apart from this unboiled egg may be a source of infection of TORCH diseases ;Toxoplasmosis,Rubella,Cytomegalovirus and Herpes simplex virus.Those TORCH disease germs transmitted from bird to its egg.

Other form of egg preparation like omelet burns the nutritive value of the egg.

So the protein intake should be adequate to repair the damage of your body.

9.Toxic materials generated due to burn may cause damage to the kidneys,so urine output should be monitored in the burn patient.And fluid should be taken adequately to maintain the body water level and urine output adequate.

10.Percentage of burn can be assessed by a common man by few methods described in the medical texts.

Easiest for you that the area of palm is equal to one percent of burn.Suppose the person who sustained burn in one side of palm has got one percent of burn.

Apart from this palm rule there is a more popular rule to assess the percent of burn called Rule Of Nine.

Consider the whole body into following units separately

1)Head and Neck. Total 9 %

2)Trunk  9+9 % front and 9+9 %back(trunk front includes chest and abdomen and trunk back entire trunk from behind) total trunk area 36 %.

3)Upper limb(arm,forearm and hand) 9% left upper limb and 9% right upper limb.Total upper limbs 18%

4)Lower limb(thigh,leg and foot)9+9% for the left lower limb and 9+9% right lower limb.Total lower limbs 36%.

5)Genital area 1%

So head and neck + Total trunk+Total upper limb +Total lower limb +Genital area

=                    9.     +    36.            +            18.               +      36.                    +       1

=      100 %

The percentage of burn is calculated to assess the survival outcome of patient after burn.It is interesting to note that if you calculate the burn percentage after 24 hour the percentage may be slightly increased in comparison to the calculation done immediately after burn.Further less than 30 % burn have survival potential 70%.You don’t need to memorise all that.I have just written for your curiosity regarding the percentage calculation.Further I have omitted the degree of burn which depends whether only outer surface of the skin has burnt,entire skin has burnt or deeper structure has burnt.Depending on the depth of thermal injury the degree is assigned like first degree burn,second degree burn or third degree burn.

Anti septic dressing which I said earlier is not accessible for many of you.Just a freshly washed and ironed cotton bedsheet can be used to cover the person from his toes to neck after you have provided first aid and arranging the patient to transport to hospital.If you live in a remote village and you have local rural medical practitioner there but no hospital for such patient and the patient is unconscious and it may take a one or two hours to reach the hospital;you may ask the local practitioner to insert an Intravenous cannula and start Ringer lactate, Normal Saline,or DNS Iv slowly and keep few bottles in the transporting vehicle, to changeif there is a chance of busy traffic or delay for more than three hours.This may change the outcome of the burn patient. Apart from this if the rural practitioner can insert the folley’s catheter in urinary bladder and can attach a urobag to it,would be better.I know that such practices trespass the boundary of law in many countries,but life is more important than the law.

Burn person’s serum electrolyte level is required to be monitored. Serum potassium level is most important to watch because its increase and decrease from its normal range may kill the person quickly.

Apart from direct flame and hot objects there are many other things that can cause burn.

Suppose you descending rapidly from a pipe or rope bare handed,the friction of your sliding palm generates heat and your palms get burnt and you can have 2% burn.In that condition also you should immediately rinse your hand with tap water and should apply ice to remove excess heat transmitted to your palm or any body part burnt by friction.And the wound would be managed like other burn wounds.

Generally for first aid you can use framycetin ointment or silver sulphadiazine cream locally at burn wound after washing it with normal Saline solution.Some manufacturer add local anaesthetic in silvesulphadiazine. That ointment with local anaesthetic combination is effective in relieving burning sensation.In home care for minor burns one can use silversulphadiazine alternate day dressing change after cleaning with normal Saline solution.In home care oral amoxycillin + cloxacillin plus metro nidazole may be used after dose adjustment for age or body weight with precaution of alcohol abstinence for upto 72 hours of last dose of metronidazole.

Whenever you use antibiotics,you should take vitamin B-Complex capsule one per day or syrup for kids.

Apart from the above causes there may be chemical burn with strong acids or strong alkalies,sunburn due to exposure to intense sunlight.The chemical burn should be managed by dilution of effect by excessive wash in running tapwater and neutralisation principle,for acid burn you can use mild alkali for washing,such as milk is alkaline and can be used for washing acid burn after washing the wound in running tap water,similarly if chemical burn is caused by alkali,it can be cleaned with weak organic acid like vinegar diluted in water.Be carefull not to apply such neutralizing substance in eyes.Eyes should be washed in plenty of tap water or normal Saline only if available as a part of first aid and it is mandatory to consult eye specialist urgently. 

Disclaimer :All the information above are educational in nature and readers are advised to follow the guidelines of your local qualified medical practitioners and act according to the legal binding of  their respective areas.

thank you!

Chakory blog Introduction

Introduction

Welcome to e-opd blog site.Here you can find common health related topics for you to enable you to solve your own health related issues and queries.The virtual doctor will provide you the necessary information about health through the topics which interests you.You can register here and post your health problems or you can simply navigate our pages to read some basic principles about health and diseases and also you can be equipped with knowledge by which you can solve your health problem in less resource settings.The purpose of this blog is to give non formal health education which even a lay man can comprehend.If any part of my post seem confusing.You can seek clarification.My all posts which is posted by me appears in CAPITALS only except for this post at my blog site.this is a non profit social service from my side to the whole humanity.It is interesting to note that I am playing a role of virtual doctor.I don’t want to publish my name on my site.Just you can call me VIRTUAL DOCTOR OF E-OPD ONLINE CLINIC.Regarding my qualification I want to tell you that your virtual doctor has following degrees MBBS,ASSOCIATE FELLOWSHIP IN INDUSTRIAL HEALTH,ADVANCE DIPLOMA IN INDUSTRIAL SAFETY,OCCUPATIONAL HEALTH & SAFETY PROFESSIONAL,APART FROM IT MANY CERTIFICATES FROM EDX VIA MOOC ONLINE  COURSES.I am currently employed in an Industry as Factory Medical Officer.I have no formal education in computer sciences and Information Technology.Despite this I took the courage to host my website on my own without any IT professional’s help.From C-Panel ,I try to customize my site with hit and trial method.Many times I spoiled my pages and data.So It is expected that my site is not well managed or maintained.I apologize  my visitors of E-OPD for any inconvenience caused by my IT mediocrity.Further I would like to request my dear commercial spammers,”Please don’t flood my site with irrelevant articles and links.That would be the best way you would help me in this social service.”I would also request the hackers,”Use your intellect for the cause of humanity.”On this site my target subject matter would be of the level of Primary Healthcare.I believe in low cost treatment.Investigations when it is indispensable to reach the diagnosis.

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yukty4chakory@gmail.com

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YOUR VIRTUAL DOCTOR WELCOMES YOU! ON BLOGGING PAGE OF EOPD IN THIS PAGE YOU WOULD FIND OUT MANY ERRORS A COMMON PEOPLE DO IN PERSONAL HEALTH CARE.IN THIS FREE ONLINE CONSULTATION SITE E-OPD,YOU WOULD LEARN ABOUT YOUR HEALTHCARE YOURSELF.IN 90 % OF OCCASIONS OF YOUR REAL CLINICAL VISITS,YOU YOURSELF CAN SOLVE THE PROBLEM IF YOU GET SOME COMMON KNOWLEDGE ABOUT YOUR DISEASE AND SYMPTOMS AND BUILD UP A MEDICAL COMMON SENSE.IN MY POST I HAD GIVEN SOME INSIGHTS ABOUT DIARRHEA.IF YOU GO THROUGH IT;YOU CAN MANAGE YOURSELF IN MAJORITY OF CASES.DO YOU KNOW?MANY TIMES OVER TREATMENT LEADS TO MISHAP,OFF COURSE NEGLIGENCE IS ALSO HARMFUL. .TODAY IN THE ERA OF SUPER SPECIALIZATION IT IS VERY DIFFICULT FOR A COMMON MAN TO UNDERSTAND WHERE TO CONSULT.PERSON’S BODY AND SYSTEMS ARE THE MAIN FOCUS.TODAY THERE IS A GROWING NEED OF A DOCTOR WHO TAKES PATIENT IN TOTALITY,TACKLES HIM,SOCIALLY,PSYCHOLOGICALLY,APART FROM THE SPECIALTY.TODAY CLINICAL SKILLS ARE TAKEN PLACE BY COSTLY INVESTIGATIONS.COMMON PEOPLE BELIEVE THAT SUCH INVESTIGATIONS ARE HUNDRED PERCENT ACCURATE.BUT THIS IS SELDOM TRUE.CLINICAL ACUMEN IS FAR FAR MORE IMPORTANT THAN,ELECTRONIC GADGETS AND COSTLY TESTS.

IF PROPER HISTORY OF A DISEASE OR ILLNESS IS TAKEN MAJORITY OF CASES CAN BE DIAGNOSED ALONE ON THE HISTORY.MODERN MEDICINE IS GOING BEYOND THE REACH OF POOR & COMMON PEOPLE.UNNECESSARY INVESTIGATION POSE GREAT FINANCIAL BURDEN ON MASSES.WHICH IMPACTS HEAVILY TO COMMON MASS.

THOUGH I AM ALONE HERE ON THIS SITE,WITHOUT ANY ASSISTANCE.I MYSELF EDIT AND MAINTAIN THE SITE.BEING A NON I.T. PROFESSIONAL IT IS VERY DIFFICULT FOR ME TO OPTIMIZE THE VISUAL OR FUNCTIONAL ASPECT OF THIS SITE.SO THE INCONVENIENCE CAUSED IS DEEPLY REGRETED.

WAIT HERE! AND CHECK HERE! FOR THE NEW POST.THIS SITE IS GOING TO REDUCE THE COMMUNITY DISEASE BURDEN IN A BIG WAY.WE WILL DISCUSS HERE ALL THE TOPIC STEP BY STEPS IN THE COMING WEEK.YOU WILL FIND HERE SOME HEALTH TIPS.USE IT AS PER YOUR DISCRETION.IF YOU HAVE ANY HEALTH QUERY.DO WRITE IN YOUR POST.PLEASE DON’T SPAM THIS BLOG WITH UNRELATED ISSUES.

Our Goal

WE ARE HERE TO BRIDGE THE GAP OF DOCTOR AND PATIENT.THERE ARE MILLIONS OF PEOPLE WHO DO NOT GET ACCESS TO THE HEALTH SERVICES.RISING COST OF MEDICAL CONSULTATION FORCES THE COMMON PEOPLE TO BEAR WITH THEIR DAY TO DAY AILMENTS.THEY SEEK ASSISTANCE ONLY WHEN THE DISEASE LIMITS THEIR DAY TO DAY ACTIVITY AND PRODUCTIVITY.OUR EFFORT TO GIVE THEM FREE DOCTOR’S ONLINE CONSULTATION THROUGH BLOG,CHAT OR MAIL.FURTHER OUR ENDEAVOUR IS NOT RESTRICTED ONLY TO ALLOPATHY.WE BELIEVE IN POLYPATHY.TERM CYBERYUKTYPATHY IS COINED BY ME FOR ONLINE POLYPATHIC APPROACH TO HELP COMMON PEOPLE FROM SUFFERINGS.PEOPLE WITH ANY BELIEF,RELIGION OR SECT CAN FIND THEIR SOLUTION FROM THIS SITE.OUR OTHER SITES ARE E-OPD CHAT,E-OPD EXPERT BLOG,E-OPD PORTAL,E-OPD FORUM,E-OPD FILES,E-OPD GALLERY.SINCE ALL THESE SITES ARE MADE EDITED AND MANAGED BY A SINGLE PERSON WHO IS A DOCTOR BY PROFESSION AND WHO HAS NO FORMAL EDUCATION OF COMPUTER SCIENCE OR INFORMATION TECHNOLOGY,IT IS UNDERSTOOD THAT IT WILL TAKE SOMETIME TO GET FULL FUNCTIONALITY OF E-OPD.COM THE FREE ONLINE-CLINIC.METHODS OF AVAILING OUR FREE SERVICES.1.IF YOU HAVE TO DISCUSS ABOUT YOUR INVESTIGATIONS AND REPORTS OF YOUR PREVIOUS MEDICAL EXAMINATIONS,YOU CAN GO TO http://www.files.e-opd.com.THERE YOU NEED TO REGISTER.AND UPLOAD AND KEEP A SOFT COPY OF YOUR RECORDS TO BE REVIEWED BY VIRTUAL DOCTOR.THIS FUNCTIONALITY WOULD BE STARTED IN THE MONTH OF JUNE 2015.THOUGH YOU CAN UPLOAD YOUR FILES NOW TO KEEP IT FOR FUTURE REVIEW. 2.THOSE WHO ARE WILLING TO CHAT WITH VIRTUAL DOCTOR NEEDS TO GET REGISTERED ON http://chat.e-opd.com WITH PATIENT ID (for example ‘patient1,patient2 etc’)and can chat with virtual doctor.This functionality will start in June 2015.3.YOU CAN GO THROUGH ADMIN POSTS FOR DEVELOPING INSIGHTS ABOUT COMMON HEALTH PROBLEMS AND PERSONAL APPROACHES TO TACKLE THEM.4.ON OPD EXPERT BLOG www.e-opd.com/blog1,EXPERTS OF ANY FIELD ARE INVITED TO POST THEIR AREA OF EXPERTISE FOR THE HUMANITY.5.IF YOU ARE DEEPLY SPIRITUAL AND KNOW ABOUT YOUR RELIGION PRETTY WELL,YOU CAN FIND SOME GEMS IN YOUR RELIGIOUS TEACHINGS WHICH SUPPORTS AND IN FAVOR OF ENTIRE HUMANITY AND SERVE YOUR GEMS IN ARTICLES AND PUBLISH ON E-OPD PORTAL.http://www.portal.e-opd.com.YOUR ARTICLE SHOULD FAVOR THE GLOBAL PEACE INITIATIVE TO BE PUBLISHED ON THIS PORTAL.EVERY RELIGION,BELIEF OR SECT HAS DEFINITELY SOME EXCELLENT ELEMENT WHICH IS GOOD FOR ENTIRE HUMANITY AND SUCH TEACHINGS WHICH IS CONDUCIVE OF GLOBAL PEACE.YOU HAVE TO CITE THOSE ELEMENTS OF YOUR RELIGION OR SECT.

ADMIN E-OPD. Inc.

BMR, BMI and your Weight Reduction Goals

BMR STANDS FOR BASAL METABOLIC RATE
BMI FOR BODY MASS INDEX
Both parameters are important for those who are concerned about their health and fitness.Body Mass Index is represented in kilogram per square meter.Metric system unit are more commonly used.You need two things,your body mass in kg and height in meter.Since we commonly use smaller unit for height,that is centimeter;you need to fill it in centimeter under metric system tab.You can also calculate it manually by dividing your body weight in kg by height in meter square.You can get height in meter by dividing your height in centimeter by 100.Suppose your height is 180 centimeter and weight is 80 kg.
First you convert your height 180 cm to 180/100=1.80 meter.
So on calculation BMI=80/1.80 X 1.80 =24.7 approx.
The BMI calculator does same calculation and gives result.In BMI calculator you are required to fill just the value of your height in cm and weight in kilogram under metric tab and calculator gives you the result.
If your height is measured in inches and mass in pounds you can use following formula:
BMI=MASS (POUND)/HEIGHT(INCHES)SQUARE X 703
Body Mass Index is also known as Quetlet index because it is devised by Adolf Quetlet when he was developing social physics.
On the basis of body mass index a person can be classified as:
BMI. Category
<18.5. Underweight
18.5 to 25. Optimal(normal)Weight
25 to <30. Overweight
=>30. Obese
It is worth noting that in athelete whose muscle mass is more can have less fat percentage despite high BMI.

BMR (BASAL METABOLIC RATE)-DURING REST THE WARM BLOODED ANIMAL’S MINIMUM ENERGY EXPENDITURE PER UNIT TIME IS CALLED (BMR BASAL METABOLIC RATE).HUMAN BEINGS ARE ALSO WARM BLOODED.IN FACT IN ANIMAL KINGDOM UNDER SUPERCLASS TETRAPODA WHICH INCLUDES AMPHIBIA ,REPTILIA,AVES AND MAMMALIA ONLY TWO SUPERCLASSES THAT ARE AVES(BIRDS) AND (MAMMALIA)ARE WARM BLOODED.HUMAN BEINGS ARE UNDER MAMMALIA.
Warm blooded means the body temperature doesnot changes with the change in external environment temperature.This means if you go in hot zones your inner temperature would not increase and if you go in cold zones your inner body temperature will not decrease.This previlage the nature has given to birds and mammals only,so they are capable of migrating to different climatic zones and adapting themselselves.Thermoregulation mechanism of their body keeps their temperature stabilized in extremes of the environment.Reptilians are not capable of thermoregulation,that is why Dyanosaurs got extincted according to recent theories.
So lets come to BMR again-It is the minimal rate of energy lost per unit time in warm blooded animals at rest.Further rest means the individual is totally relaxed physically and psychologically and under normal environmental temperature,neither too hot nor to cold.Even his stomach should not have food for digestion.
BMR USUALLY DECREASES WITH AGE,AND DECREASE IN LEAN BODY MASS.ANAEROBIC EXERCISE; CLAIMED BY SOME,INCREASES BMR.Increase BMR may contribute for the weight loss.

BMI is an important tool to assess your health and fitness.
Box at the bottom contains height and weight fields; entering your height in centimeter and weight in kilogram in the table below would calculate your BMI.IF YOU HAVE MEASURED YOUR WEIGHT IN KG AND HEIGHT IN CENTIMETERS SIMPLY FILL THE VALUES IN APPROPRIATE BOXES AND YOU WILL GET THE RESULT.THE RESULT WOULD TAKE A SPECIFIC BACKGROUND COLOR WHICH YOU CAN MATCH WITH DIFFERENT CATEGORY COLORS AT THE BOTTOM.YOU MAY NEED TO SCROLL TO VISUALIZE THE RESULTS.IF YOU ARE OVERWEIGHT,THE BMI RESULT WOULD SHOW THE COLOR INDICATED FOR OVERWEIGHT CATEGORY.SIMILARLY ALL CATEGORIES ARE INDICATED BY THEIR SPECIFICALLY ASSIGNED COLORS.

Many of you are confused with Ideal Weight you should have.This is very easy to know what should be your Ideal Weight.Just calculate your height in centimeter and subtract 100 from that figure whatever you get should be your Ideal Weight in kilogram.

Illustration: Suppose your height is 170 centimeter.

To know your Ideal Weight subtract 100 from your height in centimeter

170-100=70

Your Ideal Weight should be 70 kg.

HOW TO KNOW YOUR WEIGHT REDUCTION TARGET

YOUR WEIGHT REDUCTION TARGET=YOUR ACTUAL WEIGHT-YOUR IDEAL WEIGHT(IF THIS IS NEGATIVE,THAT MEANS YOU DON’T REQUIRE WEIGHT REDUCTION AND YOU HAVE ROOM TO GAIN)

SUPPOSE IN ABOVE CASE IF YOUR ACTUAL WEIGHT IS 80 KG FOR THE GIVEN HEIGHT 170 CM

YOUR WEIGHT REDUCTION TARGET=80-70=10

YOU NEED 10 KG WEIGHT LOSS TO ATTAIN YOUR IDEAL WEIGHT.

APPROX.60 % OF YOUR BODY WEIGHT IS WATER

SO IN ORDER TO REDUCE 10 KG WEIGHT YOUR WATER CONTENT LOSS WOULD BE 6 KG.

THIS IS A MAJOR COMPONENT.YOU CAN REDUCE YOUR WEIGHT BY JUST FAT AND SALT RESTRICTION AND USE OF TEA AND COFFEE AS A DIURETICS.YOU CAN SUBSTITUTE YOUR DIET WITH PLENTY OF FRUITS AND GREEN VEGETABLES AND SPROUTS.

IMPORTANT:IF YOU WANT TO REDUCE YOUR WEIGHT TAKE SIX SNACKS INSTEAD OF THREE HEAVY MEALS AND YOUR SNACKS SHOULD BE CHIEFLY ON ABOVE DESCRIBED THINGS AND DO SOME AEROBIC EXERCISE.HERE I AM STRESSING AEROBIC EXERCISE BECAUSE HEAVY MUSCULAR EXERCISE IS GOOD FOR MUSCLE BUILDING BECAUSE IT INCORPORATES YOUR DIETARY PROTEINS INTO MUSCLE FIBER AND INCREASES YOUR MUSCLE BULK.SO THE WEIGHT LOSS IS MODESTLY ACHIEVED.

MIND IT WHATEVER I SAID IS THE GIST OF WEIGHT REDUCTION.

ONE MORE THING I HAVE TO ADD THAT FIX YOUR SNACKS TIME AND SLEEP AT LEAST 8 HOUR A DAY.

Self Medication Risks

Self medication is unsafe because the drug can cause toxicity,allergy or life threatening condition.There is a well known proverb,”whenever a drug is taken,risk is taken”.So individual should use any drug with proper guidance from a qualified medical practioner who has license to practice in that country or states.Apart from this many individuals who are aware with medical science are curious to know about the drug interaction online can find informations about a particular drug on typing its name in the box.A qualified Doctor is the best judge regarding the use of medicine in particular individual under specific clinical condition.All such judgements depend on the principle”when benefit outweighs the risks”.User are advised to consult their local doctor,site owner or author does not claim about accuracy of this drug interaction information tool.
Recent advancements in medicine is at exaltation and a lot of new drugs appearing in the market daily.So the complex interraction of a single drug with every drug singly or in combination is very difficult to comprehend in the era of evidence based medicine.
For common people I would like to provide some insights about some commonly used drugs.
Aspirin-This drug is used commonly as pain killer by general people.To lelieve headache or bodyache.
It also prevents clotting of blood.This property of aspirin is utilized in a patient with Ischaemic Heart Disease where it prevents the clot formation in coronary artery.It is also used in cerebral ischaemia when blood vessels of brain gets blocked by blod clot and stops the blood supply of particular area of brain.
This anti clot formation property can cause side effects such as bleeding or hemorrhage. SO THE WOMEN HAVING MENSTRUAL BLEEDING SHOULD NOT TAKE THIS DRUG,AND INDIVIDUAL WITH ANY TYPE OF BLEEDING TENDENCY SHOULD NOT TAKE THIS DRUG.THOS WHO HAVE TO UNDERGO SURGERY SHOULD STOP ASPIRIN SEVEN DAYS BEFORE OR AS ADVISED BY THEIR DOCTOR.
Aspirin is like another NSAIDS-NON STEROIDAL ANTI INFLAMMATORY DRUGS INHIBIT PROSTAGLANDIN SYNTHESIS.BY THIS THERE IS INCREASED SYNTHESIS OF LEUCOTRIENES WHICH CAUSES BRONCHOCONSTRICTION,SO IN ASTHMATIC PATIENTS IT IS DANGEROUS TO TAKE ASPIRIN.FURTHER IT SHOULD NOT BE USED BY PREGNANT AND LACTATING WOMEN. Children should not be given aspirin.In some viral illness children can get Reye’s syndrome, if they take aspirin.
So I have tried to exemplify the risk of self medication with aspirin.Fill the name of drug in the box below and enter.You would find the details.
YOUR VIRTUAL DOCTOR WELCOMES YOU! ON BLOGGING PAGE OF EOPD IN THIS PAGE YOU WOULD FIND OUT MANY ERRORS A COMMON PEOPLE DO IN PERSONAL HEALTH CARE.IN THIS FREE ONLINE CONSULTATION SITE E-OPD,YOU WOULD LEARN ABOUT YOUR HEALTHCARE YOURSELF.IN 90 % OF OCCASIONS OF YOUR REAL CLINICAL VISITS,YOU YOURSELF CAN SOLVE THE PROBLEM IF YOU GET SOME COMMON KNOWLEDGE ABOUT YOUR DISEASE AND SYMPTOMS AND BUILD UP A MEDICAL COMMON SENSE.IN MY POST I HAD GIVEN SOME INSIGHTS ABOUT DIARRHEA.IF YOU GO THROUGH IT;YOU CAN MANAGE YOURSELF IN MAJORITY OF CASES.DO YOU KNOW?MANY TIMES OVER TREATMENT LEADS TO MISHAP,OFF COURSE NEGLIGENCE IS ALSO HARMFUL. .TODAY IN THE ERA OF SUPER SPECIALIZATION IT IS VERY DIFFICULT FOR A COMMON MAN TO UNDERSTAND WHERE TO CONSULT.PERSON’S BODY AND SYSTEMS ARE THE MAIN FOCUS.TODAY THERE IS A GROWING NEED OF A DOCTOR WHO TAKES PATIENT IN TOTALITY,TACKLES HIM,SOCIALLY,PSYCHOLOGICALLY,APART FROM THE SPECIALTY.TODAY CLINICAL SKILLS ARE TAKEN PLACE BY COSTLY INVESTIGATIONS.COMMON PEOPLE BELIEVE THAT SUCH INVESTIGATIONS ARE HUNDRED PERCENT ACCURATE.BUT THIS IS SELDOM TRUE.CLINICAL ACUMEN IS FAR FAR MORE IMPORTANT THAN,ELECTRONIC GADGETS AND COSTLY TESTS.

IF PROPER HISTORY OF A DISEASE OR ILLNESS IS TAKEN MAJORITY OF CASES CAN BE DIAGNOSED ALONE ON THE HISTORY.MODERN MEDICINE IS GOING BEYOND THE REACH OF POOR & COMMON PEOPLE.UNNECESSARY INVESTIGATION POSE GREAT FINANCIAL BURDEN ON MASSES.WHICH IMPACTS HEAVILY TO COMMON MASS.

THOUGH I AM ALONE HERE ON THIS SITE,WITHOUT ANY ASSISTANCE.I MYSELF EDIT AND MAINTAIN THE SITE.BEING A NON I.T. PROFESSIONAL IT IS VERY DIFFICULT FOR ME TO OPTIMIZE THE VISUAL OR FUNCTIONAL ASPECT OF THIS SITE.SO THE INCONVENIENCE CAUSED IS DEEPLY REGRETED.

WAIT HERE! AND CHECK HERE! FOR THE NEW POST.THIS SITE IS GOING TO REDUCE THE COMMUNITY DISEASE BURDEN IN A BIG WAY.WE WILL DISCUSS HERE ALL THE TOPIC STEP BY STEPS IN THE COMING WEEK.YOU WILL FIND HERE SOME HEALTH TIPS.USE IT AS PER YOUR DISCRETION.IF YOU HAVE ANY HEALTH QUERY.DO WRITE IN YOUR POST.PLEASE DON’T SPAM THIS BLOG WITH UNRELATED ISSUES.

 

HEALTH FOR ALL VIA ONLINE CLINIC WITH HOLISTIC MEDICINE APPROACH
It is a novel approach to reduce the disease burden in community.Here you can find the topics posted by admin VIRTUAL DOCTOR.You will find the remedies which suits your personalized health needs.Your comments are welcomed.Many people believe in modern medicine,some in naturopathy,some in Ayurveda,some in herbal remedies,some in homeopathy,some in mantra,some in yoga,some in pilates,some in their traditional ancestral methods.First and most important thing is faith in the stream of therapy you are getting.Your healing is anchored to your faith.Faith generates compliance.Compliance gives efficacy.Efficacy alters your system to cure you.Apart from this faith also act psychosomatically to heal you.Further,every individual gets a sense of healing from his total surroundings from which he gains knowledge about the healing methods.Some such knowledge of healing possess scientific foundation,some are based on parental and social teaching which may be misleading.Though the placebo effect of non scientific healing methods is significant.This I have personally observed many times.I believe that everybody is unique and his treatment should be personalized uniquely.Medical science cannot be applied blindly for everyone in a single way.Root cause of symptoms may be organic,behavioral,situational,nutritional,environmental or spiritual.The approach should be appropriate depending on the cause.Even a person presenting with hypertension can be relieved by probing his circumstantial element and releasing his subconscious painful stimulus through counseling.Mutual empathy is must for such counselling approach to succed.Apart from this there may be nutritional habit as the root cause of hypertension.Excess salt intake and accumulation in body also leads to hypertension.For such people reduction of salt in diet would improve his blood pressure.For some other there is lack of adequate sleep may cause hypertension.For such persons taking adequate sleep(at least 8hours per day)can relieve his blood pressure.One of my batchmate who was going regularly in night shift in a hospital.He was diagnosed to have hypertension.Later it was revealed that he was not getting sleep adequately due to his night shift and he got perfectly well when he started taking adequate sleep.If aperson is having any pain in his body which is not bearable can also have high blood pressure.Such high blood pressure can be relieved by relieving his pain.In many cases where a person is getting steroid to relieve his chronic pain can have high blood pressure.His hypertension is secondary to the salt and water retention caused by steroids.Such hypertension can be cured by gradually stopping the drugs.Gradually means tailing off the dose.Here tailing off is important because you should not stop your steroid abruptly.Apart from this,the accumulated salt and water in the body by steroid use can be removed by the use of diuretics.But I don’t suggest you to take medicine without doctor’s advice.Here what you can do is,you can take tea and cofee as medicine or cocoa products which are edible.Those substances act as diuretics(agents that cause excessive urination)and removes salts and water from the body.Further a high blood pressure may be secondary to low blood sugar in such cases there may be excessive sweating,increased palpitation,cold hands and feet and dizziness.Such high pressure can be reduced by giving glucose water,sugar,sweats etc.High blood pressure can also be caused by excessive use of ORS.A person taking oral rehydration solution too much can land into high blood pressure.Such person can be treated by natural diuretics such as tea coffee or chocolates.

So I have cited the example of hypertension.In future you would find many slotutions here. 

 

Diarrhea selfcare and insights for general community

WE ARE HERE TO BRIDGE THE GAP OF DOCTOR AND PATIENT.THERE ARE MILLIONS OF PEOPLE WHO DO NOT GET ACCESS TO THE HEALTH SERVICES.RISING COST OF MEDICAL CONSULTATION FORCES THE COMMON PEOPLE TO BEAR WITH THEIR DAY TO DAY AILMENTS.THEY SEEK ASSISTANCE ONLY WHEN THE DISEASE LIMITS THEIR DAY TO DAY ACTIVITY AND PRODUCTIVITY.OUR EFFORT TO GIVE THEM FREE DOCTOR’S ONLINE CONSULTATION THROUGH BLOG,CHAT OR MAIL.FURTHER OUR ENDEAVOUR IS NOT RESTRICTED ONLY TO ALLOPATHY.WE BELIEVE IN POLYPATHY.TERM CYBERYUKTYPATHY IS COINED BY ME FOR ONLINE POLYPATHIC APPROACH TO HELP COMMON PEOPLE FROM SUFFERINGS I WOULD LIKE TO WRITE HERE SOME COMMON AILMENTS TOPICS. WHICH COULD HELP A LAY MAN TO UNDERSTAND AND DEAL WITH THE CONDITION. I AM GOING TO REPOST ABOUT DIARRHEA.DIARRHEA IS FREQUENT LOOSE OR WATERY STOOLS.

WHAT SHOULD BE DONE IF ANYONE CLOSE TO YOU GETS IT!
1.KNOW WHETHER HE OR SHE IS TAKING SOME MEDICINE PRESCRIBED PREVIOUSLY?
IF YES CONSULT YOUR THE FOR CHANGE IN TREATMENT OR REVIEW.
2.O.R.S.(ORAL REHYDRATION SOLUTION) SHOULD BE GIVEN ACCORDING TO THE REQUIREMENT,ONE SMALL SACHET TO BE DISSOLVED COMPLETELY IN 200 ML(ONE SMALL GLASS) BOILED COOLED WATER OR ONE BIG SACHET IN ONE LITRE(5 SMALL LASSES) OF BOILED COOLED WATER.ONE SACHET FOR ONE LOOSE MOTION ROUGHLY.READY TO USE ORS IS ALSO AVAILABLE IN MARKET. IF YOU CAN ASSESS THE VOLUME OF LOST WATER IN THE STOOL.JUST TRY TO REPLACE THAT VOLUME.
ONE IMPORTANT QUESTION IS IF NO MEDICAL SHOP IS AVAILABLE NEAR YOU OR YOU CANNOT BUY O.R.S. BECAUSE ALL THE SHOPS ARE CLOSED.IN THAT CONDITION YOU HAVE PLENTY OF OPTIONS.1.TAKE ONE LITRE OF BOILED COOL WATER AND TO IT ADD 20 GRAM OF SUGAR OR GLUCOSE POWDER (WHICHEVER S AVAILALE,FIRST PRIORITY SHOULD BE ON GLUCOSE) AND MIX THE SOLUTION THOROUGHLY.ADD 5 GM OF SALT TO THIS SOLUTION AND FURTHER MIX THOROUGHLY.NOW YOR ONE LITRE O.R.S. IS READY.
2.OVERCOOK THE RICE IN PAN WITH EXCESS OF WATER.AFTER COOKING DECANT THAT RICE WATER IN CLEAN CONTAINER.PUT LITTLE AMOUNT OF CUMIN POWDER AND LITTLE AMOUNT OF SALT.THIS IS SECOND HOME MADE ORS.
3.ANY FRUIT JUICE PROPERLY FILTERED FOR PULP AND FIBRE(IT SHOULD NOT HAVE PULP OR FIBRE) WITH LITTLE AMOUNT OF SALT(1/4 TSF) CAN BE USED AS O.R.S.
4. IF NOTHING IS AVAILABLE BOILED COOL WATER SHOULD BE SURELY GIVEN.
APART FROM THE O.R.S.; SECOND IMPORTANT THING IS RESTORATON OF GUT FLORA.HERE IT IS NEEDED TO EXPLAIN YOU THAT IN OUR INTESTINE THERE ARE COLONIES OF BENEFICIAL BACTERIA (I REFERED-GUT FLORA).WHICH ARE SOMETIMES DESTROYED BY THE USE OF ANTIBIOTICS AGAINST SOME HARMFUL BACTERIAL INFECTIONS.BENEFICIAL GUT BACTERIAS DO MANY WORKS FOR US.THEY PROVIDE US SOME VITAMINS AND THEY PROTECT OUR INTESTINE FROM INVASION BY HARMFUL BACTERIA.
TO RESTORE THAT BACTERIA WE CAN USE LACTOBACILLUS SPORES IN THE FORM OF CAPSULE OR SACHETS.IF THER IS NO MEDICINE SHOP AVAILABLE.YOU CAN USE CURD FOR LACTOBACILLUS.
IF THERE IS DYSENTRY(METRONIDAZOLE PLUS OFLOXACIN) COMBINATION CAN BE USED BUT– WARNING-DOSE ADJUSTMENT AND PATIENT HISTORY AND EVALUATION IS MANDATORYTOPIC DIARRHEA CONTINUED—-
IN PREVIOUS POSTS WE HAVE LEARNT FOR DIARRHEA MANAGEMENT
1.O.R.S.
2,LACTOBACILLUS SPORES
3.OFLOXACIN+METRONIDAZOLE(DYSENTRY)(UNDER EXPERT GUIDANCE FOR DOSING,AGE OF PATIENT CLINICAL CONDITION OF THE PATIENT.
NOW LET US COME TO..
4.RACEDROTIL IN THE FORM OF SACHET OR PILLS
RACEDROTIL CAN BE GIVEN IN WAERY DIARRHEA @ ONE SACHET 3HRLY OR AS ADVISED BY PHYSICIAN.
5.ZINC DEFICIENCY IS ALSO KNOWN TO CAUSE DIARRHEA.SYRUP OF ZINC IS ALSO AVAILABLE UNDER DIFFERENT BRAND NAMES.ITS USE SHOULD BE DONE UNDER EXPERT GUIDANCE FOR DOSE ADJUSTMENT ACCORDING TO BODY WEIGHT.
6.THERE ARE A LOT OF HERBAL AND ALLOPATHIC PREPARATION AVAILABLE IN THE MARKET TO STOP DIARRHEA BUT THEIR USE SHOULD BE
RESTRICTED AND DEPENDING ON CLINICAL SITUATION.

DIETS WHICH SHOULD BE TAKEN IN DIARRHEA-
1.PLENTY OF LOW FIBER OVERCOOKED CARBOHYDRATES SHOULD BE TAKEN.IT IS A BETTER OPTION TO EAT OVERCOOKED RICE AND STOP CHAPATIS FOR A COUPLE OF DAY TILL YOUR SYMPTOMS GOT RELIEVED.HODGE PODGE(KHICHRI)OVERCOOKED,KHEER MADE OF BEATEN RICE
2.HIGH PROTEIN DIETS SHOULD BE AVOIDED FOR A COUPLE OF DAYS TILL DIARRHEA SUBSIDES.PULSES WATERY PORTION CAN BE CONSUMED.
3.VEGETABLE OF LOW FIBER AND HIGH CARBOHYDRATE LIKE POTATO CAN BE USED.IT IS A BETTER IDEA TO HAVE WATERY HODGE-PODGE WITH MASHED POTATO WITH LITTLE AMOUNT OF HEATED GHEE WITH CUMIN POWDER AND SALT.
4.FRUIT WITH LOW FIBRE LIKE BANA CAN BE CONSUMED.
5.FRUIT JUICE WITHOUT PULP OR FIBRE CAN BE TAKEN.
IF WITH ALL THESE MEASURES DIARRHEA COULD NOT BE CONTROLLED,THE PERSON SHOULD SEEK URGENT MEDICAL ASSISTANCE HE MAY REQUIRE INTRAVENOUS FLUIDS TO CORRECT DEHYDRATION.
TRY TO KEEP VIGIL ON URINARY OUTPUT.IF THE PERSON IS URINATION ADEQUATELY IT IS A GOOD SIGN THAT HE IS BETTER FOR HIS HYDRATION STATUS.

 

Urinary Tract Infection -Self care and insights

Do you have burning sensations in urine?Every time you go to empty bladder,you still feel urgency but you can void slight only and still feel burning and desire to urinate again?Probably you have urinary tract infection.

How to tackle it if you have no access to a doctor!
know few facts-
1.Your blood is filtered by kidneys and the wastes in the form of urine passes from left and right kidneys via tubes called left and right ureters.Two ureters opens into urinary bladder.When it is full you feel desire to urinate.From bladder a single tube comes out called urethra through which the urine goes out of your body.
2.So you know what is urinary tract.
Right & Left kidneys -> Right & Left Ureters -> Urinary Bladder -> Urethra
Any infection in the urinary tract is called Urinary Tract Infection.
3.The infection goes from outside to your urethra,from urethra to your bladder,and from bladder to ureters,I mean to say in reverse direction.
4.Females have small urethra and their habit of urination is different from males.They urinate mostly in squatting position,so they can acquire infection more easily,if they use poorly maintained public toilets.Because at the time of urination their urethra is very close to the ground which is used by many different people,possibly many of them infected.
5.Those persons who have diabetes have greater chance of Urinary Tract Infection because glucose excess in blood comes in urine in uncontrolled diabetes and glucose provides good culture medium for bacteria.
6.Person having constipation are more prone for the Urinary Tract Infection
7.Apart from above symptoms person can have abdominal pain,nausea,vomiting and fever if the infection is advanced
8..Many of us don’t consult doctor untill it is too unbearable.Okay but you can follow the advice of a virtual doctor who is writing this post.

Simply go to a clinical lab give your urine sample for routine examination.If there is significant amount of pus cell in your urine;get Urine culture and sensitivity test.This test will take 48 hours for your results.In report if any pathological organism found.Check in the report.You will see the name of antibiotics and one two three or four plus sign written against it.Otherwise R(for Resistant) would be written.Any antibiotics with higher number of + can be used in the adequate dose adjusted for age and bodyweight for two weeks.Warning!antibiotics should be taken under qualified physicians guidelines only.
Now what else you can do?If no doctor available,no medical shop nearby…..
Best approach to flush your urinary tract by taking plenty of water.What about the burning sensation.The burning is due to increased acidity of urine.To counter this,you can take alkaline drinks like milk.Any substance which behaves like diuretics(causing excessive urination) like tea,cofee etc. can also help in flushing effect by causing excessive urination.
High fiber diet and plenty of water improves constipation and reduces the chance of urinary tract infection.

 

Heart attack solutions and insights for general masses

Heart attack is scaring word used in common population.Very few of us has clear understanding about this.I want to provide clear message to all of my friends so that they can make a proper judgement about the condition.To understand this you need to to know few basic things.

1.Our all body parts need energy which comes from the burning of glucose.In our body glucose is made by the breakdown products of carbohydrates in our diet.
2.To burn the glucose in our body oxygen is essential which enters in our body when we do breathing.
3.So for obtaining energy for our body we need two things glucose as a fuel and oxygen as a burning gas.
4.Apart from this the most important thing is the transport service.Transportation of essential substances to all the parts of our body is done by blood which is pumped by heart (situated in our centre of chest) through elastic pipes to our whole bodyparts.So there are many pipelines to supply blood to the different parts of our body.And the pumping action of heart is essential for us to be alive. Heart starts beating when an individual is of one month age in mother’s womb and it continues beating till the life persists.

So we know till now glucose and oxygen is important things to survive and heart pumping blood is essential to transport those things to the whole bodyparts.Even the heart wall also needs in own blood supply through main three pipes

1.LAD(Left Anterior Descending Artery)

2.RCA (Right Coronary Artery)

3.LCX(Left Circumflex Artery)

you don’t need to remember these names.You can compare this with a water pump house of a city which pumps water supply to entire city but the pump house people also need water so they have three pipelines for their own pump house.Similarly the heart pumps blood to the whole body through pipelines and it has got three main pipelines for heart itself.
What happens in heart attack
one or more pipeline (Arteries)gets complete or incomplete blockage due to fat deposition as well as blood clot.

Guess what would happen if blood supply of any area of our body is blocked….Less or no oxygen supply.For this that area would have problem in burning glucose and produce energy.Without energy that bodypart start dying.Such death of a part of body is called infarct.Heart muscle is also known as myocardium so the condition is also called myocardial infarction or MI.

Let us write in a nutshell when any of the artery giving blood supply to the heart wall gets partial or complete blockage the heart wall gets deprived of oxygen which is coming along with blood,the heart wall starts getting damaged and the person feels chest pain (Angina),the outcome depends on blockage extent and other factors we would discuss later.To be continued!
So,I have discussed so far about heart attack;to summarize 1.Heart is a pump which keeps blood circulation to all body parts through pipelines(blood vessels).2.Heart’s own walls also need blood supply which is done via three main pipes( LAD,LCX,RCA).3.There may be blockage in any of the three pipes by blood clot or fat or both which leads to partial or complete obstruction of the supply.4.Blood supply is important for oxygen and glucose delivery since heart needs energy to survive and work and energy is produced by burning of glucose as a fuel and oxygen gas.5.If there is obstruction in blood flow there is mismatch of energy requirement and oxygen availability to produce energy.So in such mismatch caused by partial or complete obstruction the person complains chest pain which is called angina by medical terminology.
when we are at rest there is less energy requirement of body and heart pumping rate required to meet the energy need of the body is less,so the heart’s own energy requirement is also less.So many times when the obstruction of pipes supplying heart wall is partial;the angina can be relieved by rest.
Many persons gets confused regarding chest pain and they get apprehensive that they may have heart attack.I am providing you some insights about this to improve your understanding and clear your doubts.
1.If the chest pain increases on brisk walking, climbing ,dancing or any form of exertion and gets relieved by rest.This may be angina or pain originating from heart.
2.If you can locate your pain chest by single finger it is not anginal pain in the most cases and may be relieved by simple analgesics sold over the counter.
3.If chest pain increased or decreased by change of posture , folding and unfolding at shoulder or elbow joint,it is not anginal pain.Such pains can be relieved by muscle relaxants and general analgesics.
4.Angina is generally dull pain and poorly localized chest pain which appears during exertion or it may appear during extreme emotional stress.
5.Chest pain may appear in empty stomach due to distension caused by gas,such pain is also dull and can be relieved by food ,antacids,h2 blocker like ranitidine or proton pump inhibitor like omeprazole(not safe for pregnant women or children).Such pain would be worse,if you use analgesics like NSAIDS(Non Steroidal Anti Inflammatory drugs like disprin,ibuprofen,paracetamol,diclofenac sodium etc.
Note:Person suffering from diabetes may not have anginal pain and they may just feel chest discomfort or shortness of breathe during heart attack.
Risk factors for heart attack:
1.Smoking -Both active and passive smoking increases the risk of heart attack.
Smoking promotes the blood clottings so there is more chance of blockage in pipe supplying blood to the heart wall.
2.If you have truncal obesity you are at increased risk of heart attack.Truncal obesity means your belley is laden with fat.You can pinch your skin fold at the side of your abdomen and the thickness of fold can be can be assessed by your index finger and thumb.
3.If you are heavy alcoholic you are at increased risk.Though many people argues in favor of moderate drinking,but I opine that people seldom go for moderation those who claim to be moderate drinkers too frequently take heavy drinks on occasions.Further drinking also increases the risk for liver cancer ,peptic ulcer,psychosis secondary to vitamin B1 deficiency.
4.If you have uncontrolled diabetes,you are at risk.
5.If your life style is sedentary and you do not do exercise,you are at increased risk.You should do minimum 150 minutes exercise per week.Be careful in exercise.Don’t do heavy exercise at once.You are required to gradually increase the level and duration of exercise and try to maintain your hydration by taking liquids otherwise your exercise may land you in serious trouble.
6.If in your blood,bad cholesterol level is high and/or good cholesterol level is low you are at increased risk.First of all you need to understand good cholesterol and the bad cholesterol.After the dinner at around 9 P.M.do not eat anything except water.Next morning empty stomach go to clinical lab and give your blood sample for Lipid Profile testing.When you get the report, see the parameters tested
-HDL High Density Lipoprotein
-LDL Low density lipo protein
-VLDL Very low density lipoprotein
-Triglyceride additionally you may get IDL Intermediate density lipoprotein
In all those parameters the HDL is good cholesterol for your heart because it cleans your blood pipelines’fat.Rest all are bad for your heart.
Now the question is how we can increase good fat and decrease bad fat in our blood.
All the animal fats are bad except fat from small fish.
Sunflower oil,safflower oil,olive oil and soyabean oil are good fat.
Palm oil and hydrogenated vanaspati are bad for your heart.
One important message I have to give that the mustard oil is also rich in good fat but be careful about this and do not reheat or reuse the mustard oil after one cooking because it is converted on trans fat which is bad for your heart.
You can easily assess your lipid profile yourself by just checking the normal values of the parameter tested and the patient’s actual value.If the patient value in the report is within the given normal range of that parameter then It is O.K.
To be continued….
7.If you have high blood pressure and you have not controlled it with your life style modification or drugs;you are at increased risk of heart attack.High blood pressure in your pipelines causes your heart to work more against increased load,so the energy requirement of your heart increases,so the oxygen requirement is also increased.Apart from this chronic uncontrolled blood pressure also cause enlargement of heart which can not be reversed back if you control your blood pressure after that change.So person with high blood pressure should keep control on that by prescribed medicine or alternative methods.Medicine choice varies from person to person and your doctor would decide which medicine would be suitable to you.Apart from medicine,there are alot of alternative options for controlling blood pressure.Low salt diet is one option.By low salt I mean table salt that is sodium chloride.One should not take more than 5 gram table salt per day.If you are religious person and believe in fasting and fruit and salt free diet,it may be good thing for you to observe such fast to reduce your blood pressure.You may use natural diuretics like tea or coffee which will cause excessive urination and sodium would be reduced from your blood.
8.If you are a Type-A personality,very much ambitious and restless to achieve your hard goal,you are at increased risk of heart attack.You should do meditation and yoga.Further to relax yourself try to write diary to pour out your thoughts on paper which would release your burdens.Try to live your life in present only.Engage yourself with children,pets and optimistic people.

What would you do,if you are sure that the person is having chest pain or discomfort is characteristic of heart attack?
1.Make emergency call for medical assistance on number applicable to your local area.
2.Relieve his emotional stress by giving him assurance that nothing has happened.Since emotional stress would cause his heart to beat faster leading to increased energy and oxygen demand of the heart.And the situation would be worse.
3.Don’t allow the person to walk on his on.The person should be moved to hospital with least effort from his side.Ideally he should be moved on stretcher by other fellows.Any exertion done by the patient would increase the energy and oxygen demand of his heart and would spoil his condition.
4.Person should have fresh air for breathing,if one can avail oxygen cyllinder,it is a good idea to oxygenate the person in the way to hospital.
5.Some coronary dilater-medicine which dilates the pipelines supplying the heart wall like isosorbide dinitrate 5 mg is used below tongue to relieve the anginal pain.
6.Aspirin can be used as first aid measure if you are certain that the person has got heart attack.Since this prevents the clotting of the blood in the pipeline.
warning!the purpose of this article is educational in nature you are advised to act according to your doctors’advice.

 

Menstrual Cycle problems selfcare and insights

Females are the creator of civilization.Their contributions to the humanity is immense.History tells us that the discovery of agriculture in 10000 BC ,is most probably done by the females.In their entire life cycle there are challenges for them and they stand the test of time.From the initiation of their menstrual cycle(menarche) to the cessation (menopause),they have to deal with their hormonal fluctuation and its physiological and psychological impact on their body.
Age of menarche is decreasing by three month per decade due to global warming.At lower age when they are not very mature psychologically,they have to deal with considerable stress and anxiety with respect to their menstrual cycle.So my effort is to provide some insights about the menstrual cycle to general community.
1.Menstrual cycle is ideally of 28 days in which bleeding occurs in first five days.The day on which bleeding starts is called day-1.and the days counted onward from this day.Females should mark that date every month on calendar to assess their menstrual health.And the number of days the bleeding persisted in that month should be noted.You can assess your menstrual cycle duration by counting number of days between to consecutive months.Suppose your bleeding has started on 18th April 2015 and you marked the date in calendar as day-1 and bleeding stopped on 22 April 2015(5 days) and in next cycle your bleeding had started on 14th May 2015 again it is day-1 of your next menstrual cycle.Now counting the days from 18th April upto 13th May 2015(14th may is the day-1 of new cycle) is 26 days so the menstrual cycle was of 26 days.
Now the question is….Is this a menstrual cycle of normal duration?
Answer is ‘yes’.
Standard 28 days cycle is ideal but you can consider normal range from 21 days to 35 days.
So the cycle of less than 21 days and more than 35 days are abnormal.
Duration of bleeding is 5 days normally but a normal range may be 2 to 8 days.
So in brief, quick to remember
Normal menstrual cycle 28 days(4 weeks) Normal range 3 to 5 weeks
Normal bleeding days in a mentrual cycle 5 days Normal range 2 to 8 days.
2.If you have menstrual cycle longer than normal.First you should have idea about your menstrual cycle duration by checking your previous menstrual cycle duration on the basis of which you expect your next period to come.
Now, many of you have complains that your period is not coming for more than one and half months from the last cycle.What should you do if you can not consult a doctor.
-Go to any clinical Laboratory near you and get your blood tested for hemoglobin.If it is less than 11gm/dl.You have anaemia.What you can do for your anaemia.Your doctor prescribes you Iron and folic acid tablets(called hematinics).Here many of you might be feeling that many times despite of your taking hematinics tablet your hemoglobin level has not been improved.
Why it is so?
Our blood contains two things
i)Liquid portion called Plasma(which has many dissolved chemicals,you don’t need to remember)
ii)Suspended Cells in the plasma.Three types of cell
-RBC(most abundant cell of our body,red in color due to color material in their wall called hemoglobin)Red Blood Cells-they are helpful in oxygen transport because of hemoglobin which attaches oxygen.
-WBC-white blood cells are security cells of our body.It fights with germs.(you might have seen pus which is composed of dead WBC and microbes)
-Platelets which protects us from excessive bleeding.When there is any damage in blood pilpelines and starts bleeding,these platelets seal the the bleeding point of the pipeline.
You need to know about hemoglobin.It is a color which is painted on RBC,that is why RBC is red.Apart from giving red color to RBC, the hemoglobin helps oxygen transport by holding the oxygen when blood flows to the lungs,we inhale air rich in oxygen in lungs,the oxygen crosses the thin wall of blood pipelines in the lungs and enters into flowing blood.The oxygen gets attached to the RBC where the hemoglobin is painted.So blood gets recharged in our lungs with oxygen.This blood moves to the different parts of the body and the oxygen is distributed and discharged there.And again when the blood returns lung it is recharged back.
So the hemoglobin is crucial for us.Without hemoglobin oxygen delivery to all body parts get compromised. No oxygen no burning of glucose.No burning of glucose no energy.Without energy survival is difficult.Even if you do nothing,you require some energy to survive.
Now let us see the components of hemoglobin
Heme+globin
Heme is made up of Iron
Globin is made up of protein
So for correction of anaemia you need at least two stuffs
One -iron for which you  can take Iron tablets.what if you don’t know which tablet you should take,or you have no medical shops nearby.? 
You can eat Jaggery, spinach, amaranth,whatever vegetables or fruits which are naturally colored.You say you don’t have access to these things or what a poor person from developing countries can do?Golden advice is that,prepare your food in a pan made up of Iron,you can get sufficient iron.One important thing you should know that iron is absorbed in duodenum which is the starting segment of our small intestine,just beyond our stomach.One more thing is important to know that vitamin-C is important for iron absorption from intestine.So the person taking general iron tablets should take vitamin-c before taking iron.Now the question is,what to do if vitamin -C tablets are not available.You can take Amla,Indian gooseberry, Lemon juice,orange juice,guava,and all the citrus fruits and what else…off course green chillies after eating you yourself say C…C……. Just joking!
Two-protein, no need to purchase costly supplements.Eat plenty of pulses of all types,soyabean is the richest source of protein,but for non vegetarians I would like to stress that,they should take white portion of the boiled egg(not the shell obviously). 
So you might have had some idea till now that your hematinics might not be correcting your hemoglobin level because of inadequate protein and vitamin-c intake.
Let us come back again to the menstrual cycle.So your period is delayed for more than one and half months and you get yourself checked for blood Hb(hemoglobin level),if it is less than 11gm/dl twke iron,vitamin-c and protein rich diet to improve your hemoglobin for at least one or two months,your problem of delayed period would be relieved in most of the cases.If you are little more aware of medicine and worried about iron toxicity.Go for anemia profile test and check for your values in the report.If your parameters are normal then you might have vitamin B12,folic acid requirements,in that condition you can go for vitamin B complex.But iron deficiency is most common cause of anemia in the females of reproductive age. 
What to do if your hemoglobin level is normal and your period is delayed.
Go to chemist shop and get Hcg kit for pregnancy test.All the testing procedures and result interpretations are written on the kit pack.You can do the test yourself.
This test has some limitation.If it is positive,it doesn’t always confirm pregnancy,it may be positive in any disease in which the chemical is released in urine.
If Hb is normal and pregnancy test is also negative then what else?
If the female is nursing or breastfeeding her child then also the period may be delayed.
if the female is taking some contraceptive pills,the period may be delayed.
If none of the above causes are the reason of delayed period. The female should go for complete blood test and ultrasonography and consult the gynaecologist. 
Many females feel lower abdominal pain during or before their menses,such pains are generally well relieved by mefenamic acid+dicyclomine tablets.
Some females have excessive periods after very delayed menses,in many of such cases there is a chance that they are conceived and for poor hormonal support,the conception underwent abortion.
In Such cases bleeding occurs profusely and for many days.During heavy bleeding and afterwards the female should maintain their body water by taking plenty of fluids,juices,pulses,and iron rich diet.Further for excessive bleeding they may need blood transfusions.
Heavy bleeding may be due to deficiency of chemicals in your blood,those are called clotting factors.Vitamin K helps in formation of clotting factors II,VII,IX,X by liver.So in heavy bleeding vitamin k injection one amp daily for three days may be taken along with some hemostatic injection used to control bleeding.Some hormonal pill can also be used to control bleeding.But again I warn!you should not take those medicine without the advice of a qualified medical practitioner of your area.
Menstrual bleeding also occurs excessively,if they take aspirin during the periods.Apart from this   hot and spicy things may exaggerate the menstrual bleeding.So try to avoid those things during periods.
Blood is a good culture media on which many disease causing organisms can grow.So during menses their is greater chance of female genital infection.So personal hygiene is extremely important.In some developing country there is a myth prevalent that the females should not take bath during periods,this is not true.They should take bath daily and  should wear fresh clothes apart from this they should use sanitary napkins fresh and non contaminated.Those who can not afford to purchase costly sanitary napkins can use sterilised cotton cloth by boiling in water for 15 minutes.
Many females have complain of excessive white dicharge from their genitals with foul smell.Majority of such cases can be treated by following three points:
1.Levofloxacin 500mg one tab daily orally for five days to the female(Her male partner should have a single dose of it.)(warning!qualified doctor should be consulted for proper dose adjustment and advice)
2.Metronidazole tablets 400 mg twice daily for five days orally(warning you should not have had alcohol 48 hour before the treatment,nor you should take alcohol during the treatment and upto three days after the last dose of metronidazole.)
3.Clotrimazole vaginal tablets to be inserted in vagina in posterior fornix for the six consecutive nights.
This tablet should be inserted carefully,otherwise it may cause injury in internal structure.
Posterior fornix of vagina is needed to be clarified.When you insert your middle finger deeper,you can feel the cervix which is the lower part of uterus.If you can slide your finger posteriorly you may find a space which extends far upward from the cervix you touched.That posterior and upward space in relation to the cervix is posterior fornix.Your Clotrimazole vaginal tablets should reach there to be effective.
 
 
 
 

Poisoning: First -Aid what every one should know?

Everyone in one’s life encounter at least one poisoning event.This may be accidental or incidental.Many of you being at a remote place may be confused what to do if someone has ingested poison or toxic substance.Really this is more challenging when you are miles away from a qualified medical practitioner or primary health center. It is not always possible to keep antidotes of everything with you.After going through this post,you may feel yourself at ease in providing first- aid to a poisoned person.
Steps which can be proved helpful in most of the cases of poisoning:
1.Arrange for transport to the nearest hospital or qualified healthcare service provider.2.Give reassurance to the person.
3.By the time you make arrangement of his transport you should not waste the time.Except for strong corrosive acids or alkali and liquid petroleum derivatives you can do induction of vomiting to enable the cleaning off poisons from the stomach.
For this do the following
Make salt water solution by mixing 4 to 5 teaspoonful table salt in one liter of drinking water and give the person to drink.One glass two glass three glass four glass..make more such solution and repeat till he vomits.Or you may ask him to press the root of the tongue with middle finger deep in the mouth while in forward bend position.If vomited look for the contents or substances he ingested.After one vomit repeat the salt water solution intake again and induce vomiting again.(warning nothing should be given if the patient is unconscious or in sleep)Again look for the contents.If it is still coming repeat the process.If you are sure that all the stomach contents are out and only water is coming in the vomit then go to the next step.
4.Give the person charcoal to eat.How would you find the charcoal?If you can get bread,I think this you can get every where.Just burn the bread in direct flame such that it is totally black.Two slices of bread is enough.Tell the person to eat the two totally burnt slices.Go to the next step
5.Give the person two raw eggs white to eat.Go to next step
6.Give him black tea ( full glass) to drink
7.Send the person to hospital
Note:such persons may be dehydrated,so it is a good idea to give him oral re-hydration solution or home made ORS(FOR DETAILS SEE MY POST ON DIARRHEA)
This First-Aid only provide you some time for the person and there are specific methods for specific poisons which is not possible to cover completely.This post is for common person who can make some difference if he applies these things.
One more thing I would like to add,if you know the chemical ingested and you can have the container with you of that chemical,you should carry the container with label intact to show the doctor who will attend the person.
Further there are many poisons which gets absorbed from the skin,so it is good to give him shower and change the clothes to prevent further absorption of the poison.If the poison ingested is acid,give him alkaline drink like milk in ample amount to neutralize the acid.Similarly ,if the poison is alkaline,lemon juice with water,orange juice can be given.If you are working in a plant where different chemicals are used,you can find material safety data sheet(MSDS) about that chemical in which you may find first-aid measures for that chemical.
 
 
 
 
 
 

Diabetes selfcare , insights for common man

Many of you are aware regarding diabetes very well.My target audience is general community so there may be oversimplifications.
We know that glucose is an important fuel for our body.Without glucose we cannot survive for long.Excess of anything is bad.
Diabetes is excess glucose in your blood.
How to suspect that you may have diabetes?
1.Remember three P
-Polydipsia-excessive thirst and you drink excessive water
-Polyphagia-excessive hunger and you take more food
-Polyuria-excessive urination
2.You have frequent infections in urinary tract
3.You have frequent chest infections
4.Your wound healing takes longer time
How to make sure yourself that you have diabetes?
After your dinner before 10 P.M.don’t take anything except water and in the morning go to your nearest clinical lab and give your blood sample for Fasting Blood Sugar.In your report if its value is greater than or equal to 126 mg/dl you should repeat it one more day,if it is still more than or equal to 126 mg/dl,you have diabetes.Here one thing everyone should know.When we give our sample to lab generally our sample is tested by GOD POD method which takes sometime in reporting.Apart from this some lab for convenience do this test by ready made strips with glucometer.When you get your report,you should check with lab that whether your blood sugar has been checked with GOD POD method or by glucometer strips.Here one thing I want to make clear that there is a chance for false high blood sugar result by strip method and you may be falsely labeled as diabetic.
Further your blood sugar checked by fasting blood sugar or random blood sugar only give you a snapshot value of your blood sugar at that time.There may be many causes of your temporary rise in blood sugar about which we would discuss later.
What you should do if you get two consecutive Fasting Blood Sugar equal to or greater than 126 mg/dl in your lab report?
If it is done by GOD POD method and your value is above 126 mg/dl you should get your blood tested to confirm that you had average blood sugar level was high for the last three month.For this ask your lab to test your HbA1C.If in that report your value is greater than 6.5,your can say that your average blood sugar was high in the last 3 months.One very important point,if you are taking corticosteroids for allergy,asthma,arthritis etc.for long time,your blood sugar as well as blood pressure would be high and it may return to normal if you stop those medicine.Such medicine should not be stopped abruptly,rather such medicine should we gradually tailed off(slowly reducing the dose to lower level over a period of 5 to 7 days then stop).
It is not necessary that the corticosteroids can be found in allopathic medicines only.Beware of ads which claim to cure your asthma or long chronic pains by herbal or Ayurveda preparations particularly in the developing countries where drug control is very poor,because such preparation may contain steroids or be careful of ads relating muscle building formulas because they may contain anabolic steroids.In my opinion you should take the advice of a qualified medical practitioner before going to opt for such preparations.Even if you should take such treatment under doctor’s supervision only.
If you are confirmed that you have diabetes by your blood sugar test and HbA1c test and you have excluded that you are not getting any form of steroids in any form of medication,what should be your next step…..
If you can consult a diabetologist..so much so good!
If you cannot afford to go to doctor by any reason you should know,what else you can do!
1.Increase your glucose consumption by doing exercise,walking,cycling,swimming,gardening,washing your clothes manually,sweeping your house,mopping your house etc.These actions would keep you healthy and off course wealthy.Send all your servants to their native places forever and do all your household work on your own.I am amazed why people go to gym and pay money for their workouts.They burn candles from both sides.You can have plenty of works in your home in which you can cover all your exercise and at the end of exercise your all the work would be done,their all the things would be in place.It is only you who can do your work in the best possible way.Believe me after following my advice you would shed pounds and you would save pounds.So the first principle to keep control on your sugar is burning your glucose by manual activities.
2.Second principle is to spread your food intake evenly in a day.In other words just break your three major meals into six small snacks.Suppose you take usually four chapatis in your breakfast at 8 A.M.,four chapatis in your lunch at 1.P.M. and four chapatis in dinner at 9 P.M.
In that case you should take early morning snack at 7A.M.,second morning snack at 10 A.M.,third snack at 1 P.M.,Fourth snack at 4. P.M.,fifth snack at 7 P.M. and sixth snack at 10 P.M.two chapatis in every snack.
This spreading your daily total calorie intake from three major meals to six small snacks would maintain your caloric requirement of body and would avoid episodes of high blood sugar.
The gist is don’t eat too much at once rather eat small quantities more frequently.
3.Selection of food is also important.You should avoid direct sugar,glucose because they would be very quickly go to your blood within five minutes of your intake and your blood sugar would rise very fastly.Mind it,you have to take those things which would increase your blood sugar slowly.It is a better idea to incorporate sprouts of gram,wheat germs,salads in your snacks because these contains complex carbohydrates and increase your sugar level slowly,apart from this these are rich in dietary fiber which relieves many ailments.
4.You can choose some well known plant products with little or no risk of side effects.
Mostly diabetes occurs in two types.One in which there a chemical called insulin (which is made in your body in an organ called pancreas) is deficient.
Just imagine a building which is made up of bricks,similarly our body is made up of cells.To survive every cell need energy.For energy every cell require glucose as fuel.When we eat carbohydrates like cereals food,it gets digested in our intestines and converted into glucose.From intestine the glucose enters in our blood circulation which is maintained by a pump called heart.Blood functions as distributor of nutrients to all the cells of our body.So the glucose is distributed to every cell of our body.But glucose entry inside the cell is done by insulin.So without insulin the glucose can not enter the cell and it remains in blood and blood glucose level rises.So one type of diabetes which is due to less insulin production is called Type 1 diabetes or Insulin Dependent Diabetes Melitus IDDM.
Another type of diabetes in which insulin is not deficient,but the glucose entry inside the cell is not occurring because cell are not responding to insulin.This is called Type 2 diabetes or Non IDDM.
Imagine a scenario, blood is a carrier which is carrying glucose and an agent insulin which lifts the glucose and knocks the door of the cell.Cell opens the door and takes up the glucose.If the agent is less or absent it will not knock the door of the cell and the cell will not open the door and take up the glucose,so the glucose level will rise in the blood.This happens in type1 diabetes or IDDM.The agent Insulin is less.
Similar scenario in which the insulin or agent is adequate and it is knocking the door of the cells but cell is not opening the door so not taking up glucose.this is type-2 diabetes.
In pregnant ladies body is getting ready to nurse the developing baby in the mothers womb,there is a chemical called prolactin which helps in milk secretion.If this chemical is formed in the mother,this may also give rise to diabetes.(gestational diabetes)
If you are heavy drinker and your pancreas gets damaged by over alcohol intake,you may get diabetes.
If your own steroid production in a glands( which are attached above your kidneys called adrenal gland)is excessive,you may get diabetes.
If you have lung cancer or any other tumor in the body which produces steroids,you may have diabetes.
If your thyroid gland is excessively releasing its hormone,you may get diabetes.
So the ultimate treatment of diabetes is dependent on causes but in many cases no cause is identified.
So for self care my outlined approach,let me repeat…..
1.Increase your physical activity
2.Break your Three major meals to six minor snacks.
3.Avoid simple sugar,glucose to avoid fast rise in your blood sugar
4.You can take artificial sweetener(be careful about that,some sweetener may prove dangerous in long term use.
5.safe plant products like raw bitter gourd juice,blackberry/Jamun seeds powder,methi,ghormar leaves etc.My advice is that,try to arrange any of these things on your own,don’t rely on the ready made products.
6.One important point to note that,many of you believe that taking tea without sugar would not increase your blood sugar,here I want to clarify you that tea,coffee and cocoa all can alone increase your blood sugar by decreasing phosphodiestrase and increasing cyclic AMP and finally increasing blood sugar(you don’t need to remember the names)bad news for all guys who believe that taking tea without sugar will not increase their sugar level in blood their belief is not right.
7.If your blood sugar is not controlled with diet,exercise and herbs,you can go for Oral hypoglycemic agents OHA this is sophisticated name of oral use tablets to control blood sugar.Here a lot of options you have(acarbose,glimeperide,metformin,glibenclamide,gliclazide,pioglitazone,rosiglitazone,rapeglenide etc.) but you are advised to take OHA on your Doctor’s advice only.When you have taken any of these OHA you are advised to take some sweet lozenges or glucose with you so that you can take those when your blood sugar falls.In my opinion most person with diabetes die due to low sugar caused by excessive medication and over control of sugar intake.REMEMBER ONE THING HIGH SUGAR IS NOT SO DANGEROUS FOR YOU BUT LESS SUGAR MAY TAKE YOUR LIFE WITHIN MINUTES,SO THE GOLDEN RULE IS KEEP THE BLOOD SUGAR HIGHER RATHER THAN DANGEROUSLY LOW.
How can any one know that his blood sugar is getting down and he should take some sugar
1.excessive sweating
2.increased heartbeat
3.cold hands or feet
4.giddiness or altered consciousness
Apart from OHA, insulin of many types e.g. Regular,50:50,30:70,glagrine can be used only under your doctor’s advice.
DONT EVER TRY OHA OR INSULIN YOURSELF,THESE MAY KILL YOU!MIND IT!
If in your area there is no lab in your neighboring place,you can do self monitoring of your blood sugar with your glucometer,but Its reading is frequently 10-20mg/dl over GOD POD method.you should calibrate your glucometer by giving one time your blood sample to a standard pathos-lab to test your blood sugar by GOD POD and from the same sample you test with your glucometer,compare the results and keep the correction factor of your glucometer in your mind.whenever you test your blood sugar by your that glucometer in your home,correct your figure by correction factor you got in calibration to assess your actual blood sugar level.
Apart from this you can purchase uristix to know your urinary sugar in home.Roughly glucose comes in urine only when its level is more than 170mg/dl,so if your urine is positive for sugar,it means your blood sugar is roughly above 170mg/dl.If uristix is costly,you can purchase Benedict reagent prepared from science lab shops a test tube and a test tube holder.Just fill 5ml of Benedict reagent in a test tube and to it add 6 to 8 drops of urine and heat it for 5minutes,take care the boiling fluid should not be spilled over your body part keep it away from your face.You will see change in color from blue to green to yellow to orange to red to brick red deposits.If color is no change or green…no sugar,yellow +
Orange++
Red+++
Brick red deposits++++
Thats all thank you!
To be continued……you need to refresh this page since revision in progress..

Headache a totally different approach

For many of you headache is a commonest complaint in your day to day life.This hampers your working potential and many times it is so unbearable that you can enjoy nothing.Even for a clinician it is most challenging to figure out the exact cause without some of the costliest investigations.I am here not for the professionals and my target population is the general community for whom I have dedicated my blog.
Whenever you get headache you generally take NSAIDS(analgesics like aspirin,paracetamol,ibuprofen,diclofenac,nimesulide etc.)sold over the counter.Those drugs help you sometimes relieving your headache as long as their level maintained in blood and sometimes you are simply helpless and nothing is working.
A wide variety of factors are responsible for your headache,it is only you or your primary physician who takes your history carefully can understand the exact cause.In my life I have seen approx 3 lac patients from general community in my life and whatever I have got I would like to share with you.
1.If you are not sleeping adequately,you can have headache.Sleeping is important for your brain to relieve your brain from all the junk files and traces and invalid registeries.When you sleep you tend to clear your RAM by shifting the important contents to your hard disc so after getting up your processing speed gets enhanced.One more beautiful thing of sleep is that, whatever our repressed desire in our mind which overloads our subconscious level in our whole day interaction with society,gets released in the form of dreams we get during REM sleep(In our 90 minutes of sleep cycle there is a stage of approx 25% of each sleep cycle in which there is a Rapid Eye Movement-REM)now the question is ,how many hours should we sleep.In my opinion one should sleep for 8 hours daily.
2.Sleeping is good for your brain but you should take care that the room in which you are sleeping should have proper ventilation otherwise your sleeping would give you headache.Why?You are in a closed room and utilizing available oxygen(We take in oxygen gas and give out carbon dioxide gas in breathing)of that room and increasing carbon dioxide gas in the room which may cause headache.Specially this is common for such people to have headache who live in Air Conditioned room and not running their airconditioner or their air conditioner is such that,it is not drawing fresh air from outside so the oxygen level of that room gets reduced and carbon dioxide gas increased.In kitchen where there is no ventilation,Housewives cooking food on LPG use to consume oxygen of that room on my the burning stove and another by the breathing housewife.If such room has no adequate ventilation the housewife may complain headache due to work in low oxygen and high carbon dioxide level.Further the housewives of low socioeconomic strata burning coal or wood for cooking may also get headache due to inhalation of excessive carbon dioxide generated in the combustion of fuel.If you are sitting in air condition car and your air-conditioner is on but it is recycling internal air of the cabin,it will accumulate carbon dioxide and the oxygen gas would be reduced in the chamber and you may get headache.So you are advised to run your car AC in such mode in which it draws external air but at times when you are driving through a place which is full of dust and smoke you should revert your Car AC in internal air recycle mode.
So to relieve headache one needs good sleep and fresh air and plenty of oxygen.
3.Your eye strain due to any cause may give you headache.If you have some problem in vision,and you require some corrective glasses,and you are not wearing your glasses,you may have headache.
Those persons who are watching TV ,computer,laptop or mobile screen for longer periods may have headache.They are advised to pause such activities and watch some distant object and some near object in alternate fashion.This will be a good exercise for their eyes.After which just close the eyes and gently and delicately massage your eyeball.This would reduce your blood pressure by occulocardiac reflex.
4.When you have not taken any meal for long,you may have headache.Here two complaints together arises first is gas problem,since your stomach is empty and your gastric juice coming in stomach which have nothing to digest so the gas is formed and you may have fullness of abdomen due to gas and headache together apart from this you may experience giddiness due to low blood glucose level in prolonged fasting stage.Your headache can be relieved by carbohydrate rich diet.Further in such prolonged fasting stage your systolic blood pressure may be high due to stress.Your blood pressure commonly recorded and expressed as for example 120/80 in which the 120 is your systolic pressure and 80 is your diastolic pressure.When heart pumps it contracts which is called systole and when it receives blood it expands called diastole so the pressure is expressed as systolic/diastolic blood pressure.
5.Almighty has made our facial bones hollow.There are empty spaces in the wall of our cheek bones,forehead bone and some bones which a common man has not seen behind the forehead bones.Do you know why the almighty has created such hollow bones in our face?This is because the sound produced from our vocal chords gets resonance due to those hollow spaces of facial bones.Those hollow spaces are called sinuses.Those hollow cave like spaces have got only one door for each which opens deep inside our nose.Some times when we are exposed to infection and/or dust which enters our nose and blocks the only door of any of those rooms.All the secretions and bacterias remain trapped there.Those bacteria are such bacteria which grow in the absence of oxygen.They cause damage in those hollow rooms or sinuses and we the doctor say it sinusitis (inflammation of sinuses).This sinusitis is also a common cause of the headache.To relieve such headache apart from the over the counter sold NSAIDS,you need two more things one to take steam inhalation by putting some pain balm like material which contains eucalyptus oils just of the size of a match stick head in one litre of boiling water.This steam would decongest your nose and sinuses and their door would be opened and the contents of the sinus would be drained and two,some good antibiotics like amoxycillin and dicloxacillin combination for at least five days.The dose should be adjusted for weight,age and other clinical condition.warning!all the drugs should be used underguidance of registered medical practitioner only.One more thing I would like to say here,whenever you use antibiotics,you should take one vitamin B Complex capsule also per day for the period you use antibiotics.Because when you use antibiotics to kill the harmful bacteria of your body,it also kill many helpful bacteria in your intestine which make Vitamin B Complex for you.So you may get symptoms of vitamin B complex deficiency if you don’t take the B Complex capsule together.You may have glossitis and stomatitis(inflammation of tongue and mouth).
How steam plus balm inhalation relieves your sinusitis and headache..When the sinus congestion gets cleared,its contents get drained and you feel light headed after steam inhalation.Apart from this the bacteria which grows in absence of oxygen gets killed by oxygen entering in those space after clearance of blockage by steam and the remaining microbes can be killed by antibiotics.
6.If you have any infection in ear you may get headache.Ear has three parts.outer most which leads to a tunnel ends on a thin sheet(ear drum)anything you pour into the tunnel would not go beyond that sheet.Any infection of this external portion can be treated with antibiotic or antifungal ear drops plus oral antibiotic or antifungal medicines.
To be continued…….
Beyond the sheet (ear drum)there is another small chamber called middle ear.This part has also a tunnel which ends to a door which opens in our throat and communicates with our upper airway and food way(pharynx)That door is generally closed and opens when we swallow anything.If you swallow anything while you are lying down this door gets opened and any secretions or material in upper pharynx may enter to the tunnel by gravity and block that tunnel.From that tunnel finally go into middle ear and cause infection and headache.Your middle ear can also get infection from outside if your ear drum is perforated.Your middle ear infection and symptoms may be relieved by NSAIDS,Antibiotics,steam inhalation and what else?Have you chewed bubblegum or chewing gum.I am not joking!You can improve your middle ear drainage by chewing bubblegum or chewing gum while standing or sitting in upright position.This process opens the middle ear’s tunnel door at the time of swallowing of your saliva and helps to drain the tunnels and middle ear cavity under the influence of gravity when you are sitting or standing erect.
7.If your blood pressure is very high,you may have headache.But for the blood pressure to cause headache,generally the diastolic pressure should be greater than or equal to 120 mmHg.To relieve such headache your blood pressure should be controlled to normal level.Many of you may ask,what is considered normal blood pressure?
Normal blood pressure systolic is 100 to 139 mmHg and diastolic 60 to 90 mmHg.If your blood pressure reading comes in above range your blood pressure is normal.One more thing I should add,the pressure should be taken at least 5 minutes of rest in lying down position.Many times when you do heavy exertion,your blood pressure gets increased far beyond the limit specified above,but that increase is for the time being and settles down when you be at rest.Contrary to my above statement there may be inverse phenomena in the atheletes who are accustomed to heavy exercises.
8.If you are a user of tobacco or a smoker you may get headache because of nicotine accumulation in your body.Our brain is suspended in water(called cerebrospinal fluid) within skull bone.We know that when we put any thing in water,its apparent weight gets reduced by buoyancy(an upward force equal to the weight of displaced water by that object)The sheet around our brain which suspends brain into that water is sensitive to stretch and we feel headache if that sheet has greater load or stretching.For that buoyancy the weight of brain which is around 1400 gram is reduced to 400 gm.If the amount of the cerebrospinal fluid is decreased the apparent weight of the brain would be increased.
So the tobacco user or smoker accumulate nicotine in their body which reduces the cerebrospinal fluid,thereby increasing the load on suspending sheet(meninges) of the brain and causes headache.Such headache may be relieved by cessation of smoking or tobacco use for 24hour or longer eo that nicotine level is decreased.
8.Some ladies have headache prior to menses which are generally due to hormonal imbalance.This is better to take guidance from a gynecologist for such headache.One more thing I would like to say the women should not take aspirin for headache at the time of menses because that will increase their menstrual bleeding excessively.Those persons who have asthma,bleeding disorder or peptic ulceration should avoid taking NSAIDS(aspirin,diclofenac,aceclofenac,ibuprofen etc.)In pregnancy also NSAIDS should be avoided.
9.Ladies who are taking oral contraceptive pills may experience frequent headache.For them they are advised to use alternative birth control method.
10.kids experiencing headache should not be given aspirin.
11.Any person who have jaundice or liver disease shouldn’t be given paracetamol.
12,If you have cavities in your tooth or any oral infection,you may get headache.If you cannot afford to go to the dentist and undergo root canal treatment.You can do following:
-Rinse your mouth with chlorhexidine mouth wash for one minutes after each meal.(warning!do not swallow)and spill out the mouthwash after one minute.For fifteen minutes don’t drink or eat anything.After fifteen minutes rinse your mouth with water and spill out.
-Avoid vigorous vigorous brushing to your teeth,rather you should clean your teeth with your finger for few days.
-You can take amoxycillin and cloxacillin combination for your tooth infection in a dose adjusted for your age or body weight(warning !antibiotics should be used under advice of registered medical practitioner only)apart from this metronidazole should be added for better coverage of deep anaerobic infection in your tooth.These should be taken in appropriate dose for at least five days.Here the most important point is,if you have taken alcohol in last 48 hours,you must not take metronidazole at any cost.Further you should avoid alcohol for at least three days after your last dose of metronidazole.
-If you have dental problem you should take calcium and vitamin D3 supplementation,food reach in calcium are fish,particularly its head,if you can chew it totally.Those who are vegetarians the milk and all the dairy products are rich in calcium,custard apple,sitaphal,are also rich in calcium.Those who are very poor to afford this? Don’t worry a millet ragi which is extremely cheap and is one of the richest source of calcium.
10.You may have headache if you are working in area where illumination is very high or very low or inappropriate for that work.That headache can be corrected with proper color combinations of your workplace and application of prescribed luminous intensity in the work area.You can use tinted glass or protective goggles when the things are not in your control.
11.You may have headache if you sit in awkward posture for long or on a chair with poor ergonomic designs.For such headache you are required to do some aerobics for one or two minutes to improve your blood circulation.
12.You can have headache in excessive noise around you which is 85 dB or more.For this you sit relaxed ,put your both palms to their respective sides of the cheek,close your each ear with the tips of your thumb,close your eyes and keep index finger over each eyeball,each middle finger at the sides of your nostrils.Press all three fingers gently and breath in and out through your nostrils and listen to the sounds of breathing for two minutes.You would be at ease.
13.In our brain the pipelines of blood gets stretched on increased pressure in them.This is causes headache and labeled as migraine.There is frequently vomiting and some triggering event by dust,bright light,caffeine or sweets and short acting betablockers or calcium channel blockers are given but you are not advised to take those medications unless and until a qualified doctor has examined you and prescribed you.
14.Brain tumor,brain hemorrhage,meningitis all can give you headache and I am not going to advise you except that it is purely a subject matter of expert doctor and only he can help you.
15.If you believe in acupressure you can give rotatory pressure by your thumb to another thumb for 20 seconds for each side and both the great toes bulge by your one thumb for 20 seconds your headache may be relieved.
16.If you are working in hot environment for long with excessive sweating,you may have headache,such headache can be relieved by taking ors,cold drinks etc and you are required to come to the area where there is less heat stress.
17.If you are in extremely cold environment,then also you may have headache,such headache can be relieved in returning back in normal temperature and getting some hot beverages like tea,coffee,hot milk,soup etc.
18.When you are climbing up at high altitude fastly or descending down from the high altitude fastly,in both the conditions,you may have headache.Such headache can be prevented by gradual ascent or gradual descent to allow your body for acclimatization or adaptation.
19.One more thing that whenever you move from high temperature zone to low temperature zone or vice versa you should stay in intermediate temperature zone for 30 minutes.Such zones are called NT(normal temperature)rooms whose temperature should be the average of high and low temperature zones’actual temperature.
Thank you for patient reading!

Heart attack solutions and insights for general masses

Heart attack is scaring word used in common population.Very few of us has clear understanding about this.I want to provide clear message to all of my friends so that they can make a proper judgement about the condition.To understand this you need to to know few basic things.

1.Our all body parts need energy which comes from the burning of glucose.In our body glucose is made by the breakdown products of carbohydrates in our diet.
2.To burn the glucose in our body oxygen is essential which enters in our body when we do breathing.
3.So for obtaining energy for our body we need two things glucose as a fuel and oxygen as a burning gas.
4.Apart from this the most important thing is the transport service.Transportation of essential substances to all the parts of our body is done by blood which is pumped by heart (situated in our centre of chest) through elastic pipes to our whole bodyparts.So there are many pipelines to supply blood to the different parts of our body.And the pumping action of heart is essential for us to be alive. Heart starts beating when an individual is of one month age in mother’s womb and it continues beating till the life persists.

So we know till now glucose and oxygen is important things to survive and heart pumping blood is essential to transport those things to the whole bodyparts.Even the heart wall also needs in own blood supply through main three pipes 1.LAD(Left Anterior Descending Artery) 2.RCA (Right Coronary Artery)3.LCX(Left Circumflex Artery) you don’t need to remember these names.You can compare this with a water pump house of a city which pumps water supply to entire city but the pump house people also need water so they have three pipelines for their own pump house.Similarly the heart pumps blood to the whole body through pipelines and it has got three main pipelines for heart itself.
What happens in heart attack
one or more pipeline (Arteries)gets complete or incomplete blockage due to fat deposition as well as blood clot.

Guess what would happen if blood supply of any area of our body is blocked….Less or no oxygen supply.For this that area would have problem in burning glucose and produce energy.Without energy that bodypart start dying.Such death of a part of body is called infarct.Heart muscle is also known as myocardium so the condition is also called myocardial infarction or MI.

Let us write in a nutshell when any of the artery giving blood supply to the heart wall gets partial or complete blockage the heart wall gets deprived of oxygen which is coming along with blood,the heart wall starts getting damaged and the person feels chest pain (Angina),the outcome depends on blockage extent and other factors we would discuss later.To be continued!
So,I have discussed so far about heart attack;to summarize 1.Heart is a pump which keeps blood circulation to all body parts through pipelines(blood vessels).2.Heart’s own walls also need blood supply which is done via three main pipes( LAD,LCX,RCA).3.There may be blockage in any of the three pipes by blood clot or fat or both which leads to partial or complete obstruction of the supply.4.Blood supply is important for oxygen and glucose delivery since heart needs energy to survive and work and energy is produced by burning of glucose as a fuel and oxygen gas.5.If there is obstruction in blood flow there is mismatch of energy requirement and oxygen availability to produce energy.So in such mismatch caused by partial or complete obstruction the person complains chest pain which is called angina by medical terminology.
when we are at rest there is less energy requirement of body and heart pumping rate required to meet the energy need of the body is less,so the heart’s own energy requirement is also less.So many times when the obstruction of pipes supplying heart wall is partial;the angina can be relieved by rest.
Many persons gets confused regarding chest pain and they get apprehensive that they may have heart attack.I am providing you some insights about this to improve your understanding and clear your doubts.
1.If the chest pain increases on brisk walking, climbing ,dancing or any form of exertion and gets relieved by rest.This may be angina or pain originating from heart.
2.If you can locate your pain chest by single finger it is not anginal pain in the most cases and may be relieved by simple analgesics sold over the counter.
3.If chest pain increased or decreased by change of posture , folding and unfolding at shoulder or elbow joint,it is not anginal pain.Such pains can be relieved by muscle relaxants and general analgesics.
4.Angina is generally dull pain and poorly localized chest pain which appears during exertion or it may appear during extreme emotional stress.
5.Chest pain may appear in empty stomach due to distension caused by gas,such pain is also dull and can be relieved by food ,antacids,h2 blocker like ranitidine or proton pump inhibitor like omeprazole(not safe for pregnant women or children).Such pain would be worse,if you use analgesics like NSAIDS(Non Steroidal Anti Inflammatory drugs like disprin,ibuprofen,paracetamol,diclofenac sodium etc.
Note:Person suffering from diabetes may not have anginal pain and they may just feel chest discomfort or shortness of breathe during heart attack.
Risk factors for heart attack:
1.Smoking -Both active and passive smoking increases the risk of heart attack.
Smoking promotes the blood clottings so there is more chance of blockage in pipe supplying blood to the heart wall.
2.If you have truncal obesity you are at increased risk of heart attack.Truncal obesity means your belley is laden with fat.You can pinch your skin fold at the side of your abdomen and the thickness of fold can be can be assessed by your index finger and thumb.
3.If you are heavy alcoholic you are at increased risk.Though many people argues in favor of moderate drinking,but I opine that people seldom go for moderation those who claim to be moderate drinkers too frequently take heavy drinks on occasions.Further drinking also increases the risk for liver cancer ,peptic ulcer,psychosis secondary to vitamin B1 deficiency.
4.If you have uncontrolled diabetes,you are at risk.
5.If your life style is sedentary and you do not do exercise,you are at increased risk.You should do minimum 150 minutes exercise per week.Be careful in exercise.Don’t do heavy exercise at once.You are required to gradually increase the level and duration of exercise and try to maintain your hydration by taking liquids otherwise your exercise may land you in serious trouble.
6.If in your blood,bad cholesterol level is high and/or good cholesterol level is low you are at increased risk.First of all you need to understand good cholesterol and the bad cholesterol.After the dinner at around 9 P.M.do not eat anything except water.Next morning empty stomach go to clinical lab and give your blood sample for Lipid Profile testing.When you get the report, see the parameters tested
-HDL High Density Lipoprotein
-LDL Low density lipo protein
-VLDL Very low density lipoprotein
-Triglyceride additionally you may get IDL Intermediate density lipoprotein
In all those parameters the HDL is good cholesterol for your heart because it cleans your blood pipelines’fat.Rest all are bad for your heart.
Now the question is how we can increase good fat and decrease bad fat in our blood.
All the animal fats are bad except fat from small fish.
Sunflower oil,safflower oil,olive oil and soyabean oil are good fat.
Palm oil and hydrogenated vanaspati are bad for your heart.
One important message I have to give that the mustard oil is also rich in good fat but be careful about this and do not reheat or reuse the mustard oil after one cooking because it is converted on trans fat which is bad for your heart.
You can easily assess your lipid profile yourself by just checking the normal values of the parameter tested and the patient’s actual value.If the patient value in the report is within the given normal range of that parameter then It is O.K.
To be continued….
7.If you have high blood pressure and you have not controlled it with your life style modification or drugs;you are at increased risk of heart attack.High blood pressure in your pipelines causes your heart to work more against increased load,so the energy requirement of your heart increases,so the oxygen requirement is also increased.Apart from this chronic uncontrolled blood pressure also cause enlargement of heart which can not be reversed back if you control your blood pressure after that change.So person with high blood pressure should keep control on that by prescribed medicine or alternative methods.Medicine choice varies from person to person and your doctor would decide which medicine would be suitable to you.Apart from medicine,there are alot of alternative options for controlling blood pressure.Low salt diet is one option.By low salt I mean table salt that is sodium chloride.One should not take more than 5 gram table salt per day.If you are religious person and believe in fasting and fruit and salt free diet,it may be good thing for you to observe such fast to reduce your blood pressure.You may use natural diuretics like tea or coffee which will cause excessive urination and sodium would be reduced from your blood.
8.If you are a Type-A personality,very much ambitious and restless to achieve your hard goal,you are at increased risk of heart attack.You should do meditation and yoga.Further to relax yourself try to write diary to pour out your thoughts on paper which would release your burdens.Try to live your life in present only.Engage yourself with children,pets and optimistic people.

What would you do,if you are sure that the person is having chest pain or discomfort is characteristic of heart attack?
1.Make emergency call for medical assistance on number applicable to your local area.
2.Relieve his emotional stress by giving him assurance that nothing has happened.Since emotional stress would cause his heart to beat faster leading to increased energy and oxygen demand of the heart.And the situation would be worse.
3.Don’t allow the person to walk on his on.The person should be moved to hospital with least effort from his side.Ideally he should be moved on stretcher by other fellows.Any exertion done by the patient would increase the energy and oxygen demand of his heart and would spoil his condition.
4.Person should have fresh air for breathing,if one can avail oxygen cyllinder,it is a good idea to oxygenate the person in the way to hospital.
5.Some coronary dilater-medicine which dilates the pipelines supplying the heart wall like isosorbide dinitrate 5 mg is used below tongue to relieve the anginal pain.
6.Aspirin can be used as first aid measure if you are certain that the person has got heart attack.Since this prevents the clotting of the blood in the pipeline.
warning!the purpose of this article is educational in nature you are advised to act according to your doctors’advice.

diarrhea selfcare and insights for general community

WE ARE HERE TO BRIDGE THE GAP OF DOCTOR AND PATIENT.THERE ARE MILLIONS OF PEOPLE WHO DO NOT GET ACCESS TO THE HEALTH SERVICES.RISING COST OF MEDICAL CONSULTATION FORCES THE COMMON PEOPLE TO BEAR WITH THEIR DAY TO DAY AILMENTS.THEY SEEK ASSISTANCE ONLY WHEN THE DISEASE LIMITS THEIR DAY TO DAY ACTIVITY AND PRODUCTIVITY.OUR EFFORT TO GIVE THEM FREE DOCTOR’S ONLINE CONSULTATION THROUGH BLOG,CHAT OR MAIL.FURTHER OUR ENDEAVOUR IS NOT RESTRICTED ONLY TO ALLOPATHY.WE BELIEVE IN POLYPATHY.TERM CYBERYUKTYPATHY IS COINED BY ME FOR ONLINE POLYPATHIC APPROACH TO HELP COMMON PEOPLE FROM SUFFERINGS I WOULD LIKE TO WRITE HERE SOME COMMON AILMENTS TOPICS. WHICH COULD HELP A LAY MAN TO UNDERSTAND AND DEAL WITH THE CONDITION. I AM GOING TO REPOST ABOUT DIARRHEA.DIARRHEA IS FREQUENT LOOSE OR WATERY STOOLS.
WHAT SHOULD BE DONE IF ANYONE CLOSE TO YOU GETS IT!
1.KNOW WHETHER HE OR SHE IS TAKING SOME MEDICINE PRESCRIBED PREVIOUSLY?
IF YES CONSULT YOUR THE FOR CHANGE IN TREATMENT OR REVIEW.
2.O.R.S.(ORAL REHYDRATION SOLUTION) SHOULD BE GIVEN ACCORDING TO THE REQUIREMENT,ONE SMALL SACHET TO BE DISSOLVED COMPLETELY IN 200 ML(ONE SMALL GLASS) BOILED COOLED WATER OR ONE BIG SACHET IN ONE LITRE(5 SMALL LASSES) OF BOILED COOLED WATER.ONE SACHET FOR ONE LOOSE MOTION ROUGHLY.READY TO USE ORS IS ALSO AVAILABLE IN MARKET. IF YOU CAN ASSESS THE VOLUME OF LOST WATER IN THE STOOL.JUST TRY TO REPLACE THAT VOLUME.
ONE IMPORTANT QUESTION IS IF NO MEDICAL SHOP IS AVAILABLE NEAR YOU OR YOU CANNOT BUY O.R.S. BECAUSE ALL THE SHOPS ARE CLOSED.IN THAT CONDITION YOU HAVE PLENTY OF OPTIONS.1.TAKE ONE LITRE OF BOILED COOL WATER AND TO IT ADD 20 GRAM OF SUGAR OR GLUCOSE POWDER (WHICHEVER S AVAILALE,FIRST PRIORITY SHOULD BE ON GLUCOSE) AND MIX THE SOLUTION THOROUGHLY.ADD 5 GM OF SALT TO THIS SOLUTION AND FURTHER MIX THOROUGHLY.NOW YOR ONE LITRE O.R.S. IS READY.
2.OVERCOOK THE RICE IN PAN WITH EXCESS OF WATER.AFTER COOKING DECANT THAT RICE WATER IN CLEAN CONTAINER.PUT LITTLE AMOUNT OF CUMIN POWDER AND LITTLE AMOUNT OF SALT.THIS IS SECOND HOME MADE ORS.
3.ANY FRUIT JUICE PROPERLY FILTERED FOR PULP AND FIBRE(IT SHOULD NOT HAVE PULP OR FIBRE) WITH LITTLE AMOUNT OF SALT(1/4 TSF) CAN BE USED AS O.R.S.
4. IF NOTHING IS AVAILABLE BOILED COOL WATER SHOULD BE SURELY GIVEN.
APART FROM THE O.R.S.; SECOND IMPORTANT THING IS RESTORATON OF GUT FLORA.HERE IT IS NEEDED TO EXPLAIN YOU THAT IN OUR INTESTINE THERE ARE COLONIES OF BENEFICIAL BACTERIA (I REFERED-GUT FLORA).WHICH ARE SOMETIMES DESTROYED BY THE USE OF ANTIBIOTICS AGAINST SOME HARMFUL BACTERIAL INFECTIONS.BENEFICIAL GUT BACTERIAS DO MANY WORKS FOR US.THEY PROVIDE US SOME VITAMINS AND THEY PROTECT OUR INTESTINE FROM INVASION BY HARMFUL BACTERIA.
TO RESTORE THAT BACTERIA WE CAN USE LACTOBACILLUS SPORES IN THE FORM OF CAPSULE OR SACHETS.IF THER IS NO MEDICINE SHOP AVAILABLE.YOU CAN USE CURD FOR LACTOBACILLUS.
IF THERE IS DYSENTRY(METRONIDAZOLE PLUS OFLOXACIN) COMBINATION CAN BE USED BUT– WARNING-DOSE ADJUSTMENT AND PATIENT HISTORY AND EVALUATION IS MANDATORY.
IN PREVIOUS PARAGRAPHS WE HAVE LEARNT FOR DIARRHEA MANAGEMENT
1.O.R.S.
2,LACTOBACILLUS SPORES
3.OFLOXACIN+METRONIDAZOLE(DYSENTRY)(UNDER EXPERT GUIDANCE FOR DOSING,AGE OF PATIENT CLINICAL CONDITION OF THE PATIENT.
NOW LET US COME TO..
4.RACEDROTIL IN THE FORM OF SACHET OR PILLS
RACEDROTIL CAN BE GIVEN IN WAERY DIARRHEA @ ONE SACHET 3HRLY OR AS ADVISED BY PHYSICIAN.
5.ZINC DEFICIENCY IS ALSO KNOWN TO CAUSE DIARRHEA.SYRUP OF ZINC IS ALSO AVAILABLE UNDER DIFFERENT BRAND NAMES.ITS USE SHOULD BE DONE UNDER EXPERT GUIDANCE FOR DOSE ADJUSTMENT ACCORDING TO BODY WEIGHT.
6.THERE ARE A LOT OF HERBAL AND ALLOPATHIC PREPARATION AVAILABLE IN THE MARKET TO STOP DIARRHEA BUT THEIR USE SHOULD BE
RESTRICTED AND DEPENDING ON CLINICAL SITUATION.

DIETS WHICH SHOULD BE TAKEN IN DIARRHEA-
1.PLENTY OF LOW FIBER OVERCOOKED CARBOHYDRATES SHOULD BE TAKEN.IT IS A BETTER OPTION TO EAT OVERCOOKED RICE AND STOP CHAPATIS FOR A COUPLE OF DAY TILL YOUR SYMPTOMS GOT RELIEVED.HODGE PODGE(KHICHRI)OVERCOOKED,KHEER MADE OF BEATEN RICE
2.HIGH PROTEIN DIETS SHOULD BE AVOIDED FOR A COUPLE OF DAYS TILL DIARRHEA SUBSIDES.PULSES WATERY PORTION CAN BE CONSUMED.
3.VEGETABLE OF LOW FIBER AND HIGH CARBOHYDRATE LIKE POTATO CAN BE USED.IT IS A BETTER IDEA TO HAVE WATERY HODGE-PODGE WITH MASHED POTATO WITH LITTLE AMOUNT OF HEATED GHEE WITH CUMIN POWDER AND SALT.
4.FRUIT WITH LOW FIBRE LIKE BANA CAN BE CONSUMED.
5.FRUIT JUICE WITHOUT PULP OR FIBRE CAN BE TAKEN.
IF WITH ALL THESE MEASURES DIARRHEA COULD NOT BE CONTROLLED,THE PERSON SHOULD SEEK URGENT MEDICAL ASSISTANCE HE MAY REQUIRE INTRAVENOUS FLUIDS TO CORRECT DEHYDRATION.
TRY TO KEEP VIGIL ON URINARY OUTPUT.IF THE PERSON IS URINATION ADEQUATELY IT IS A GOOD SIGN THAT HE IS BETTER FOR HIS HYDRATION STATUS.