Saturday, 15 October 2011

Weight Gain

The weight gain is an important issue of discuss in everyones life.. Even mine too.. The first thing someone ask us while meeting us after few weeks even is about weight only mostly.. may be gain or loss..Either of is important for us.

Weight of the person depends mainly on the nourishment and genetic background of him.. Most of us have normal weight gain during our life time but mostly occurs in the Toddler period and the adolescent and young adult periods of our life time....

Whatever may be the thing weight for height in terms of BMI(Basic Metabolic Index) plays a vital role in determining whether ta person is obese or not..


BMI=     Weight in Kilograms     
          Square of  Height in metre


BMI values...
                      <16           - Severely Underweight
                        16-18.5    -Underweight
                       18.5-25    -Normal
                       25-30      -Overweight
                       30-35      -Obese class I
                       35-40      -Obese class II
                       >40        -Obese class III


The rapid weight is normal only pregnancy that too to a certain extent only....Otherwise its mostly abnormal and has a deleterious effect on us.. Mostly Increased weight gain is due to over eating or over feeding, hypothyroidism,sedentary work,High carbohydrate and fat diet mostly junk foods..This will lead on to obesity which is the most deadly disease for man kind causing lots of diseases consequently like atheroslerosis,Myocardial infarction,hypertension,stroke,diabetes mellitus ....

The only best way for prevention and treatment weight gain is a mixed balanced diet(based on the requirement for the concerned person depending on his type of work ) with adequate exercise..
Surgical treatment of morbid obesity is Liposuction. Liposuction yield good results physically immediately but has to be maintained through strict diet and exercise





Thursday, 13 October 2011

Pregnancy

The thing that prevents the extinction of us and one of the things we humans r good at... It is a gift for the females.

It is the result of the successful fertilisation of the ovum by the sperm.. The earliest symptom of pregnancy is missing of the consecutive menstruation. But this is not a sufficient symptom,there many other signs and diagnostic tests to confirm pregnancy.


    Preg-card
  • Simple and the reliable test is the urine preg-card test that can detect pregnancy as early as 4-6weeks.It is based on the fact that in pregnancy there is rapid increase in the beta-HCG levels that can be detected in urine.
  • One more confirmatory test is the Ultrasound investigation .. There will be an gestational sac that can be detected by this from 4th week of gestation... Many signs are the ultrasound findings confirming the diagnosis
  • Ultrsound finding
  • Symptoms on the patient side include early morning vomitting,fetal movements etc
Precautions during pregnancy:

  • Avoid self medication even for simple ailments.
  • Avoid intercourse beyond 3 months of pregnancy
  • Compete routine medical consultations
  • Simple exercises
  • More fluid intake
  • Listen and follow instructions from ur doctor that is the important thing

Sunday, 9 October 2011

Hair loss

This is the only problem that every man worry about atleast once in a month.... It starts to occur commonly during the early twenties but may vary .... 
The main cause is hereditary but few more causes may be
  • Improper care
  • pollution
  • mal nourishment
  • stress
  • fungal infection
  • iatrogenic (mainly chemotherapy)
  • unknown reasons
Some extent of frontal hair line regression is common in males due to the testosterone which is unpreventable.

The loss over the vertex is mostly hereditary can be reverted to some extent medically ( commonly used is minoxidil) .. but there too will be an initial increased loss followed by growth .. takes around 3 to 4 months of continuous application ...

But when there is only temporal hair is remaining its best go for hair implantation nothing else could be fruitful.



Common infections like taenia and dandruff can cause temporary hair loss.. hair growth occurs soon after treating the cause ....



In females baldness is not that common ,  may be due to 
  • hereditary
  • post menopause
  • chemotherapy for various auto immune diseases, cervical cancers that are common in females

Saturday, 1 October 2011

Sinus

It refers to cavity that may contain suppurative fluid, blood or just air  like in case of those in our skull.

In day to day life a doctor will come across atleast 5 patients or persons complaining to have a sinus problem...
Normally there are air cavities in the skull of us to reduce the weight of our comparitively  large head resting on small joints of the cervical vertebrae.

There is also a blood filled cavities in our cranial cavity besides brain like cavernous sinus,superior saggital, sigmoid ....

But the commonly referred by the patient is the sinuses in the skull.

Most unbearable pain is the headache which is the common complaint of the patients sinusitis...To be honest I m a victim of it... It is the inflammation of the mucosa lining the cavity .. It is not so bad that it shouldnt get inflammed, it is recurrent beyond recovery that causes the disease.
Pollution is a most important cause.
But my opinion is that we cant blame other factors inspite of we ourselves helping the disease to occur..Yes ..just think of the life style .. we are becoming more and more sedentary so we breathe partially only i m the force respiration.. To make it more clear these sinus lined by mucosa secretes mucus,that is cleared by the ciliary action but this action has to be helped by respiration... this brought about by the negative force created in the nasal cavity during inspiration that creates a suction force and during expiration the air is flushed in to these cavities thus  helping in the clearing of the secretion mainly in the maxillary sinus in which the clearing should occur against gravity. It is easily flooded with secretions causing a focus for micro organisms that will further augment inflammation and destruction of the cilia which creates vicious cycle...
The symptoms of sinusitis is Headache,nasal puffiness,fever ,rhinorrhoea..
The treatment include anti histaminics to reduce secretion, NSAIDs to give symptomic relief .. Acut conditions mostly requires addition of antibiotics...
FESS
In chronic conditions surgery (FESS- Functional endoscopic sinus surgery)  is needed. this is done to improve the drainage of the sinus