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.

So this is all one man show!!

Thanks!

Admin E-OPD INC.

yukty4chakory@gmail.com

Our Site Links

E-OPD.COM is dedicated for overall well being of entire humanity.Its functionality would be acquired gradually in the course of coming months.Presently its two blogs,one portal and medical record upload are started fully.Later on e-opd gallery,e-opd greetings would be completed.
Following Sites are presently running
E-OPD HOME
E-OPD CHAT
E-OPD BLOG
E-OPD EXPERT BLOG
E-OPD FORUM
E-OPD GALLERY
E-OPD PORTAL
E-OPD ECARDS

E-OPD CHAT PAGE is meant for doctor and patient community chat in which the philanthropist doctors would register to provide free medical consultation for the patient online in chat room.One time registration is required both for the patient and the doctors.
E-OPD FILES PAGE is meant for uploading the personal medical reports by general community which may be kept stored here.This report can be accessed by the individual user himself and the doctor who would provide the guidance on the basis of that report.
This functionality has been started already.
E-OPD BLOG PAGE is dedicated for general community health awareness post in which the publisher has tried to simplify the medical science for the common public.This blog is fully functional.
E-OPD EXPERT BLOG PAGE is designated for all the experts of the world who want to give his expertise for the benefit of the entire humanity.This blog has some posts from admin side.Apart from this some social event videos and pictures are also posted here which belong to general masses.
E-OPD PORTAL PAGE is spiritual aspect of humanity.This page invites the scholars from the different cultural groups,religion,sects to write their articles on religious contents which favors the entire humanity and scientifically beneficial for global harmony and health.
E-OPD FORUM PAGE is functional but under development.Here one can discuss any problem within peer group and seek solution from them.
E-OPD GALLERY PAGE is for the users who want to keep their family events pictures and videos to access from anywhere on the net.

E-OPD GREETINGS PAGE is for sending greetings for friends,relatives,boss,juniors,coworkers,on various occasions.

Welcome Note

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.

 

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