How much Risk? Guide to Asthma Medication | VIVEKANANAD ASTHMA Clinic

Asthma is a chronic ongoing lung disease marked by acute flare-ups or attacks of difficulty while breathing. It is a common disease that can happen at any age but most often occurs during childhood and can continue into adulthood. Asthma includes shortness of breath, cough, chest tightness, and the hallmark wheezing sound, a whistling noise that occurs with respirations.

     Asthma is a disease of a lower respiratory tract. Characteristics of asthma include inflammation of the airways in the lungs. These include the bronchioles, small hollow passageways that branch off the main airway from mouth to nose. Air & oxygen pass through the bronchioles into alveoli, tiny hollow structures in the lungs where oxygen is absorbed into the bloodstream. In asthma, bronchioles and alveoli become inflamed, irritated and swollen, blocking the flow of air into the lungs.

      Asthma is often associated with allergies, & most people with asthma also have allergies. In these people, the disease is often known as allergic asthma or allergy-induced asthma. Other types of asthma include occupational asthma, which is caused by breathing irritating or toxic chemicals work. Cough-variant asthma is a form of asthma in which a dry, irritating cough is most prominent symptoms.

   Common asthma triggers include:

·        Tobacco smoking

·        Animals (Fur, Pet hair)

·        Air Pollution

·        Food Allergy (Sea fish, Crab, Egg etc)

·        Pollen grains & Dust

·        Change in weather(Most often cold weather)

·        Chemicals in the air or in food

·        Exercise

·        Mold

·        Respiratory infections, Such as the common cold

·        Strong emotions(Stress)

  Sign & Symptoms

    Symptoms may occur during the day or at night & Wheezing is most common symptoms of an asthma attack.

·        Cough with or without sputum(phlegm) production

·        Congestion or pulling in of the skin between the ribs when breathing(intercostals retractions)

·        Breathlessness that gets worse with exercise or activity

·        Wheezing which:

o   Comes in episodes with symptom-free periods in between

o   Maybe worse at night or in the early morning.

o   May go away on its own

o   Gets better when using drugs that open the airways (bronchodilators).

o   Get worse when breathing in cold air.

o   Gets worse with exercise

o   Get worse with heartburn (reflux).

o   Usually begins suddenly

  Emergency symptoms

·        Bluish color to the lips & face.

·        Decreased level of alertness,  such as severe drowsiness or confusion, during an asthma attack

·        Extreme difficulty breathing

·        Rapid pulse.

·        Severe anxiety due to shortness of breath

·        Sweating

     Other Symptoms

·        Aspirin and other no steroidal anti-inflammatory drugs (NSAIDs) provoke asthma in some patient.

·        Many people with asthma have a person or family history of allergies, such as hay fever (allergic rhinitis) or eczema. Other have no history of allergies

·        Most people with asthma have attacks separated by symptom-free periods. Some people have long-term shortness of breath with episodes of increased shortness of breath. Either wheezing or a cough may be the main symptoms.

·        Asthma attack can last for minutes to days and can become dangerous if the airflow is severely restricted.

  Treatments:

        Asthma is a chronic disease that is not curable, but with regular medical care and consistent patient compliance with treatments, asthma attacks can successfully be minimized in occurrence, length, and severity. This includes minimizing the use of rescue medications and getting a jump on symptoms before they develop into severe execrations that result in emergency room visit & hospitalizations. This includes keeping a log or record of asthma symptoms, such as a type of symptoms, when they occurred, what seemed to trigger them, how long they lasted, how severe they were, and what treatment was needed to resolve symptoms.

·        Pulmonary Function Test(PFT)

·        X-Ray (Chest)

·        Bronchoscopy & CT Scan

·        Bronchodilators or inhalers

·        Arterial Blood Gas

·        Peak Flow measurements

·        Allergy testing may be helpful to identify allergens in People with Persistent Asthma.

·        Blood test to measure eosinophil count (a type of white blood cell) & IgE.

  Prevention

    You can reduce asthma symptoms by avoiding known triggers & substances that irritate the airways.

o   Cover bedding with “allergy-proof” casings to reduce exposure to dust mites.

o   Remove carpets from bedrooms & vacuum regularly

o   Use only unscented detergents & cleaning materials in the home.

o   Keep humidity levels low & fix leaks to reduce the growth organisms such as mold.

o   Keep the house clean & keep food in containers and out of bedrooms—this helps reduce the possibility of cockroaches, which can trigger asthma attacks in some people.

o   If a person is allergic to an animal that cannot be removed from the home, the animal should be kept out of the bedroom. Place filtering material over the heating outlets to trap animal dander.

o   Eliminate tobacco smoke from the home. This is the single most important thing a family can do to help a child with asthma. Smoking outside the house is not enough. Family members & visitors who smoke outside carry smoke residue inside on their clothes and hair.—this can trigger asthma symptoms.

o   A person with asthma should also avoid air pollution, industrial dust and other irritating fumes as much as possible.

    In conclusion asthma can be described as a chronic respiratory condition which can be identified by breathing difficulty, wheezing, cough and chest tightness. Physical examinations, pulmonary function tests, blood tests and chest X-rays are also used to determine asthma. Inhalation or ingestion of allergens and pollutants, exposure to cold weather, exercises, infections and occupational factors such as dust and chemicals can be considered asthma's risk factors, and healthcare professionals need to spread awareness in order to prevent and minimize asthma attacks.

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Child care | Healthy Child is Future of Healthy Nation | Vivekanand Pediatrics Clinic

Child health care is essential to building the prosperity and capabilities of the future of a growing nation. It is an extraordinary social obligation in which every government & private Hospital has to play a vital role. It shows up this primary responsibility is overlooked in the determined quest for financial development.

Each day, the safety and prosperity of some children across the country are debilitated by reasonable therapeutic offices. Interceding adequately in the lives of these children and their families is not the sole duty of any single office or professional expertise, yet rather is a common group concern.

The factors are appropriate to assess the health status of kids below five years.

Children under 5 years who are stunted (height-for-age), children under 5 years who are wasted (weight-for-height) and kids under 5 years who are seriously wasted (weight-for-height) are an anthropometric appraisal of the nourishing status of children below five years of age.

Your children require standard preventive care from a specialist, sometimes called health visits or dial emergency no of Vivekanand Pediatrics & Neonatology. These checkups may incorporate blood test, height and weight, and Immunization and will help track and secure your child’s health as he or she develops into a grown-up.

• Regular checkups from birth through age 5 years
• Screenings for childhood diseases
• Scheduled immunizations 

Well-Child Visits

Your children will do best on the off chance that you ensure they get well-child visits on a regular basis. This should begin even before they're conceived. As a mom-to-be, you are entitled to prenatal visits. That allows you a converse with a specialist about breastfeeding, child safety, and newborn care.

Well-child visits should follow this schedule:

• Right after baby is born
• At 1 week old
• At 1 month old
• At 2 months old
• At 4 months old
• Every three months from 6 months old to 18 months old
• At 2 years old and 2 1/2 years old
• Every year from 3 years old until age 18 years

These visits for preventive care can be separate from other appointments.

Well-Child Checkups: Birth to Age 2

At each checkup, your child specialist will search generally for the similar things:

• Your baby's development by measuring her head, weight, and tallness
• Your Child nourishment by talking about your baby's eating habits
• Your child's physical advancement and development
• Your baby's language improvement by listening to the sounds she makes and how she echoes sounds
• Your child's socialization by conversing with you about how she reacts to you and to other individuals she interacts with
• Your child’s well being at home, far from home, and in the car
• Needed Vaccination

The nature of the exams will change to some degree depending upon child's age.

Your child specialist may do some particular screening tests or offer some preventive measures at particular well-child visits. Examples include:

• Fluoride supplement. If you live somewhere without fluoride in your water source, your pediatrician will recommend fluoride supplement for your child beginning at age 6 months at no cost to you.
• Autism Spectrum Disorder (ASD) screening. At almost every visit, the specialist looks for signs & indication of ASD in light of what you say about your baby as well as by observing your child. A more formal test for autism happens twice -- a year & a half and two years. At these circumstances, your specialist will ask you to fill out a questionnaire about your child's conduct and advancement.

Well-Child Checkups: Age 2 to 5

Your child specialist checks the same general things at each checkup, however, there are particular points of interest they take a gander at relying on child’s age.

• Growth and nutrition: Weight, height, BMI, and blood pressure checks start at age 3,
• Development: The doctor will inquire about your child's speech, coordination, strength, playing habits, learning, physical activity, behavior, sleep habits, and other things.
• Oral Health: Checkups include an examination of your child's mouth & teeth to check his risk of getting cavities. If needed, your child will be referred to a pediatric dentist for treatment.
• Vision: Screening happens at every wellness visit. Your child will get a more complete eye test around age 3 or 4.
• Hearing: Screening recommendations vary, so ask your doctor if there will be an additional charge for a hearing test at age 4 or 5.
• Vaccine: The type and timing can vary, so talk with your doctor.

Safety counseling: The doctor will provide counseling on such things as a safety at home, away from home, and in the car. For younger children, this can involve preventing poisoning and talk to strangers

Conclusion

There is need to build awareness and information about the advantage and significance of vaccination, and furthermore the unsafe consequences of non-complete vaccination.An arranged informative program is required; the informational level of guardians ought to be thought about when the program is arranged, especially as regards those with a lower educational level.

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Complication of Diabetes & its Management l VIVEKANAND HOSPITAL

Diabetes can strike anyone, from any walk of life. And it does. You’re living day to day with the disease, you might not know - what exactly is diabetes?

Diabetes can affect anyone at any age at any time. Diabetes is usually a lifelong (Chronic) disease in which there are high levels of sugar in blood taken from the foods we eat. Insulin is needed to help the body use the sugar for energy. When a person has diabetes, the pancreas either does not produce or produces very little insulin (type 1 diabetes) or cannot use the insulin that is produced (type 2 diabetes).

Complication

Once diagnosed with diabetes, a lot of complications develop if the treatment is not followed well. The treatment does not just include medicines but also a lifestyle change that needs to be initiated by an individual. Sometimes, the long-term damage caused by diabetes becomes irreversible, so a continuous check to study the severity and cause of few symptoms is recommended

Effect of Diabetes on Heart: Diabetic Cardiomyopathy
Too much glucose in your system can cause restricted blood flow, also known as Atherosclerosis, the “hardening of the arteries”, leading to a variety of symptoms The risk is greater for people with diabetes, who often have increased cholesterol and blood pressure levels Atherosclerosis also increases your probability of getting a stroke

Effect of Diabetes on Eyes: Diabetic Retinopathy
The most common complication is Diabetic Retinopathy. Retinopathy is caused by the swelling and leaking of blood vessels in the back of the eye (the retina). High blood pressure is also a contributing factor for diabetic retinopathy. 

Effect of Diabetes on Kidneys: Diabetic Nephropathy
Kidneys are another organ that is at particular risk of damage as a result of diabetes and the risk is again increased by poorly controlled diabetes leading to diabetic kidney disease. The first sign shown is frequent urination with albumin in it. High levels in the urine may mean that your kidneys have suffered some damage and aren’t functioning well. Kidney disease is painless and does not cause symptoms until it is advanced.

Effect of Diabetes on Nerves: Diabetic Neuropathy
Nerve damage (neuropathy) is usually caused by high blood glucose level. Damage can occur to the sensory (feeling) and motor (movement) nerves of the legs and feet, arms, hands, chest, and stomach, and to the nerves that control the actions of body organs

Effect of Diabetes on Skin: Diabetic Dermopathy

People with diabetes sometimes may experience very dry skin because of the damage to the small blood vessels and nerves. The most common problem for people with diabetes is very dry skin on the feet and cracked heels, but this may be more generalized. There are also other skin conditions related to diabetes. High blood glucose levels over time affect the health of the skin

Effect of Diabetes on Foot: Diabetic ulcer

Diabetics are at higher risk of feet damage when the blood supply in both large and small blood vessels is reduced. Apart from nerve damage, structural abnormalities can also occur, for example, clawed toes. Reduced blood supply and nerve function also delays healing, increases the risk of infection, reduces sensation in the feet, and leads to ulcers and structural foot problems

Diabetes and Oral Health

People with poorly managed diabetes are at an increased risk of tooth decay and gum infections. This is due to the damage to the small blood vessels supplying blood to the gums and teeth. Dental and gum infections can also lead to high blood glucose levels. Not looking after your teeth and gums can cause the gums to become inflamed and loosen around the teeth

Diabetes Gangrene

Gangrene is a state in which a certain part of the body is not getting sufficient blood circulation, causing the tissue to die. The common signs of gangrene include Redness in the affected area, which can then become brown or black and Pain evolving into numbness. Swelling from the body fighting off an infection can cause a loss of blood circulation that can starve a section of the body of oxygen and nutrients and cause gangrene.

Symptoms and Tests

 Signs and symptoms of diabetes help to detect the disease early and get it under control before any irreversible damage is done to the body.

High blood sugar levels can cause several symptoms, including:

             Blurry vision

             Excess thirst

             Fatigue

             Hunger

             Urinating often

             Weight Loss

A urine analysis may show high blood sugar. However, a urine test alone does not diagnose diabetes. If you have diabetes then your blood sugar level will be higher than 200 mg/dL. To confirm the diagnosis, one or more of the following tests must be done.

Blood Test:

Testing Blood glucose level- diabetes is diagnosed if it is higher than 126 mg/dL twice. Levels between 100 and 126 mg/dL are called impaired fasting glucose or pre-diabetes. These levels are risk factors for type 2 diabetes.

  Hemoglobin A1c test –

           Normal: less than 5.7%

           Pre-diabetes: 5.7% - 6.4%

           Diabetes: 6.5% or higher

  Oral glucose tolerance test-Diabetes is diagnosed if glucose level is higher than 200 mg/dL after 2 hours of drinking a glucose drink.

 Screening for type 2 diabetes in people who have no symptoms is recommended for

Overweight children who have other risk factors for diabetes, starting at the age 10 and repeated every 2 years.

               Over adults (BMI greater than 25) who have other risk factors

               Adults over age 45, repeated every 3 years

Prevention :

 Implementing physical activity into your daily routine can help prevent or delay type 2 diabetes among adults at high risk of developing diabetes.

People with diabetes should learn to count carbohydrates in their food as carbohydrates contribute to high blood sugar. Physical activity is essential to diabetes treatment because muscles that are regularly exercised consume sugar more efficiently than muscles that are inactive. Your doctor may suggest you monitor your finger-stick sugar levels at home with a machine that can measure your sugar (a glucometer). Good control is a fasting blood sugar between 80 and 110 and, 2 hours after a meal, blood sugar less than 140, The frequency of monitoring depends on your level of control and if you are on insulin and may range from a few times per week to a four to six times per day. Visit VIVEKANAND Diabetes Centre to consult our specialist doctor.

Diabetes is a leading cause of death by disease. If left untreated or improperly managed, the high levels of blood sugar associated with diabetes can slowly damage both the small and large blood vessels in the body, resulting in a variety of complications

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Cosmetic surgery a necessity …..Why?

We live in a world where everybody is meaning to accomplish significance in their profession as well as in the way they look. Cosmetic surgery and treatment are on the ascent as more and more people are endeavoring to get rid of their imperfections and become perfect.

As you investigate your alternatives for cosmetic surgery, you will probably have questions and concerns like other cosmetic surgery individuals. Before going ahead with a cosmetic surgery procedure, you will have many issues to consider. Building up your comprehension of cosmetic surgery is basic to settling on a very much informed decision about your body.

Cosmetic surgery was once thought of vanity procedures saved for the well-off and the renowned. This is never again obvious. With increased pressure from society to reverse aging and to get in shape, cosmetic surgery has been consistently expanding in prominence and availability. "Advancements in Cosmetic Surgery” has made it available to any individual who wants it.

Cosmetic surgery is considered as the expertise of drug and the surgery which limits itself in upgrading the appearance with the use of surgical and medical methods. The skin surgery includes maintaining the basic appearance, upgrading the present appearance, restoring the appearance. 

Cosmetic surgery is a far-reaching approach which can be coordinated in all zones gracious the body which includes, head, neck and the complete body. Capability in cosmetic surgery includes a blend of surgical judgment, learning, morals and the technical expertise with a specific end goal to accomplish the coveted objective of giving the visual change to the body.

 Overall the skin surgery can be characterized in three classifications:

o Facial restorative surgery

o General restorative surgery

o Dermatologic skin surgery

The principle of cosmetic surgeries completed nowadays includes: facelift, eyelid raises, breast augmentation, buttock implants, liposuction, breast reduction, breast lifts, lip augmentation, mole evacuation, and collagen infusions. Other treatment includes cellulite treatment, laser hair expulsions, gastric bypass, and mesotherapy.

One of the many reasons why cosmetic surgery is so popular is because it has a number of pros or plus sides. First of all, Cosmetic surgery can enhance your appearance. Cosmetic surgery is not the same as reconstructive surgery and many other lifesaving surgeries since it is discretionary. The individuals who experience cosmetic surgery are generally simply hoping to enhance their appearance. As nice as it is to look attractive, it is likewise vital to take note of that you will probably observe a change in your self-esteem, and add your self-confidence.

As already expressed, most people undergo cosmetic surgery to enhance their physical appearance. While this is true, some other people do as such for their Health. Is it true that you are overweight or even hefty? If you are, cosmetic surgery may really help to save your life or at least reduce your risk of other health complications, for example, hypertension and diabetes. The individuals who are hefty are urged to look at the Lapband surgery and gastric bypass surgery. The individuals who are marginally overweight, however not yet hefty, are urged to examine.

Cosmetic surgery, generally known as plastic surgery, requires a person's feeling of self after some type of injury and illness. It enables one to get rid of the physical characteristics or deformities- he or she was conceived with. Cosmetic surgery appears: how science helps to change human body by dint of technological empowerment. It incorporates a wide range of aesthetic surgery like aesthetic facial surgery, liposculpting and body controlling and aesthetic breast surgery, all reconstructing surgery like breast reconstruction, limb recreation and sore reconstruction, other than liposuction and non-obtrusive types of surgery like hair removal and other types of surgeries.

In the event of this surgery is generally related to the issue of feel as opposed to the reconstruction. It, being related with aesthetic, helps individuals to beat marks of disgrace related to their appearance or some obvious spots on their skin and faces or some awful looking patches on bodies. However, when the matter of cosmetic surgery comes and people like to undergo such surgeries. Apart from this keep in mind that plastic surgery isn't appropriate for everyone. Individuals who are smokers or narcotic addicted or those have illnesses like diabetes, heart illness or hypertension should not undergo plastic or cosmetic surgery. Many individuals unconsciously have fallen prey to it. In this treatment, one needs long period and continuous check up to come round from it.

As it helps to get one a new look, lawbreakers, criminals, and men from underworld misuse it to get rid of the penal servitude for which they are accused of. In some cases, it turns out to be inconvenient for the individuals who have diseases like hypertension, diabetes, heart ailments or different diseases. So with the development and introduction of this surgery without a doubt in one hand we have benefited and then again cosmetic surgery helped criminal to disappear their genuine physical look.

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