10 HABITS TO AVOID RECURRENT KIDNEY STONES

Dietary management of kidney stones depend on the type of stone.

Types of kidney stones are:

  • Calcium: calcium stones are most common  and can be made of calcium oxalate, phosphate or maleate.
  • Uric acid: these stones are made when excessive uric acid is deposited in kidneys. This type of stone develops when acidity of urine is high.
  • Struvite: mostly found in women these stones are formed with urinary tract infection. These stones are big and can cause obstruction in flow of urine.
  • Cystine: these stones are rare and is seen in cystinuria in which cystine is leaked into urine by kidneys.
  1. Adequate liquid intake: liquid intake should be enough to help void 2 L of urine everyday. On an average 3 L of fluid (mostly water) should be taken everyday. This will keep the urine less concentrated and would reduce the risk of stone formation. A glass of water is advisable before going to bed also and during night also if sleep breaks.
  1. Minimize sodium intake: Calcium is not the enemy as if there is high levels of calcium in urine then sodium reduction in diet can help reduce calcium loss in urine. Extra sodium would cause more calcium in urine which would develop the risk of formation stone. Sodium intake should be below 2300mg
  1. Foods low in oxalates: in case you have calcium oxalate stones then you should limit intake of oxalate which is found naturally in many foods like fruits and vegetables, nuts and seeds, grains, legumes, chocolate and tea. Peanut, spinach, beets, chocolate, sweet potato are rich in oxalates.
  1. Say no to packed and processed food: packed and processed food items have high sodium content and should be avoided to reduce loss of calcium in urine (calciuria).
  1. Limit purine intake:Purine is a natural chemical compound which leads to high production uric acid. This uric acid is then deposited in joints or in kidneys to form uric acid stones. Purine rich foods- red meat, organ meat, shellfish
  1. Follow healthy diet: diet should include mostly vegetable, fruits, whole grain, low fat dairy products as it would help keeping the acidity of urine low thus preventing stone formation.
  1. Enough animal protein but not much: animal protein though important for the body should always be enough to be sufficient and not excessive. Much intake of animal protein would increase the acidity of urine thus promoting stone formation. Source of animal protein are beef, chicken, pork, fish, eggs
  1. Citrus fruits: lemonades and citrus fruits are rich in citrate which prevent binding of calcium with other constituents to form stones. Citrate also don’t let the pre-formed crystals to grow bigger.
  1. Reduce refined sugar: refined sugar causes increased calcium in urine with fall in urine volume. Both of these situations are apt for stone formation.
  1. 10. Healthy lifestyle: good food, regular exercise, enough liquid and less alcohol would help preventing stone formation. Alcohol increase uric acid levels in blood and can promote stone formation.

Thus following above mentioned dietary habits can prevent recurrence of kidney stones and help people lead a healthy life.

Got Migriane!! choose Homeopathy

Migraine is severe pulsating pain in head usually one sided preceded by an aura of sensory disturbance and can be triggered by various things.

Triggers for migraine are:

  • Anxiety
  • Stress
  • Lack of food or sleep
  • Exposure to sun
  • Hormonal changes (in women)

Risk factors:

  • Family history: migraine runs in families.
  • Age: peak in 30’s
  • Sex: women > men
  • Hormonal changes: around menstrual cycles in women; migraine is triggered or aggravated.

Four phases of migraine are:

  • Prodrome phase- occurs hours or days before the onset of headache and is characterized by altered mood, depression, fatigue, craving for certain food items, neck stiffness, constipation or diarrhea, sensitivity to light, noise, odor.
  • Aura phase- precedes headache and aura may visual (Blind spots or blank patches in the vision, zig zag lines in vision, flashes of light, blurred vision), sensory (Pricking sensation on skin) or motor. Other symptoms of aura phase include speech disturbance, dizziness, auditory hallucinations, delusions.
  • Pain phase- usually headache is one sided, throbbing/ pulsating pain which is moderate to severe in intensity and pain lasts for 2 to 72 hours. Pain is frequently associated with nausea, vomiting, sensitivity to light, sound, smells and fatigue with irritability, light headedness, confusion.
  • Post-drome phase- once the pain phase is over there is tired feeling in the sufferer along with mood changes and weakness.

Common symptoms of migraine include:

  • Moderate to severe pain, usually one sided but can involve whole head and either side.
  • Severe throbbing, pulsating pain.
  • Pain is severe enough to effect daily chores.
  • Nausea, vomiting as associated symptoms.
  • Increased sensitivity to stress, light, noise, smell, physical activity.
  • Pain relieved by lying in a quiet dark room.
  • Few people also have aura (short period of visual disturbance that signals that the headache will occur soon).
  • Headache lasts for 2 to 72 hours.

Migraine with aura

Aura is meant by warning signs in the sufferers which are preceded by onset of headache however auras are rare.

Common symptoms is aura are:

  • Confusing thoughts or experiences
  • Perception of strange, sparkling, flashing lights.
  • Blind spots or blank patches in the vision.
  • Pricking sensation on skin.
  • Stiffness in shoulders, neck, limbs.
  • Unpleasant smells.

Management of migraine:

  • Prepare a headache diary.
  • If possible, avoid exposure to triggers of migraine.
  • Do regular exercises.
  • Prepare and follow consistent daily schedule with regular sleep pattern and meals.
  • Meditation.
  • Have plenty of water.
  • Homeopathic treatment.

Homeopathic medicines for migraine are:

  • Natrum mur
  • Onosmodium
  • Glonoine
  • Pulsatilla
  • Sepia
  • Tuberculinum
  • Silicea
  • Psorinum
  • Hepar sulph
  • Rhus tox
  • Bryonia

There are many wonderful medicines in homoeopathy that can be thought of in migraine. After thorough evaluation of the case the medicine is selected and prescribed depending on the totality of symptoms of the patient.

5 common gynecological conditions in which yoga can be helpful!

The science of yoga works at much subtler and deeper levels than just the physical. Yoga treats body, mind and soul as one single entity. A regular yoga practice offers an increased flexibility, muscle tone, mental clarity, enhanced circulation and boosts immunity. Make yoga a part of your daily routine because regular yoga is very important for it to be effective. Doing a little yoga each day makes a big difference

The 5 common gynecological conditions in which yoga can be helpful are:

  1. PCOS – Yoga reduces the levels of stress hormones like cortisol which are responsible for increasing the levels of androgens in PCOS. Increased levels of testosterone are responsible for weight gain in patients. Holding weight bearing poses helps to build up muscles, increased muscle mass which helps to combat insulin resistance. Yoga works on adreno-pituitary axis and provides hormonal balance. Stretching effect on abdomen and helps to stimulate ovarian function. Yoga benefits for women in proper metabolism functioning thus helps in maintaining healthy body weight and controlling hunger.

Asanas for PCOS : Prasarita paddotasana, Ardhachakrasana, Uttanapadasana, Pawanmuktasana, Bhujangasana, Dhanurasana, Baddhakonasana, Bhunamanasana, Ustrasana, Ardhamatsyendrasana, Padmasana, Nadishuddhi pranayama, Bhramari pranayama

  1. Menstruation – Yoga helps you navigate the most unpleasant feelings of your cycle and ease contractions of the uterus that cause cramps. PMS (premenstrual syndrome) is the most common problem women experience before their menstrual period. PMS causes insomnia, irritability, discomfort, depression, headaches, etc. All these conditions can be alleviated by regular yoga practice. Yoga also helps with irregular mense like oligomenorrhea, metrorrhagia.

 Asanas for Irregular periods :  Adhomukho svanasana,  Ustrasana,  Bhujangasana, Dhanurasana, malasana, matsyasana, halasana, baddha konasana

  1. Fertility – regular yoga practice increases ovulation and hormonal balance, reduces stress and increases blood circulation to the reproductive organs thus improves their function.

Asanas for Infertility :  paschimottanasana, Hastapadasana, janu shirshasana, baddha konasana, Viparita karani, balasana, Kapalbhati parnayama, Bhramari pranayama,  Setu bandhasana, Bhujangasana, Shavasana

  1. Menopause – During menopause, yoga can help you deal with the changes your body is going through. It helps with side effects experienced during this hormonal shift including insomnia, anxiety, depression and mood swings.

Asanas for Infertility :  Kapalbhati, Tada-asana, Hast-padasana, Trikonasana, Badhakonasana, Shavasana, Bhujangasana, Natrajasana, Pawanmuktasana, supta matsyendrasana, virabhadrasana

  1. Pregnancy –  Yoga helps women get through their pregnancy with less discomfort. Helps with back pain as it is more common in pregnant women. Also it helps with the birth and postpartum stages. Yoga can be beneficial after pregnancy, postnatal yoga strengthens pelvic floor muscles as well as abdominal muscles.

Asanas for Pregnany :

FIRST TRIMESTER :-Shvanasana, Yoga nidra, Viparita Karani, Badhakonasana, Supta UdarakarshanAsan, Trikonasana, Marjariasana ,Tadasan, Utthanasan, virabhadrasana, Bhramari Pranayama, Nadi Shodhan Pranayama 

SECOND TRIMESTER :-  Matsya Kridasan, Vajrasan,Marjariasana, Hasta Utthanasan, Tadasan, Utthanasan,  Meru Akarshanasan, Shvanasana, Yoga nidra, Viparita Karani,Bhramari Pranayama, Nadi Shodhan Pranayama

THIRD TRIMESTER :- Badhakonasana, Supta UdarakarshanAsan, Shoulder Rotation, Shvanasana, Yoga nidra, Viparita Karani, Bhramari Pranayama, Nadi Shodhan Pranayama 

 

To view yoga positions visit – http://www.yogicwayoflife.com/asana-the-yoga-postures/

 

 

HOMOEOPATHIC TREATMENT OF VAGINAL DISCHARGE

Normal vaginal discharge also known as leucorrhoea is thin, small in quantity, white/ transparent/ translucent, odorless (or occasional slight odor) discharge which is nothing but secretions  of the genital organs of a female which keeps the vaginal area clean, moist and fights infection.

Normal vaginal discharge may vary through the menstrual cycle of the female but any change in color (greenish, grayish, pus like, yellowish), odor (unpleasant), texture, with itching, redness, burning of vagina, blood tinged discharge is not normal vaginal discharge and on appearance should be treated.

COMMON CAUSES OF VAGINAL DISCHARGE ARE:

  1. PHYSIOLOGICAL (leucorrhoea)- normal vaginal discharge

Prepubertal– postnatal

                   – premenarchal

Reproductive life– mid cycle

                           – premenstrual

2.   INFECTIONS (sexually transmitted)-

Prepubertal– N. gonorrhoeae, C. trachomatis, Trichomonas vaginalis, HSV, Condyloma acuminata.

Reproductive life– Trichomonas vaginalis, Bacterial vaginosis, N. gonorrhoeae, C. trachomatis, HSV, Condyloma acuminata, Genital ulcers.

3. NON SEXUALLY TRANSMITTED INFECTIONS-

Prepubertal- Entrobius vermicularis, Shigellosis, Mixed enteric organisms, Streptococcal and staphylococcus, Candidiasis.

Reproductive life– Candidiasis, PID, Tubo-ovarian abscess, Septic abortion, Puerperal sepsis.

4. POSTOPERATIVE-

Reproductive life– Cryotherapy, Uterine artery embolism.

Postmenopausal- Post hysterectomy vault sepsis.

5. MALIGNANCY OF THE GENITAL TRACT-

Prepubertal- Vaginal adenosis

Reproductive life– Cervical cancer

Postmenopausal- Cervical cancer, endometrial cancer, Vaginal cancer, Vulval cancer, Fallopian tube cancer.

6. ATROPHIC VAGINITIS-

Reproductive life– Following castration/ premature ovarian failure, Post partum atrophic vaginitis due to estrogen deficiency secondary to prolactin excess.

Postmenopausal- estrogen deficiency

7. PYOMETRA (pus accumulation in uterus)-

Reproductive life– Endometritis, Cervical stenosis, Endometrial tuberculosis.

Postmenopausal– Senile endometritis, Endometrial or cervical cancer

8. MISCELLANEOUS-

Prepubertal- Ectopic ureter, Fistula, Meningocele.

Reproductive life– Fibroid polyp, Vulval dystrophy, post radiation

Postmenopausal- Vulval dystrophy, post radiation

9. FOREIGN BODY, ALLERY, CHEMICAL IRRITANTS may also cause vaginal discharge.

HOMOEOPATHIC TREATMENT OF VAGINAL DISCHARGE

Kreasote-

Vaginal discharge profuse watery, sometimes yellowish with acridity; excoriating the parts which come in contact with the discharge

Vaginal discharge causes soreness and smarting and red spots and itching on the vulva, always with great debility; leucorrhoea preceding menses.

It is so acrid that it causes the pudenda and thighs to swell and itch.

Nitric acid-

Corrosive, greenish, foetid, obstinate leucorrhoea; the presence of fig warts and condylomata

Platinum-

Periodical, thin watery leucorrhoea with very sensitive organs. Albuminous leucorrhoea in the daytime. Sensitiveness go vagina would cause increased sexual desire in woman.

Iodine-

acrid, corrosive leucorrhoea accompanied by right ovarian inflammation.

Borax-
clear, copious and albuminous leucorrhoea having an unnatural heat to it. Leucorrhoea midway between menses with great nervousness, white as starch, perfectly bland without pain.

Graphites-

profuse, very thin, white mucus, occurs in gushes, leucorrhoea associated with pains in the lower abdomen and weakness of back in pale young girls. Leucorrhoea more profuse in morning when rising.

Alumina-

Leucorrhoea transparent or of yellow mucus, very profuse and ropy, greatly exhausting, as it is very rich in albumen, occurs chiefly in the daytime.

Calcarea carbonica-

leucorrhoea is profuse, milky, persistent or yellow and accompanied by itching and burning. It suits leucorrhoea in infants and young girls often recurring before puberty, leucorrhoea before menses or in recurring attacks between the menses.

Caulophyllum

leucorrhoea in little girls which is very profuse and weakens the child very much.

Pulsatilla

milky leucorrhoea which becomes watery, acrid and burning from being retained in the vagina. It is a mucous, thick, creamy, white leucorrhoea sometimes replacing menses, with chilliness, disposition to lie down and lowness of spirits.

Weeping is marked.

Sepia

leucorrhoea of yellowish green color, slightly offensive and often excoriating. It is milky, worse before menses with bearing down; there are pains in the abdomen and pruritus.

Lilium tigrinum

excoriating, watery, yellowish or yellowish brown leucorrhoea, which is profuse and is accompanied by bearing down in pelvic region.

Hydrastis

tenacious, thick, ropy leucorrhoea with erosion of the cervix, leucorrhoea which is profuse and debilitating

Kali bichromicum

yellow, ropy, stringy leucorrhoea.

Mercurius-

Acrid excoriating leucorrhoea smarting and burning, swelling of external genital organs.

Purulent greenish yellow leucorrhoea worse at night; heat

Secale-

Brownish and offensive leucorrhoea

There are many more medicines of vaginal discharge in homoeopathy and medicine can be selected only after thorough case taking and individuality of the case.

MANAGEMENT OF THE CASE WITH VAGINAL DISCHAGE-

  1. Educate the patient.
  2. Counsel the patient.
  3. Ask patient to maintain hygiene.
  4. Advice patient to wear cotton and loose fitting undergarments.
  5. Proper whipping technique of the parts.
  6. Keep the area dry.
  7. Treat with applicable medicine.

Homeopathic treatment options in Vasant Vihar!

There are many homeopathic doctors in South Delhi, anyone from Vasant Vihar can go visit these doctors. Dr Jyoti Singh, Tamaria Clinic is a good option for Vasant Vihar residents. Vasant Vihar is mostly populated by diplomats from different countries, because it is located near diplomatic area of chanakyapuri.  Lot of these diplomats visit Tamaria Clinic for homeopathic treatment.

Shimon Barak an Israeli diplomat says “I came to India to study the finance technology market of India in 2016 and was staying in Vasant Vihar in a rented apartment. In the first month of my stay I tried many different food restaurants around my place. Indian food is generally very spicy so after few days I had gastric problem. For few months I tried many medicines but the issue used to resurface again and again. I thought about trying Homeopathic treatment for gastric problem, so searched on internet and found Tamaria Clinic, near to Vasant vihar and almost walking distance from my location. Tamaria Clinic had lot of good reviews and Dr Jyoti Singh is highly rated by her patients. I decided to visit her once to understand if homeopathy can cure my problem. When I went for first time, Dr Jyoti Singh took my case for almost 2 hours. I asked her if she generally devotes so much time on each patient or it’s me only. She told me that it depends on patient to patient, as I am new to India so she wanted to understand in depth about my personality type so that she can give me right dose of homeopathic medicine to treat my gastric issue. I really liked her passion for homeopathy and dedication to her profession. After taking her medicine for 1 week my gastric problem was under control and i again started trying different Indian dishes.”

Choose life – Quit Smoking – Homeopathic Treatment!

Smoking is act or addiction of inhaling and exhaling the smoke of tobacco or any other harmful addictive drug. Smoking is one of the leading causes of preventable death globally. Smoking is not good for the body; not even in passive form.

Smoking causes diminished overall heath, such as self-reported poor health, increased absenteeism from work, and increased health care utilization and cost

The first thing to say is that the health benefits of stopping smoking are so huge that they completely outweigh any risks from side effects .

Smoking causes more deaths each year than all of these combined:

    • Human immunodeficiency virus (HIV)
    • Illegal drug use
    • Alcohol use
    • Motor vehicle injuries
    • Firearm-related incidents

Smoking causes about 90% (or 9 out of 10) of all lung cancer deaths in men and women.1,2 More women die from lung cancer each year than from breast cancer.

About 80% (or 8 out of 10) of all deaths from chronic obstructive pulmonary disease (COPD) are caused by smoking.

Cigarette smoking increases risk for death from all causes in men and women.

Smoking:

  • Harms nearly every organ of the body.
  • Causes many diseases and reduces the health of smokers in general.
  • Quitting smoking lowers your risk for smoking-related diseases and can add years to your life.
  • Inhaling smoke into the lungs, no matter what the substance is, has adverse effects on one’s health.
  • Combustion of tobacco produce carbon monoxide which impairs the oxygen carrying ability of the blood.

INCREASED HEALTH RISK IN SMOKING

Smokers are more likely; than nonsmokers to develop heart disease, stroke, and lung cancer.

  • Smoking is estimated to increase the risk—
    • For coronary heart disease by 2 to 4 times
    • For stroke by 2 to 4 times
    • Of men developing lung cancer by 25 times
    • Of women developing lung cancer by 25.7 times
  • Smoking causes diminished overall heath, such as self-reported poor health, increased absenteeism from work, and increased health care utilization and cost.

INCREASED RISK OF CARDIOVASCULAR DISEASES IN SMOKERS

Smokers are at greater risk for diseases that affect the heart and blood vessels (cardiovascular disease).

  • Smoking causes stroke and coronary heart disease.
  • Even people who smoke fewer than five cigarettes a day can have early signs of cardiovascular disease.
  • Smoking damages blood vessels and can make them thicken and grow narrower. This makes your heart beat faster and your blood pressure go up. Clots can also form.
  • Heart attack occurs when a clot blocks the blood flow to your heart. When this happens, your heart cannot get enough oxygen. This damages the heart muscle, and part of the heart muscle can die.
  • Stroke occurs when a clot blocks the blood flow to part of your brain or when a blood vessel in or around your brain bursts.
  • Blockages caused by smoking can also reduce blood flow to your legs and skin.

INCREASED RISK OF RESPIRATORY DISEASES IN SMOKERS

Smoking can cause lung disease by damaging your airways and the small air sacs (alveoli) found in your lungs.

  • Lung diseases caused by smoking include COPD, which includes emphysema and chronic bronchitis.
  • Cigarette smoking causes most cases of lung cancer.
  • If you have asthma, tobacco smoke can trigger an attack or make an attack worse.
  • Smokers are 12 to 13 times more likely to die from COPD than nonsmokers.

SMOKING PREDISPOSE TO CANCER

Smoking can cause cancer almost anywhere in your body:

  • Bladder
  • Blood (acute myeloid leukemia)
  • Cervix
  • Colon and rectum (colorectal)
  • Esophagus
  • Kidney and ureter
  • Larynx
  • Liver
  • Oropharynx (includes parts of the throat, tongue, soft palate, and the tonsils)
  • Pancreas
  • Stomach
  • Trachea, bronchus, and lung

Smoking increases the risk of dying from cancer and other diseases in cancer patients and survivors.

SMOKING CAUSES MANY OTHER HEALTH RISKS

Smoking harms nearly every organ of the body and affects a person’s overall health.

  • Smoking can make it harder for a woman to become pregnant and can affect her baby’s health before and after birth. Smoking increases risks for:
    • Preterm (early) delivery
    • Stillbirth (death of the baby before birth)
    • Low birth weight
    • Sudden infant death syndrome (known as SIDS or crib death)
    • Ectopic pregnancy
    • Orofacial clefts in infants
  • Smoking can also affect men’s sperm, which can reduce fertility and also increase risks for birth defects and miscarriage (loss of the pregnancy).
  • Smoking can affect bone health.
    • Women past childbearing years who smoke have lower bone density (weaker bones) than women who never smoked and are at greater risk for broken bones.
  • Smoking affects the health of your teeth and gums and can cause tooth loss.
  • Smoking can increase your risk for cataracts (clouding of the eye’s lens that makes it hard for you to see) and age-related macular degeneration (damage to a small spot near the center of the retina, the part of the eye needed for central vision).
  • Smoking is a cause of type 2 diabetes mellitus and can make it harder to control. The risk of developing diabetes is 30–40% higher for active smokers than nonsmokers.
  • Smoking causes general adverse effects on the body. It can cause inflammation and adverse effects on immune function.
  • Smoking is a cause of rheumatoid arthritis.

QUITTING SMOKING WOULD PREVENT YOU FROM RISK OF MANY DISEASES

  • Quitting smoking cuts cardiovascular risks. Just 1 year after quitting smoking, your risk for a heart attack drops sharply.
  • Within 2 to 5 years after quitting smoking, your risk for stroke could fall to about the same as a nonsmoker’s.
  • If you quit smoking, your risks for cancers of the mouth, throat, esophagus, and bladder drop by half within 5 years.
  • Ten years after you quit smoking, your risk for lung cancer drops by half.

MANAGEMENT OF A CASE OF SMOKING

AS A PARENT:

  • Set an example for you child as teen smoking is more common in teens whose parents smoke. So quit smoking for your child.
  • Tell your child that smoking is not allowed and don’t take it casually.
  • Understand your child and his attractions so that he can overcome the peer pressure in his group and stand up to say no to smoking.
  • Make your child understand that the money he is spending on his addiction can make him buy other interesting things of his use.
  • Be with your child and help him quit smoking by giving your support.

AS A DOCTOR:

  • Inform the patient about ill effects of smoking.
  • Keep regular sessions for counseling the child for smoking cessation.
  • Ask-advise-assess-assist-arrange.
  • Talk to the child about his feelings and issues which made him smoke for the first time.
  • Motivate the child to quit smoking.
  • Homeopathy also has effective medicines for helping the patient quit smoking:
  • TABACUM (relieve terrible craving for tobacco when discontinuing use)
  • IPECAC
  • ARSENIC ALB
  • NUX VOMICA
  • PHOSPHOROUS
  • IGNATIA
  • CLEMATIS
  • PLANTAGO
  • SEPIA
  • LYCOPODIUM
  • GELSEMIUM

Homeopathy would help the smoker in withdrawal of smoking, smokers hangover, headache caused by smoking, vasoconstriction by smoking, pain in stomach, constipation, palpitation, withdrawal symptoms like intense nicotine craving, tingling in feet and hands, sweating, nausea, abdominal cramps, insomnia, depression, weight gain.

Mollascum contagiosum treatment using homeopathy!

MOLLASCUM CONTAGIOSUM
Mollascum contagiosum is a viral infection caused by mallascum contagiosum virus characterized by presentation of small, pink, water filled, pink lesions with a dimple at the centre with occasional itch or sore and may be present singly or in groups.
The disease is self-limiting though take years sometimes to get resolved.
The condition is contagious and may spread through direct contact or via contaminated objects and lesion may spread to other areas of the body parts by touching the parts after scratching the lesion.
Though it is a self limiting disease, cryotherapy is advised but it is not an ideal way.

HOMOEOPATHY & MOLLASCUMS
Homoeopathy can remove the lesions early and can help overcome the associated symptoms like itching, soreness and pain.
Few medicines for mollascums are- merc sol, thuja, graphites, sulphur, nitric acid.
But medicines should always be taken under guidance of qualified homoeopath as self medication may complicate the disease and make it worse.

Menstrual disorders in adolescent girls!

Phase of transition from childhood to adulthood

Constitute about one fifth of India’s population

Adolescents constitute a diversified group- School vs college going, married vs unmarried, educated vs uneducated, rural vs urban, different cast/ religion/ localities.

Broadly important problems of adolescents are :

  1. Body image issues – Rapid change in the bodies frequently make them compare with one another and may result in some psychological problems.
  2. Nutrition – due to gender discrimination girls are affected more by malnutrition and anemia which later have adverse affects on pregnancy and to newborn.
  3. Menstrual disorders :-
  • AUB (Abnormal uterine bleeding)- refers to bleeding that is excessive or occurs outside the normal cyclic pattern. The most common cause of AUB in the first 19 months after menarche is anovulatory cycles due to immaturity of the hypothalamic- pituitary- ovarian axis. Some other common causes may be related to stress, eating disorders, bleeding disorders & endocrine disorders like hypothyroidisms/ PCOS.

 DEFINITION :- Any change in the :

        Frequency of menstruation (24 – 35)

         Duration of flow (4 – 7 days) or

        Amount of blood loss (5- 80 ml)

 

 Traditional terms describing abnormalities of menstrual bleeding:-

           Amenorrhea – absent menses

           Oligomenorrhea – infrequent menses, occurring at intervals > 35 days

           Polymenorrhea – frequent menses, occurring at intervals < 24 days

           Metrorrhagia – menses occurring at irregular intervals

Menorrhagia or hypermenorrhea – abnormally long or heavy menses, lasting  > 7 days       or involving blood loss > 80 ml

 

Causes :- ovulatory dysfunction ( hypothalamic- pituitary- ovarian axis )

             – pregnancy related complications

             – bleeding diathesis ( thrombocytopenia, von Willebrand disease or leukemia )

             – infections

             – stress (psychogenic, exercise induced )

Management : oral hematinics to correct anemia, hemostatics (tranexamic acid), weight reduction if obese, hormones 9 cyclic progestrones, OCPs), treating underlying cause

  • Amenorrhoea
  • Primary amenorrhoea – the absence of menstruation by age 16 yrs in the presence of secondary sexual characterstics or by age of 14 yrs  in the absence of secondary sexual characterstics. Causes : congenital abnormalties in the development of ovaries/ genital tract or external genitalia….. Disturbance of the normal endocrinological events of puberty (40%).
  • Secondary amenorrhoea- the absence of 3 or more subsequent menstrual periods with formerly regular cycles. Cause : pituitary gland tumor,, an overactive thyroid gland, PCOS, obesity, stress, heavy exercise, low body fat.
  • Management – treatment of underlying cause
  • DYSMENORRHEA (painful periods/ menstrual cramps) one of the most common gynaecological SYMPTOM that affect the quality of life of women. the term dysmenorrhea is derived from greek words dys – painful/ abnormal; meno – month and rrhea – to flow.

PRIMARY DYSMENORRHEA

Dysmenorrhea is primary when it occurs in the absence of co-existent pelvic pathology. It is due to excessive levels of prostaglandins (hormone ) which stimulates uterine contractions and vasoconstriction (the constriction/narrowing of the blood vessels) which potentiate myometrial (the middle layer of the uterus) ischemia (inadequate blood supply) causing pain.

Age at onset : 16–25 yrs

Onset of pain (spasmodic) is just prior to menstruation.

usually self-limited.

SECONDARY DYSMENORRHEA

Dysmenorrhea is secondary when there is an identifiable anatomic or macroscopic pelvic pathological condition. There may be associated vaginal discharge, dysperiunia (painful sexual intercourse), menorrhagia (heavy bleeding at menstruation).

Age at onset : 30- 45 yrs

Onset of pain : Pain (congestive) increases through the luteal phase (before period starts) peaking at onset of menstruation.

Secondary dysmenorrhea may arise from a number of underlying pathological conditions.

COMMON CAUSES

  1. Endometriosis
  2. Pelvic Inflammatory Disease ( Infections)
  3. Adenomyosis
  4. Intrauterine polyps
  5. Submucosal fibroids
  6. IUCDs

LESS COMMON

– Congenital uterine abnormalities

– Cervical stenosis

– Asherman syndrom

– Chronic ectopic pregnancy

– Pelvic congestion syndrome

– Ovarian cysts or neoplasms

RISK FACTORS FOR DYSMENORRHEA

Young age, early menarche, heavy menstrual flow, nulliparity (state in which a woman has never carried a pregnancy), smoking, depression, anxiety, stress.

MANAGEMENT

Treatment of dysmenorrhea is aimed at providing symptomatic relief as well as inhibiting the underlying processes that causes symptoms.

Primary dysmenorrhea respond to

  1. NSAIDs (nonsteroidal anti-inflammatory drugs, blocking production of prostaglandins) that provide analgesic (pain-killing) and anti-inflammatory effects eg: aspirin, ibuprofen and naproxen. Should be offered as first line treatment for pain relief.
  2. COCs (combined oral contraceptives) are commonly used as a second line therapy when NSAIDs are ineffective, poorly tolerated or contraindicated. COCs inhibit ovulation and endometrial tissue growth, thereby decreasing prostaglandin release. Contraception is the additional benefit of COCs.

Treatment of Secondary dysmenorrhea must address the underlying disease ( cyst removal/ removal of submucosal fibroids/polyps etc ). Secondary dysmenorrhea may be resistant to NSAIDs and COCs.

 

PCOS is the most common endocrine (hormones) syndrome affecting women of reproductive age. It is more prevalent in obese women (28%) than those who are lean.

The effects of PCOS manifest via deranged hormonal profiles, excess of circulating androgen (free testosterone) , increase LH, decrease FSH, Insulin resistance, decrease SHBG (sex hormone binding globulin is a glycoprotien that binds to the two sex hormones:androgen and estrogen).Obesity induced insulin resistance causes an exacerbation of all the symptoms of PCOS.

Lifestyle modification, including a minimum of 30 min of moderately intense exercise at least 3 days per week and dietary interventions is the first line treatment. A weight loss of 5–10% has been shown to decrease testosterone concentrations, increase SHBG, normalize menses and improve fertility in women with PCOS. Prevention of excess weight gain should be emphasized in all women with PCOS with both normal & increased body weight.

  • Endometriosis : endometriosis defined as presence of estrogen dependent endometrial like tissue found outside uterus resulting in sustained inflammatory reaction. Adolescent girls suffering from chronic pelvic pain 70-80% are reported to have endometriosis. The diagnosis is often delayed in the adolescent girls for a period of more than 6-8 yrs if high index of suspicion is not there. To be suspected in adolescents when they have severe dysmenorrhea interfering with daily activities not responding to NSAIDs and OCPs.

               Management – continous use of OCPs, progestin, GnRH agonists are used only for girls  beyond 16 yrs, LNG- IUS  can be used in sexually active adolescents.

  • PREMENSTRUAL SYNDROME – A condition which manifests with distressing physical, behavioral and psychological symptoms in the absence of organic or underlying psychiatric disease, which recurs regularly during the luteal phase of each menstrual cycle and disappears or significantly regresses by the end of each menstruation.

          PMDD – Premenstrual dysphoric disorder, a severe subtype of PMS.

            Symptoms of PMS and PMDD :

 

Symptoms associated with PMS and PMDD
Physical Psychological and behavioral
Abdominal bloating, weight gain Anger, irritability
Breast tenderness or fullness anxiety
Cramps, abdominal pain (overeating/ food craving) Changes in appetite
fatigue Decrease in concentration
headache Depressed mood, mood swings
nausea Changes in libido
Swelling of extremities Increased or decreased sleep

 

Grading of severity

  • Mild – symptoms do not interfere with personal/ social and professional life.
  • Moderate – symptoms interfere with personal/ social and professional life, however the individual is still able to function and interact.
  • Severe – individual is unable to interact personally/ socially/ professionally – withdraws from social and professional activities

Management – dietary calcium and vitamin supplements, antidepressants, oral contraceptives, GnRH.

Cure bed wetting in child using homeopathy!

Bed wetting also known as nocturnal enuresis is a condition in which there is involuntary urination during sleep. It is normal till age of 5 years but is a thing to worry if the child passes urine in bed during sleep after the age at which bladder control usually occurs.

The child with this problem usually have increases production of urine at night, poor sleep arousal and/or reduced bladder capacity and may also have increased frequency of urine in daytime also with incontinence of urine or urgency.

TYPES OF NOCTURNAL ENURESIS:

  • Primary
  • Secondary

Primary nocturnal enuresis is when the child has not attained control over bladder for long that is has not stayed dry for prolonged period in bed. Secondary nocturnal enuresis on the other hand is when the child or sometimes adults begin to pass urine in bed again during sleep after having stayed dry for a period of time.

CAUSES:

  • Delayed neurological development is a cause of nocturnal enuresis in which the child is delayed in developing or learning to stay dry and have no pathology.
  • Family history of the child with parents who suffered from enuresis have increased risk to have enuresis.
  • Hormonal imbalance of anti diuretic hormone which regulated urine production also cause increased secretion of urine beyond child’s bladder holding capacity.
  • Children with attention deficit hyperactive disorder also have increased risk of bed wetting.
  • Caffeine also increase urine production.
  • Constipation may also cause involuntary urination as loaded bowel would exert pressure on bladder causing enuresis.
  • Urinary tract infection may also cause enuresis.
  • Psychological issues also cause involuntary urination in child. Fear, anxiety, stress, death in family, sexual abuse, scolding, bullying, sadness may cause child to pass urine in bed.
  • Type 1 diabetes mellitus cause polyuria thus may cause involuntary urination in bed.
  • Heavy sleeping and improper toilet training also cause enuresis.

MANAGEMENT:

  • Understand the cause and explain it to the parents
  • Motivate the child with positive attitude to stay dry
  • Punishing the child will never help
  • Making the child toilet trained would also help.
  • Encourage the child to void urine on waking up at night, every 2 hours in day, before going to bed, before leaving the house and in school. At school also child should be encouraged to void urine frequently and empty the bladder completely.
  • Holding of urine should be discouraged.
  • Child should be taught to drink optimum amount of water in 24 hours so that his body is well hydrated so that the child is not too thirsty before bedtime.

HOMOEOPATHY AND NOCTURNAL ENURESIS

Homeopathy has many medicines which can help the child to get rid of bed wetting; sepia, kreosotum, staphasagria, graphites, sulphur, nature mur, tuberculinum, calcarea carb are few medicines.

But along with medicines counseling of parent and child is very important to know the cause of the problem and also to help the child and parents to overcome the situation as behavioral modification can help the child to get relieved and have dry nights.

Homeopathic medicine along with counseling would help solving the problem along with removal of the underlying cause.

Treat recurrent tonsillitis in your child with homeopathy!

Tonsillitis most commonly affects children between preschool ages to mid-teenage years. Recurrent tonsillitis has become one of the major cause for absence of children from school now a days. Parents visit the pediatrician frequently due to their child falling sick every fortnight.

Tonsils are two oval shaped tissue pads at the back of the throat (one on each side) which act as the first line of defense against bacterias and viruses that enter the mouth and thus make tonsils vulnerable to catch infection and get inflamed which decreases as the child grows up thus the chances of infection also decrease with age.

Tonsillitis means inflammation of tonsils.

CAUSES OF TONSILLITIS:

#viral

#Bacterial (most common streptococcus pyrogens)

SYMPTOMS:

  • Sore throat
  • Difficulty or painful swallowing
  • Fever
  • Bad breath
  • Hoarseness of voice
  • On examination tonsils are red, swollen and white or yellow coating or patches may be seen on the tonsils along with enlarged lymph nodes in the neck region.

The child would refuse food on account of pain while swallowing.

RISK FACTORS OF TONSILLITIS include young age (5-15 years) and during school years as exposure to germs is maximum during school age due to close contact to other children.

COMPLICATIONS include peritonsillar abscess (collection of pus behind the tonsil), spread of infection to surrounding tissues.

TESTS:

Throat swab

CBC

TREATMENT

Homoeopathy is a rapid, gentle way to health and is very effective in treating diseases of children. There are many homeopathic medicines which not only help the child getting relieved from the current infection but also would boost his immunity and prevent from recurrent infection. Thus the child is able to live a healthy life, is able to grow and develop well.

Homoeopathic medicines which are very effective in treatment of recurrent tonsillitis include- baryta carb, merc sol, silicea, sulphur, graphites, agraphis, hear sulph, psorinum, calcarea carb, tuberculinum etc.

Medicines often help the child to lead a near normal life and medicines are chosen depending on the presenting case.