Wednesday, July 15, 2015

20 Breastfeeding Benefits for Mom and Baby

1. A healthier baby
“The incidences of pneumonia, colds and viruses are reduced among breastfed babies,” says infant-nutrition expert Ruth A. Lawrence, M.D., a professor of pediatrics and OB-GYN at the University of Rochester School of Medicine and Dentistry in Rochester, N.Y., and the author of  (Elsevier-Mosby). Gastrointestinal infections like diarrhea—which can be devastating, especially in developing countries—are also less common.

2. Long-term protection, too
Breastfeed your baby and you reduce his risk of developing chronic conditions, such as type I diabetes, celiac disease and Crohn’s disease.

3. Stronger bones
According to Lawrence, women who breastfeed have a lower risk of postmenopausal osteoporosis. “When a woman is pregnant and lactating, her body absorbs calcium much more efficiently,” she explains. “So while some bones, particularly those in the spine and hips, may be a bit less dense at weaning, six months later, they are more dense than before pregnancy.”

4. Lower SIDS risk
Breastfeeding lowers your baby’s risk of sudden infant death syndrome by about half.

5. Fewer problems with weight
It’s more likely that neither of you will become obese if you breastfeed him.

6. A calorie incinerator
You may have heard that nursing burns up to 500 calories a day. And that’s almost right. “Breast milk contains 20 calories per ounce,” Lawrence explains. “If you feed your baby 20 ounces a day, that’s 400 calories you’ve swept out of your body.”

7. It’s good for the earth
Dairy cows, which are raised in part to make infant formula, are a significant contributor to global warming: Their belching, manure and flatulence (really!) spew enormous amounts of methane, a harmful greenhouse gas, into the atmosphere.

8. Better healing postdelivery
The oxytocin released when your baby nurses helps your uterus contract, reducing postdelivery blood loss. Plus, breastfeeding will help your uterus return to its normal size more quickly—at about six weeks postpartum, compared with 10 weeks if you don’t breastfeed.
9. Less risk of cancer
Breastfeeding can decrease your baby’s risk of some childhood cancers. And you’ll have a lower risk of premenopausal breast cancer and ovarian cancer, an often deadly disease that’s on the rise.

10. An unmatched feeling of power
“It’s empowering as a new mother to see your baby grow and thrive on your breast milk alone,” Lawrence says.
11. A custom-made supply
Formula isn’t able to change its constitution, but your breast milk morphs to meet your baby’s changing needs. Colostrum—the “premilk” that comes in after you deliver—is chock-full of antibodies to protect your newborn baby. “It’s also higher in protein and lower in sugar than ‘full’ milk, so even a small amount can hold off your baby’s hunger,” says Heather Kelly, an international board-certified lactation consultant in New York City and a member of the Bravado Breastfeeding Information Council’s advisory board.
When your full milk comes in (usually three to four days after delivery), it is higher in both sugar and volume than colostrum—again, just what your baby requires. “He needs a lot of calories and frequent feedings to fuel his rapid growth,” Kelly explains. “Your mature milk is designed to be digested quickly so he’ll eat often.”

Constipation in Children


Constipation is a condition of improper bowel movement. Usually the child experiences pain and has a hard time passing dry and hard stool. In normal condition there is no pain while passing the stool and it has a soft texture. The bowel movement is also regular. A child having constipation not only finds it difficult to pass stool, but at times will feel the urge to pass and when he goes to the toilet, he cannot relive himself.
The digestive system is responsible from the intake of the food to the smooth passage of waste. The food or fluids are consumed from the mouth, which heads towards the stomach via the food pipe. After the stomach treats the food with acid, it passes on to the small intestines and then to the large intestines, also known as bowels. The final stage of food digestion is the outlet through of the waste through the anus and rectum. During the whole processing, the body parts absorb nutrients and water from the food supplied to them. The left over matter comes out as waste.
It is a myth among some people who say that an individual is constipated if he or she doesn’t pass stool on a daily basis. But the truth is that the bathroom habit differs from one individual to other. So if constipation is to be checked the regular pattern of bathroom habit of that particular individual must be checked and the comparisons must not be made with the other.
Other than not passing stool regularly, the child feels full most of the times and is a little uncomfortable. The belly can also feel stretched because of the full feeling. The child makes great effort to pass and the experience is very painful. Even after passing, the child may feel the urge of passing more stools. Because of the hard stool, it cause small tears in the anus skin and there will be little blood on the toilet paper. The child should immediately tell this to his parents, who can take care of the situation immediately.  Some kids who have a worse condition will pass watery stool, something similar to diarrhea, and mucus along with the hard stool.
Constipation in ChildrenConstipation is becoming more and more widespread because of the unhealthy diet pattern followed by most of us today. With the trend of fast food, other fatty, starchy and sugary foods, children aren’t getting the required amount of fiber, which in turn slows down the bowels. It is the responsibility of the parents to make their children eat fiber enriched foods such as vegetables, fruits, and whole grains. Along with eating food rich with fiber, it is also a must to drink enough fluids. Water is the best fluid for this condition. Fluids help to soften the stool and allow smooth passage within the intestine. Insufficient intake of fluids makes the stool dry and hard. Children are becoming more stagnant because of video games, internet and television, which are leaving them with little or no time for physical exercise. Exercise helps the food to move through the digestive system. Lesser active play time and physical activity is also a major cause of constipation. Medicines should be avoided and should be taken only when doctor recommends them.

Stress and anxiety can play havoc over the digestive system. School going kids are usually stressed out because of the homework, assignments, and exams. An adult can talk the kid out of the stress. Children, who have the irritable bowel syndrome or IBS, worsen their condition because of stress. Spicy and fatty foods can also act as triggers, along with the stress. Kids having this syndrome might even experience gas and belly pain.  Sometimes children avoid going to the bathroom when they feel the need for. Usually unclean restrooms keep children away. But when the nature’s call is neglected, it becomes harder to go at a later time. In very rare cases, medical conditions such as lupus, diabetes and thyroid gland malfunctioning can also lead to constipation.

Stomach Flu in Children


Stomach flu or gastroenteritis is a kind of infection in the digestive system, especially the stomach and intestines. Causes for this condition are parasite, bacteria, or virus infection spread through contaminated food and fluids. It can also be caused by certain toxins present in some plants & seafood, usage of powerful laxatives in order to cure constipation or because of intake of poisonous heavy metal or food. The problem starts with stomach upset and cramps. The child shows disinterest in eating and feels week.  Symptoms of stomach flu are diarrhea and vomiting, which take nearly five days to go away. Sometimes, even fever can accompany along with dehydration.
The child must be given fluids regularly as this will suppress other symptoms from emerging because of loss of water from the body.  Loss of water and salt from the body is the biggest risk in stomach flu. Dehydration can not only worsen the condition, but can threaten the life of the child, if it isn’t taken care of in the early stages. Since there is loss of salts along with the loss of water from the body, plain water won’t do much. Oral rehydration solutions which are available at the local grocery or drug store, is a good idea because it has the correct combination of salts, sugar and water which can hydrate the body. These fluids come in different flavor, so that kids can have their favorite flavor and is easy to consume. The solution shouldn’t be added with anything else such as sugar or water.
If a child is vomiting, solution can be administered to him using a teaspoon every two minutes. The quantity can be increased gradually. If the vomiting is more frequent, the child can be made to suck ice chips in order to supply constant fluid to the body. The solution should be given till diarrhea comes to a halt, but it is not advisable to continue it for more than twenty four hours. Some of the fluids such as soft drinks, sports drink, apple juice, tea, or chicken broth contain wrong amounts of salt, sugar & water and can make matter worse. Besides fluids, the parent shouldn’t give any type of medicine without consulting a pediatrician. Fried, spicy and sugary foods aren’t good in this condition. If the child isn’t receiving sufficient amount of fluids he/she will show signs such as sunken eyes, dry mouth, intense thirst, unusual sleep patterns, and decrease in urine.
The more the bed rest taken by the child the better it is. The child should take complete bed rest for at least twenty four hours or till the diarrhea and vomiting stops. If the child has fever, the temperature should be checked and noted in a log, every four hours. If the temperature is very high and doesn’t stop climbing, the doctor should be contacted immediately. The person who is preparing and serving food to the child should wash his or her hands very carefully before doing so. Also, if the diarrhea and vomiting doesn’t stop after twenty four hours, it is a must to get a doctor’s appointment. The child should be rushed into emergency if the vomiting contains blood or green color substance.

The doctor, after doing stool and blood test, prescribes antibiotics if infection is suspected. Along with it, anti nausea medicines are also given to stop the throwing up and control fluid loss. If there is considerable loss of fluids from the child’s body, the child might be admitted into the hospital and will be administered with fluids such as glucose or IV, through a tube connected to the child’s veins. If the child has fever, temperature is checked and the doctor would ask about information about the temperature pattern, for which the parent should be ready.  If the illness is stretched for days, a log about the information about the daily weight should also be given to the doctor. Sometimes, the blood oxygen levels would also have to be checked with the help of a pulse oximeter.

Exercise and Arthritis


Your bones hang out in a lot of joints. Knee joints. Hip joints. The joints in your fingers and the joints in your toes.
Wherever bones meet, there is also cartilage, a rubbery, protective layer that ensures your joints bend smoothly and painlessly. But even cartilage cannot do this tremendous job alone. A thin membrane called the “synovium” provides fluid that lubricates the moving parts of the joint. When the cartilage wears out of the synovium becomes inflamed, the result is generally a case of “osteoarthritis” or “rheumatoid arthritis.”
In osteoarthritis, the cartilage can be eroded so much that bone does rub on bone. Thos type of arthritis develops gradually over a lifetime as a simple result of the wear and tear placed on your joints over the years. Very few people escape some degree of osteoarthritis, though the severity varies a great deal.
As a matter of fact, if you are over the age of 50, you are likely to have at least one joint affected by osteoarthritis. Osteoarthritis affects men and women equally and is by far the most common type of arthritis, with almost 16 million Americans in the list.
In rheumatoid arthritis, damage to the synovium is at the source of trouble. Doctors and researchers are not absolutely sure what causes it, but most think that rheumatoid arthritis is a disease in which the immune system actually attacks certain tissues in the body, including those that connect the joints and the synovium.
Rheumatoid arthritis begins with swollen, red, stiff, and painful joints, but it may progress until scar tissue forms in the joint or, in extreme cases, until the bones actually fuse together. Almost 75% of the 2 million people with rheumatoid arthritis in the United States are women. The disease can hit as early as teen years.
Exercising Your Prevention Options
arthritic_joints
Investing a little time in developing a good weight-bearing low-impact exercise and stretching plan can add up to great results when it comes to staving off arthritis pain. Strong muscles help protect the joints from wear and tear, and the movement keeps joints flexible.
That is why the quest for fitness is at hand, even if you are 50 years and over. However, most Americans over 50 are still right where they always were sitting back and watching others jog by. Most of them contend that that is just for people who have been athletic all their life, or some say exercise is for young people and engaging into exercise will do them more harm than good.
There are still some that insist on excusing their selves in exercise routines because they do not just have time or they have less energy than ever before. These are all lame excuses. Hence, it is time to start to get rid of those pains. Start exercising.
Consequently, preventing arthritis is not an exact science, but physicians have discovered a few ways to lower your risk. Here is how:
1. Do not weight around
The single most important measure anyone can take to prevent osteoarthritis of the knee is to lose weight if they are overweight. Extra weight puts extra stress on your knees. If you are 10 pounds overweight, for example, you put 60 pounds per square inch of extra pressure on your knees every time you take a step. That extra pressure can slowly but surely erode the cartilage in your knees, leading to arthritis.
A study has clearly supported the theory that weight loss weighs in on the side of prevention. In the study, overweight women who lost 11 pounds or more over a 10-year period decreased their risk of developing osteoarthritis of the knee by 50%.

2. Stretch those muscles
Any kind of stretching is good as long as you do not bounce, which can lead to a muscle pull. This is according to some of the professors of clinical medicine in New York City.
Try to hold a slow, steady stretch for 15 to 20 seconds, then relax and repeat. It is best to flex up by stretching before any exercise, especially running and walking. But it is also a good idea to stretch each day. Ask your doctor to teach you stretches that focus on potential arthritis trouble spots, such as the knees or the lower back.
3. Walking is always the best exercise
Take a good long walk at least three times a week or participate in a step-aerobics or low-impact exercise routine maximum results. There is no proof that running is bad for the joints, but remember, it may aggravate an injury if you already have one. Just remember to check with your doctor before starting a new exercise program.
The bottom line is that of all the healthful habits, exercise is the most important. This is because people are designed to be active. Hence, it is really important for people to exercise in order to stay healthy and keep those joints free from wear and tear.
Just keep in mind that the unexercised body, even if free from the symptoms of illness or problems like arthritis, is not at its full potential. Hence, start exercising right now!

Pneumonia in Children

Pneumonia is the infection of the either one lung or both. When both the lungs get infected it is known as double pneumonia. When the pneumonia is mild enough that the visit to the doctor can be avoided and the child can carry out daily activities normally, it is known as walking pneumonia.
The lungs are an important part of the respiratory system. The air which is breathed in contains oxygen, which is filtered by the lungs. This oxygen then is carried around the body with the help of blood which is passed from the breathing tubes by the alveoli. Capillaries or the minute blood vessels are surrounded by small air sacs known as alveoli. There are over six hundred million alveoli in the human body. The air which is taken in is supplied to the alveoli; the oxygen extracted from the air is dissolved in the blood. Then it is the job of the red blood cells to distribute the oxygen to all the body parts. Oxygen is vital in the proper functioning of the human body and insufficient supply of oxygen can damage the organs and sometimes can be life threatening. This functioning is disturbed when the lungs get infected by pneumonia.
Pneumonia in children does not allow the lungs to function properly, because the infection produces fluid which obstructs the alveoli. In turn the oxygen does not penetrate deep inside the lungs and lesser oxygen is supplied to the blood. The breathing is affected and the condition worsens when both the lungs get infected with pneumonia.
People of all ages from infants to old could get affected with pneumonia. It is a myth among people that getting wet makes the person catch pneumonia. But it is actually the virus or the bacteria which causes the infection. When a person infected with flu or cold faces a deterioration in his/her condition, he/she can be infected with pneumonia. This happens because the irritation caused by the flu or cold helps the pneumonia germs to get into the lungs easily and move around to spread the infection.

The virus or bacteria which cause pneumonia can cause damages, whose severity can depend on the health of the child. If the infection is caused by bacteria, the child will get sick very soon and can get high temperature fever accompanied with chills. Pneumonia caused by virus develops very slowly and it takes longer time to go away. The child can also experiences cough, chest pain, headache, and or muscle ache. It can also make it difficult to breath, so the child will start to breath faster which may make him cough out gloppy mucus. The child would have to totally abstain from eating.
When given the right treatment, the child can recover fully. The doctor will first examine the heartbeat and breathing with the help of the stethoscope. The stethoscope also helps to check the lungs, the sounds made by the lungs help to determine if it contains any fluids. Sounds such as crackling or bubbling are indications of pneumonia. Chest X-ray will be taken too. White patchy area will show fluid buildup. By looking at the X-ray, the doctor can also determine whether the infection is caused by bacteria or virus. If it is caused by bacteria, antibiotics will be prescribed. And if it is difficult for the child to swallow the medicine or to retain it inside, he/she will be injected with IV fluid. And if virus is responsible for the infection, antibiotics won’t work. Fever reducers, along with cough medicine, will be given in this case. The medicines will be of no use, if the child doesn’t take adequate rest and plenty of liquids.
Shots can be taken to prevent pneumonia. These series of shots are called pneumococcal. Regular flu shots can also prove helpful, especially for kids who have asthma or other kinds of lung infection. Rest and sleep also strengthens the immune system. Washing hands regularly can keep harmful germs at bay.

Monday, March 30, 2015

BAD BREATH (Mouth Odor)


Causes of bad breath ?

Bad breath is a common health problem which greatly affects the day to day activities of so many people. The offensive odor from the mouth is unpleasant to those who come in close contact with bad breathers. The problem will be doubled by psychological trauma leading to depression. The sufferers from this problem wil be isolated from the society. This can even lead to marital disharmony.

Literally speaking all human beings are bad breathers. Oral cavity contains millions  of  anaerobic bacteria like fuso bacterium and actinides which acts on the protein of food materials and purifies them. This process results in the formation of offensive gases like hydrogen sulphide,methyl mescaptan,cadaverin,skatol,putrescine ect causing bad odor. If oral hygiene is not maintained properly all will suffer from  bad breath. Most of us control this by regular brushing,tongue cleaning and gargling. Even after maintaining cleanliness in the mouth some individuals suffer from offensive smell due to various causes which has to be diagnosed and treated properly.

Some common causes of bad breath.

1) Poor oral hygiene:


If oral hygiene is not maintained properly the mouth becomes the seat for millions of bacteria which produce offensive gases by degrading the food debris. Bad breath is severe in those who do not brush their teeth regularly and clean their mouth after every food. Snacks taken in-between meals can also produce bad breath because of improper cleaning.
Bad breath is common in almost all people in the morning on waking. During sleep there is less production of saliva .Saliva  has got some antibacterial properties which help to keep the mouth clean. Saliva contains oxygen molecules which is needed to make oral cavity aerobic. So the reduction in it's quantity during sleep makes a favorable condition for anaerobic bacteria.

2) Food habits:

The main cause of bad smell is due to degradation of protein by the bacteria and hence all food products rich in protein favours bad breath. Meat,fish,milk products, eggs,cakes,nuts,pear and ect can cause bad breath. Some food articles can produce particular type of smell which may be unpleasent. Raw onion can produce typical bad smell. It is said that an apple a day keeps the doctor away,a raw onion a day keeps everybody away. Eating groundnuts can also produce bad smell. However if proper cleaning is done smell can be reduced irrespective of the nature of food.  Irregularity in timing of food can also produce bad breath. Small food articles taken in between the meals can also produce bad smell.

3) Biofilm:

There is formation of a thin sticky coating  called bio-film on the tongue and oral mucosa. This coating is thick on the posterior aspect of the tongue where millions of gram negative bacteria are seen .The thick coating on the tongue is always associated with bad breath. Even a  thin bio-film can make anaerobic condition favorable for bacterial proliferation.

4) Dental caries:

This is a destructive process causing decalcification with distruction of enamel and dentine resulting in cavitisation of the tooth. These are produced mainly by the lactobacilli . Food particles are deposited inside these cavities and are putrified by the anaerobic bacteria producing bad smell. Normal brushing will not remove the food debris easily and hence they are putrified completely. Caries are common in schoolgoing children and in those who donot maintain proper oral hygiene .Calcium and vitamin deficiency can also predispose caries.

5) Gingivitis:

Gum is a mucus membrane with supporting connective tissue covering the tooth bearing borders of the jaw .The main function of gum is protection .Gingivitis is the inflammation of the gum .Due to various causes gum tissue get infected resulting in swelling,pain and discharge. If the condition become worse the infection spread towards peridontal area leading to continuous discharge called pyorrhoea. Some times the infection goes deep producing alveolar abscess with discharge of pus. Infection can even reach the bone causing osteomyelitis.All these conditions can produce offenssive smell.

6) Gum retraction:

When the gums retract from the teeth a gap is developed which will lodge food particles and cause bad breath.

7) Dental plaques and tartar deposits; Plaques and tartar is deposited mainly in the gaps  between the teeth and gum. This will provide shelter for the food debris and bacteria causing  bad breath.

8) Ulcerative lesions& coatings:

Almost all ulcerative lesions of the mouth are associated with bad breath. These lesions may be caused by bacteria,viruses,food allergies or due to autoimmune disorders. Apthous ulcer is the commonest amoung ulcerative lesions. Others are herpes,fungal infections,vincents angina,infectious mononucleosis,scarlet fever,diphtheria,drug reactions  and ect. Cancerous ulcers produce severe bad breath. All fungal infections produce white coating(candidiasis). Leucoplakia is a white thick patch on the mucus membrane of the mouth & tongue. It is considered as a precancerous condition. Offenssive breath is associated with these conditions.

9) Diseases of the salivary glands:

Saliva is very useful to supply oxygen to all parts of the oral cavity. Even a thin film of coating called biofilm can provide an anaerobic condition in the mouth. Saliva can wet these layers and make an aerobic condition which is unfavourable for the bacteria .Any condition which reduces the production of saliva can increase bacterial activity.  Some times the salivary duct is obstructed by stones or tumors.Cancer of the salivary gland is associated with offenssive odor. In suppurative parotitis purulant dischrge in to the mouth causes bad breath.

10) Tonsillitis:

Tonsils are a pair of lymphoid tissue situated  in the lateral wall of oropharynx. Inflammation of the tonsil is called tonsillitis. Bad breath is seen in both acute and chronic tonsillitis. Quinsy or peritonsillar abscess can also produce bad breath.

11) Tonsillar plaques & tonsillar fluid:

If bad breath persists even after maintaining proper oral hygeine there is possibility of this condition. Serous fluid secreated from the folds of tonsil is very offenssive. Some patients complain that they hawk some cheesy materials from the throat;which are very offenssive in nature. These are formed inside the tonsillar crypts which contain thousands of bacteriae. In such conditions tonsillectomy gives noticiable relief from bad breath.              

12) Pharyngitis& pharyngial abscess:

Pharynx is a fibromuscular tube which forms the upper part of the digestive & respiratory tract. Inflmmation of the pharynx is called pharyngitis, caused mainly by bacteria and viruses. Bad breath is present in pharyngitis along with other signs like cough and throat irritation. Abscesses in the wall of pharynx can also produce offenssive discharge of pus in to the throat.

13) Dentures:

Denture users may complain about bad smell due to lodgement of small food debris in between. Proper brushing may not be possible in denture users especially fixed dentures.

14) Tobacco:

Tobacco chewing is associated with bad breath. The smell of tobacco itself is unpleasent for others. Tobacco can irritate the mucus membrane and cause ulcers and coatings. Gingivitis and pyorrhoea are common in tobacco chewers. Tartar is deposited on the teeth mainly near the gums. Tobacco chewers get gastric acidity with eructations. All these causes offenssive smell.

15) Smoking:

Smokers always have  bad smell. It can also produce lesions in the mouth & lungs causing bad breath.Smoking increases carbon dioxide in the oral cavity & reduces oxygen level,causing a favourable condition for bacteria. Smoking reduses appetite & thirst hence acid peptic disease is common in chain smokers.

16) Lesions in the nose & ear:

Bad breath is occasionally seen in sinusitis(infection of para nasal sinuses). In case of post nasal dripping bad breath is common due to the presence of protein in the discharges. These proteins are degraded by the bacteria. Infection in the middle ear with discharge of pus in to the throat through the eustachian tube(passage from middle ear to the throat)can also cause offenssive odor. Chronic rhinitis(infection of mucus membrane of nose) and forign bodies in the nose can also produce bad smell in the expired air.

17) Diabetes mellitus:

Mostly all diabetic patients suffer from bad breath. Coated tongue,ulcers &coatings in the mouth ,increased sugar level in tissues ect are responsible for bad breath.Bacterial growth in diabetic patient is very faster than non diabetic individuals.

18) Fevers:

Bad breath is common in almost all fevers. Even an acute fever can produce bad breath. Severe bad breath is seen in typhoid .Other infectious diseases like Tuberculosis , AIDS ect produce bad smell.
 
19) Fasting & dehydration:

Dry mouth favours bacterial activity. So any condition which produce dryness in the mouth makes the breath offenssive. Eventhough the food particles are known to produce bad breath, fasting can also produce the same. Production of saliva is also reduced during fasting. Chewing and swallowing also helps to keep the mouth clean.

20) Bedridden patients:

Bedridden patients suffer from offenssive breath due to thick coating on the tongue. water intake is also limited in these patients. Regurgitation of food aggravates the condition. Since they talk less aeration in the oral cavity is reduced which favours anaerobic bacteria to become active.

21) Diseases of stomach & esophagus:

Eructation of gas and food produce unpleasent smell. Abnormality in the function of lower sphincter can allow the food to regurgitate upwards causing bad breath. Bad breath is also common in gastritis,gastric ulcer and cancer of stomach.

22) Intestinal diseases:

Bad breath is common in patients suffering from ulcerative lesions of intestine like ulcerative collitis..Other diseases are malabsorption syndrome intestinal tuberculosis, peritonitis ect.

23) Diseases of lungs:

Lung diseases like pneumonia, lung abscess,chronic bronchitis,bronchiectasis,tuberculosis, lung cancer ect can produce bad odor during expiration.

24) Liver disorders:

Liver diseases like hepatitis, cirrhosis,can  cause bad breath.Gall bladder diseases with vomiting also causes unpleasent odor.   

25) Psychiatric  patients:

Bad breath is common in psychotic patients due to poor hygiene,irregular food habits,less water intake and ect.


26) Somatisation disorder:

This is a psychiatric disorder charecterised by the presence of a physical symptom that suggest a medical illness .These patients come with physical complaints like pain,nausea difficult respiration, bad smell ect. This condition is diagnosed after detailed examination of the patient with all investigations.Since this is a psychiatric disorder it has to be managed with a psychological approach.

[ THE POINTS MENTIONED IN THIS ARTICLE IS FOR GENERAL INFORMATION. ANY PERSON HAVING BAD BREATH SHOULD CONSULT  A QUALIFIED DOCTOR ]

CAUSES OF LOW BACK PAIN

Low back pain is a usual symptom amoung the modern civilised people.It affects mainly the middle aged and young adults of both sexes.People who work on the chair with out exercise and those who carry heavy loads regularly are prone to get this complaint.We can hardly find a person who has not suffered from back pain atleast once in life.The causes of  low backpain ranges from simple reasons like muscular strain to cancer of spine and hence backache should not be ignored.The pain is felt in lumbar and sacral region and may radiate to nearby sites.

The following are some causes for backache.

1) Backache due to diseases in the back.

2) Backache due to gynaecological problems.

3) Backache due to problems in other parts of the body.


1) Backache due to diseases in the back:--
                            
a) Injuries :-


     1) Compression fracture of the vertebral column.
     2) Rupture of intervertebral discs.
     3) Injuries to ligaments and muscles of back.
     4) Lumbosacral strain.
     5) Intervertebral joint injuries. 
     6) Fracture of processes of vertebra.

b) Functional backache due to imbalance:-

     1) During pregnancy.
     2) Pot belly.
     3) Diseases of the hip joint.
     4) Curvature in the spine due to congenital defect.
     5) Short leg in one side.
 
c) Backache due to inflammatory conditions:-

     1) Infection of the bone due to bacteria.
     2) Tuberculosis of the spine.
     3) Arthritis.
     4) Brucellosis.
     5) Lumbago or fibrositis.
     6) Inflamation of the muscles.
     7) Anchylosing spondylitis.

d) Backache due to degenerative diseases in the back.

     1) Osteoarthritis.
     2) Osteoporosis in old people.
     3) Degenaration of the intervertebral disc.

e) Tumour in the spine:--

     1) Primory tumour of the bones in the spine.
     2) Metastatic tumours from other sites like prostate,lungs,kidneys,intestine ect.

2) Backache due to gynaecological problems:-

     a) After childbirth.
     b) After gynaecological operations.
     c) Prolapse of the uterus.
     d) Pelvic inflammatory diseases.
     e) Cancerous lesions of the pelvic organs.
     f) Endometriosis.

3) Backache due to problems in other parts of the body.

     a) Renal stones.
     b) Ureteric stone.
     c) Cancer of prostate.
     d) Pancreatitis.
     e) Biliary stones.
     f) Peptic ulcer.
     g) Inflammations of pelvic organs.
     h) Occlusion of aorta and illiac arteries.


Investigation of a case of backache:-

1) Complete blood count.

2) Routine urine examination.

3) Ultrasonography of the abdomen and pelvis.

4) X-ray of the lumbar and sacral region.

5) MRI of the spine.

5) CT scan of abdomen and pelvic region.

6) Examination of rectum,prostate,genito urinary organs.


Treatment of back ache:-

1) Removing the cause for backache.

2) Symptomatic treatement.

2) Back exercises.

3) Traction.

3) Yoga.

5) Surgery.

7) Homoeopathy.

ALCOHOL HAS NO FOOD VALUE

 Alcohol has no food value and is exceedingly limited in its action as a remedial agent. Dr. Henry Monroe says, "every kind of substance employed by man as food consists of sugar, starch, oil and glutinous matter mingled together in various proportions. These are designed for the support of the animal frame. The glutinous principles of food fibrine, albumen and casein are employed to build up the structure while the oil, starch and sugar are chiefly used to generate heat in the body".

Now it is clear that if alcohol is a food, it will be found to contain one or more of these substances. There must be in it either the nitrogenous elements found chiefly in meats, eggs, milk, vegetables and seeds, out of which animal tissue is built and waste repaired or the carbonaceous elements found in fat, starch and sugar, in the consumption of which heat and force are evolved.

"The distinctness of these groups of foods," says Dr. Hunt, "and their relations to the tissue-producing and heat-evolving capacities of man, are so definite and so confirmed by experiments on animals and by manifold tests of scientific, physiological and clinical experience, that no attempt to discard the classification has prevailed. To draw so straight a line of demarcation as to limit the one entirely to tissue or cell production and the other to heat and force production through ordinary combustion and to deny any power of interchangeability under special demands or amid defective supply of one variety is, indeed, untenable. This does not in the least invalidate the fact that we are able to use these as ascertained landmarks".

How these substances when taken into the body, are assimilated and how they generate force, are well known to the chemist and physiologist, who is able, in the light of well-ascertained laws, to determine whether alcohol does or does not possess a food value. For years, the ablest men in the medical profession have given this subject the most careful study, and have subjected alcohol to every known test and experiment, and the result is that it has been, by common consent, excluded from the class of tissue-building foods. "We have never," says Dr. Hunt, "seen but a single suggestion that it could so act, and this a promiscuous guess. One writer (Hammond) thinks it possible that it may 'somehow' enter into combination with the products of decay in tissues, and 'under certain circumstances might yield their nitrogen to the construction of new tissues.' No parallel in organic chemistry, nor any evidence in animal chemistry, can be found to surround this guess with the areola of a possible hypothesis".

Dr. Richardson says: "Alcohol contains no nitrogen; it has none of the qualities of structure-building foods; it is incapable of being transformed into any of them; it is, therefore, not a food in any sense of its being a constructive agent in building up the body." Dr. W.B. Carpenter says: "Alcohol cannot supply anything which is essential to the true nutrition of the tissues." Dr. Liebig says: "Beer, wine, spirits, etc., furnish no element capable of entering into the composition of the blood, muscular fibre, or any part which is the seat of the principle of life." Dr. Hammond, in his Tribune Lectures, in which he advocates the use of alcohol in certain cases, says: "It is not demonstrable that alcohol undergoes conversion into tissue." Cameron, in his Manuel of Hygiene, says: "There is nothing in alcohol with which any part of the body can be nourished." Dr. E. Smith, F.R.S., says: "Alcohol is not a true food. It interferes with alimentation." Dr. T.K. Chambers says: "It is clear that we must cease to regard alcohol, as in any sense, a food".

"Not detecting in this substance," says Dr. Hunt, "any tissue-making ingredients, nor in its breaking up any combinations, such as we are able to trace in the cell foods, nor any evidence either in the experience of physiologists or the trials of alimentarians, it is not wonderful that in it we should find neither the expectancy nor the realization of constructive power."

Not finding in alcohol anything out of which the body can be built up or its waste supplied, it is next to be examined as to its heat-producing quality.

Production of heat.
------------------          

"The first usual test for a force-producing food," says Dr. Hunt, "and that to which other foods of that class respond, is the production of heat in the combination of oxygen therewith. This heat means vital force, and is, in no small degree, a measure of the comparative value of the so-called respiratory foods. If we examine the fats, the starches and the sugars, we can trace and estimate the processes by which they evolve heat and are changed into vital force, and can weigh the capacities of different foods. We find that the consumption of carbon by union with oxygen is the law, that heat is the product, and that the legitimate result is force, while the result of the union of the hydrogen of the foods with oxygen is water. If alcohol comes at all under this class of foods, we rightly expect to find some of the evidences which attach to the hydrocarbons."

What, then, is the result of experiments in this direction? They have been conducted through long periods and with the greatest care, by men of the highest attainments in chemistry and physiology, and the result is given in these few words, by Dr. H.R. Wood, Jr., in his Materia Medica. "No one has been able to detect in the blood any of the ordinary results of its oxidation." That is, no one has been able to find that alcohol has undergone combustion, like fat, or starch, or sugar, and so given heat to the body. 

Alcohol and reduction of temperature.
------------------------------------                   

instead of increasing it; and it has even been used in fevers as an anti-pyretic. So uniform has been the testimony of physicians in Europe and America as to the cooling effects of alcohol, that Dr. Wood says, in his Materia Medica, "that it does not seem worth while to occupy space with a discussion of the subject." Liebermeister, one of the most learned contributors to Zeimssen's Cyclopaedia of the Practice of Medicine, 1875, says: "I long since convinced myself, by direct experiments, that alcohol, even in comparatively large doses, does not elevate the temperature of the body in either well or sick people." So well had this become known to Arctic voyagers, that, even before physiologists had demonstrated the fact that alcohol reduced, instead of increasing, the temperature of the body, they had learned that spirits lessened their power to withstand extreme cold. "In the Northern regions," says Edward Smith, "it was proved that the entire exclusion of spirits was necessary, in order to retain heat under these unfavorable conditions."

Alcohol does not make you strong.
--------------------------------                 

If alcohol does not contain tissue-building material, nor give heat to the body, it cannot possibly add to its strength. "Every kind of power an animal can generate," says Dr. G. Budd, F.R.S., "the mechanical power of the muscles, the chemical (or digestive) power of the stomach, the intellectual power of the brain accumulates through the nutrition of the organ on which it depends." Dr. F.R. Lees, of Edinburgh, after discussing the question, and educing evidence, remarks: "From the very nature of things, it will now be seen how impossible it is that alcohol can be strengthening food of either kind. Since it cannot become a part of the body, it cannot consequently contribute to its cohesive, organic strength, or fixed power; and, since it comes out of the body just as it went in, it cannot, by its decomposition, generate heat force."

Sir Benjamin Brodie says: "Stimulants do not create nervous power; they merely enable you, as it were, to  use up  that which is left, and then they leave you more in need of rest than before."

Baron Liebig, so far back as 1843, in his "Animal Chemistry," pointed out the fallacy of alcohol generating power. He says: "The circulation will appear accelerated at the expense of the force available for voluntary motion, but without the production of a greater amount of mechanical force." In his later "Letters," he again says: "Wine is quite superfluous to man, it is constantly followed by the expenditure of power" whereas, the real function of food is to give power. He adds: "These drinks promote the change of matter in the body, and are, consequently, attended by an inward loss of power, which ceases to be productive, because it is not employed in overcoming outward difficulties i.e., in working." In other words, this great chemist asserts that alcohol abstracts the power of the system from doing useful work in the field or workshop, in order to cleanse the house from the defilement of alcohol itself.

The late Dr. W. Brinton, Physician to St. Thomas', in his great work on Dietetics, says: "Careful observation leaves little doubt that a moderate dose of beer or wine would, in most cases, at once diminish the maximum weight which a healthy person could lift. Mental acuteness, accuracy of perception and delicacy of the senses are all so far opposed by alcohol, as that the maximum efforts of each are incompatible with the ingestion of any moderate quantity of fermented liquid. A single glass will often suffice to take the edge off both mind and body, and to reduce their capacity to something below their perfection of work."

Dr. F.R. Lees, F.S.A., writing on the subject of alcohol as a food, makes the following quotation from an essay on "Stimulating Drinks," published by Dr. H.R. Madden, as long ago as 1847: "Alcohol is not the natural stimulus to any of our organs, and hence, functions performed in consequence of its application, tend to debilitate the organ acted upon.

Alcohol is incapable of being assimilated or converted into any organic proximate principle, and hence, cannot be considered nutritious.

The strength experienced after the use of alcohol is not new strength added to the system, but is manifested by calling into exercise the nervous energy pre-existing.

The ultimate exhausting effects of alcohol, owing to its stimulant properties, produce an unnatural susceptibility to morbid action in all the organs, and this, with the plethora superinduced, becomes a fertile source of disease.

A person who habitually exerts himself to such an extent as to require the daily use of stimulants to ward off exhaustion, may be compared to a machine working under high pressure. He will become much more obnoxious to the causes of disease, and will certainly break down sooner than he would have done under more favorable circumstances.

The more frequently alcohol is had recourse to for the purpose of overcoming feelings of debility, the more it will be required, and by constant repetition a period is at length reached when it cannot be foregone, unless reaction is simultaneously brought about by a temporary total change of the habits of life.

Driven to the wall.
------------------

Not finding that alcohol possesses any direct alimentary value, the medical advocates of its use have been driven to the assumption that it is a kind of secondary food, in that it has the power to delay the metamorphosis of tissue. "By the metamorphosis of tissue is meant," says Dr. Hunt, "that change which is constantly going on in the system which involves a constant disintegration of material; a breaking up and avoiding of that which is no longer aliment, making room for that new supply which is to sustain life." Another medical writer, in referring to this metamorphosis, says: "The importance of this process to the maintenance of life is readily shown by the injurious effects which follow upon its disturbance. If the discharge of the excrementitious substances be in any way impeded or suspended, these substances accumulate either in the blood or tissues, or both. In consequence of this retention and accumulation they become poisonous, and rapidly produce a derangement of the vital functions. Their influence is principally exerted upon the nervous system, through which they produce most frequent irritability, disturbance of the special senses, delirium, insensibility, coma, and finally, death."

"This description," remarks Dr. Hunt, "seems almost intended for alcohol." He then says: "To claim alcohol as a food because it delays the metamorphosis of tissue, is to claim that it in some way suspends the normal conduct of the laws of assimilation and nutrition, of waste and repair. A leading advocate of alcohol (Hammond) thus illustrates it: 'Alcohol retards the destruction of the tissues. By this destruction, force is generated, muscles contract, thoughts are developed, organs secrete and excrete.' In other words, alcohol interferes with all these. No wonder the author 'is not clear' how it does this, and we are not clear how such delayed metamorphosis recuperates. 

Not an originator of vital force.
--------------------------------

which is not known to have any of the usual power of foods, and use it on the double assumption that it delays metamorphosis of tissue, and that such delay is conservative of health, is to pass outside of the bounds of science into the land of remote possibilities, and confer the title of adjuster upon an agent whose agency is itself doubtful. 

Having failed to identify alcohol as a nitrogenous or non-nitrogenous food, not having found it amenable to any of the evidences by which the food-force of aliments is generally measured, it will not do for us to talk of benefit by delay of regressive metamorphosis unless such process is accompanied with something evidential of the fact something scientifically descriptive of its mode of accomplishment in the case at hand, and unless it is shown to be practically desirable for alimentation.

There can be no doubt that alcohol does cause  defects  in the processes of elimination which are natural to the healthy body and which even in disease are often conservative of health.

ACTION OF ALCOHOL ON INTERNAL ORGANS.

Action on the stomach.
----------------------

The action of alcohol on the stomach is extremely dangerous that it becomes unable to produce the natural digestive fluid in sufficient quantity and also fails to absorb the food which it may imperfectly digest. A condition marked by the sense of nausea emptiness, prostration and distention will always be faced by an alcoholic. This results in  a loathing for food and is teased with a craving for more drink. Thus there is engendered a permanent disorder which is called dyspepsia. The disastrous forms of confirmed indigestion originate by this practice.

How the liver gets affected.
----------------------------

The organic deteriorations caused by the continued use of alcohol are often of a fatal character. The organ which most frequently undergoes structural changes from alcohol, is the liver. Normally, the liver has the capacity to hold active substances in its cellular parts. In instances of poisoning by various poisonous compounds, we analyse liver as if it were the central depot of the foreign matter. It is practically the same in respect to alcohol. The liver of an alcoholic is never free from the influence of alcohol and it is too often saturated with it. The minute membranous or capsular structure of the liver gets affected, preventing proper dialysis and free secretion. The liver becomes large due to the dilatation of its vessels, the surcharge of fluid matter and the thickening of tissue. This follows contraction of membrane and shrinking of the whole  organ in its cellular parts. Then the lower parts of the alcoholic becomes dropsical owing to the obstruction offered to the returning blood by the veins. The structure of the liver may be charged with fatty cells and undergo what is technically designated 'fatty liver'.

How the Kidneys deteriorate.
----------------------------

The Kidneys also suffer due to the excessive consumption of alcohol. The vessels of Kidneys  lose elasticity and power of contraction. The minute structures in them go through fatty modification. Albumin from the blood easily passes through their membranes. This results in the body losing its power as if it were being run out of blood gradually. 

Congestion of the lungs.
------------------------

Alcohol relaxes the vessels of the lungs easily as they are most exposed to the fluctuations of heat and cold. When subjected to the effects of a rapid variation in atmospheric temperature, they get readily congested. During severe winter seasons, the suddenly fatal congestions of lungs easily affects an alcoholic.

Alcohol weakens the heart.
--------------------------

Consumption of alcohol greatly affects the heart. The quality of the membraneous structures which cover and line the heart changes and are thickened, become cartilaginous or calcareous. Then the valves lose their suppleness and what is termed valvular disorder becomes permanent.  The structure of the the coats of the great blood-vessel leading from the heart share in the same changes of structure so that the vessel loses its  elasticity and its power to feed the heart by the recoil from its distention,  after the heart, by its stroke, has filled it with blood.

Again, the muscular structure of the heart fails owing to degenerative changes in its tissue. The elements of the muscular fibre are replaced by fatty cells or, if not so replaced, are themselves transferred into a modified muscular texture in which the power of contraction is greatly reduced.

Those who suffer from these organic deteriorations of the central and governing organ of the circulation of the blood learn the fact so insidiously, it hardly breaks upon them until the mischief is far advanced. They are conscious of a central failure of power from slight causes such as overexertion, trouble, broken rest or too long abstinence from food. They feel what they call a 'sinking' but they know that wine or some other stimulant will at once relieve the sensation. Thus they seek to relieve it until at last they discover that the remedy fails. The jaded, overworked, faithful heart will bear no more. it has run its course and the governor of the blood-streams broken. The current either overflows into the tissues gradually damming up the courses or under some slight shock or excess of motion ceases wholly at the centre.