Natural Home Remedies for Asthma

Causes of Symptoms: Asthma is a disorder of the respiratory system characterized by severe paroxysms of difficult breathing. The onset of an attack is sudden, though the patient starts feeling uneasy, drowsy and irritable a little before the difficulty of breathing starts. Respiration becomes difficult and the breath comes with a wheezing and sometimes whistling sound. The general belief is that asthma is a chronic disease and that once gotten continues to dog its victim till the day he dies.

In fact, asthma is caused by excess of phlegm and the inability of the body to expel it. If the patient gives up foods which tend to increase the phlegm, e.g., rice, flour passed through a sieve, sugar, lentils, milk and curds, he can find relief. He should be put on foods, which discourages phlegm, such as green vegetables, fruits, and the like. That would tend to reduce the amount of phlegm present in the body and the disease will leave him. Unfortunately, under the false impression that asthma being a weakening diseases, the patients are fed on high protein diets like meat, fish, milk and milk products and fats and that makes their condition worse.

Treatment: An asthma patient must select foods, which help contain the amount of phlegm in the body. For breakfast he should take food like orange, tomato, papaya, guava, mango and rose apple and vegetables like carrots. His dinner and lunch should consist of boiled vegetables. His bath is recommended in the morning and evening to perk up his digestive powers. Taking a walk is also recommended, if jogging is beyond the capacity o the patient.

Asthma, particularly when its attack is severe, tends to destroy the appetite of the patient. He should not be forced to eat. He should keep fasting till the attack is over. The only thing he should take is a cup of warm water every two hours. An enema taken at that time would be doubly beneficial. If this regimen is followed, the attack will not last for more than 36 hours and its virulence in case of a recurrence would be very much less.

An asthma patient should regularly fast one a week and takes an enema the morning after the fast to clear his bowels. If he is unable to fast regularly, he must not hesitate to stop eating the moment the attack comes. A fortnight after the treatment has been started the patient can take cow’s unboiled milk or curd with a breakfast of fruit. The sufferers from this disease should be extremely careful in his eating habits. He must never overeat. The amount of food taken at one time should be so measured that he must feel extremely hungry at the time of the next meal. A salt-free diet would be the best.

At the onset of the attack, soaking of the feet in the warm water can relieve the agony to a large extent. A chest pack can also help, even though on application it may seem to aggravate the attach. The pack applied in the afternoon and immediately before sleep would do wonders. The main aim of treatment of asthma should be to augment the vital force of the body with the help of proper diet and a natural living in which clean water and sunshine play an important part. The above regimen is helpful in dealing with tonsillitis also.

For more information on Natural Home Remedies for Asthma, visit Natural Home remedies

Mood disorders



1. Depressive Illness (Unipolar Depression)


 Very common, rank 4th as a cause of disability worldwide, projected to rank 2nd by 2020. Although effective treatments are available, depression often goes undiagnosed and untreated, often regarded by both patients and physicians as understandable.

Mild depression has a significant morbidity and mortality. Suicide is the leading cause of death in person 20-35 yrs; high percentage (up to 50%) is depression.

Depression disorder also contributes to higher morbidity and mortality when associated with other physical disorders (e.g. MI) and its successful diagnosis and treatment has been shown to improve both medical and surgical outcomes.

There remains an innate reluctance to consider pharmacological interventions for emotional problems, despite overwhelming evidence of efficacy. Also widespread concern that drugs which improve mood must be addictive, despite evidence to the contrary.

Non compliance remains the major reason for treatment failure and often underestimated (up to 40% of treatment failure due to non-compliance).


Slight difference between the ICD-10 and the DSM-IV, however the core symptoms are almost identical:

  • Present for at least 2 weeks
  • Depressed mood present most of the day, nearly every day, with little variation and often lack of responsiveness to change in circumstances. There may be diurnal variation in mood with mood worse in the morning.
  • Anhedonia Marked diminished interest or pleasure in all, or almost all activities most of the day.
  • Weight change loss of weight or gain (5% in one month), associated with decreased or increased appetite.
  • Disturbed sleep insomnia (with early morning wakening 2-3 hours sooner than usual) or hypersomia (atypical depression).
  • Psychomotor retardation or agitation both subjectively and objectively
  • Fatigue or loss of energy.
  • Reduced libido
  • Felling of worthlessness or excessive or inappropriate guilt (may be delusional).
  • Diminished ability to think or concentrate or indecisiveness.
  • Recurrent thoughts of suicide or death which may or may not have been acted upon.

 Somatic symptoms, also called ‘biological’, ‘melancholic’ or ‘vital’

  • Loss of emotional reactivity
  • Diurnal mood variation.
  • Anhedonia
  • Early morning wakening
  • Psychomotor agitation or retardation
  • Loss of appetite and weight
  • Loss of libido

Psychotic Symptoms:

  • Delusions e.g. poverty, personal inadequacy, guilt, other nihilistic delusions.
  • Hallucinations e.g. deformity or accusatory voices, cries for help or screaming; bad smell, demons, devil, dead bodies.
  • Catatonic e.g. depressive stupor.


Mild, moderate or severe


? Melancholic or with somatic symptoms

? With psychotic symptoms

? Under ‘other depressive episodes’:

  • Atypical depression (mood depressed but reactive, hypersomnia, hyperplasia, leaden paralysis, oversensitivity to perceived rejection, initial insomnia, reversed diurnal variation, lack of feeling of guilt. In early twenties.
  • Postnatal depression
  • Seasonal affective disorder
  • Premenstrual dysphoric disorder

Indirect presentation

  • Insomnia, or other somatic complaints (e.g. Headache, GI upset)
  • Person from a different cultural background presenting with ‘cultural-specific’ symptoms.
  • Physical disorder masking the depressive features.


Prevalence 2-5%

Lifetime rate 10-20%

Sex Ratio M:F 1:2

It is increasing.


(Bio-Psycho-Social approach / 3Ps Predisposing, Precipitating and Perpetuating)

 1. Biological and genetic factors:

Lack of Monoamines (Serotonin, Noradrenalin, and possibly Dopamine)

Antidepressant work by increasing the above. SSRI (serotonin reuptake inhibitors e.g. Prozac, Cipralex. TCA (old antidepressant which has severe side effects including cardiac) prevent reuptake of both serotonin and noradrenalin. Other new medications such as Effexor work on all three (low dose ?serotonin, moderate dose? noradrenalin then high dose? dopamine).

Above is oversimplification and other transmitters such as GABA and peptide (e.g vasopressin) are involved. There is also link with abnormalities in regulation of many hormones (stress hormones) such as Cortisol and the Hypothalamic-pituitary-adrenal (HPA) axis. New generation antidepressants (in the making) are to target all of the above.

Twin and family studies have shown that there is a genetic basis to many cases of depression; hence a family history is a significant risk for depression

2. Psychological and social factors:

There is strong evidence that psychological factors (e.g. maternal deprivation or other childhood loss) may predispose to depression. Type of personality is also a risk (obsessive compulsive Personality).Life events such as marital separation, job loss and other stresses also play a role.

Other social risk factors include being at home with young children, unemployment, and lack of close confidants

Differential Diagnosis: 

  • Other psychiatric disorders
  • Neurological disorders
  • Endocrine disorders
  • Metabolic disorders
  • Haematological disorders
  • Inflammatory conditions
  • Infections
  • Sleep disorders
  • Medication-related



Course & Prognosis:

Depressive episodes vary from 4-30 wks for mild-moderate cases, to an average of about 6 months for severe cases (25% will last up to 1 yr)

The majority of patients experiencing a depressive episode will have further episodes later in life (risk of recurrence is 30% at 10 yrs, 60% at 20 yrs).Recurrence is greater when there are residual symptoms after remission.

There are good evidence that modern antidepressant treatment impact significantly upon the above, reducing the length of depressive episodes; and if treatment is given long term, the incidence of residual symptoms is less, there are fewer recurrent episodes, and chronicity may be as low as 4%

Mortality suicide 15% (severe) especially requiring hospital admission, overall rate of death is higher than general population with other causes usually due to substance misuse, accidents, cardiovascular disease, respiratory infection and thyroid disorders.

Good prognostic factors: Acute onset, ‘somatic symptoms’. Earlier age of onset

Poor Prognostic Factors: Insidious onset, elderly, residual symptoms, neuroticism, low self confidence, comorbidity (physical or psychiatric. personality disorder), lack of social support

Management & Treatment:  

? History

? MSE (Mental State Examination)

? Physical Examination

? Investigations: Standard test: FBC, ESR, B12/Folate, U&E, LFT, TFT, Glucose, And MSU. Others: EEG, CT/MRI, HIV testing etc (all depends on the history and physical examination. 


1. Antidepressent: effective in 65-75% of patients. All currently available antidepressant work by increasing the availability of the monoamines (5HT, NA & DA). Many classes are available:

  • SSRIs (Selective serotonin reuptake inhibitors)
  • TCAs (Tricyclic antidepressants)
  • MAOI (Monoamine oxidise inhibitors) and reversible monoamine oxidise inhibitors (RIMAs) inhibitors-tyramine and cheese reaction hypertensive crises requires dietary restriction, good for atypical depression.
  • Seratonin/noradrnaline reuptake inhibitors (SNRIs)
  • Noradrenalin reuptake inhibitors (NARIs)
  • Noradrenalin and specific serotonergic antidepressant (NaSSA)
  • Others: L-Tryptophan, st.John’s wort.

2. Psychotherapy:

CBT (Cognitive-Behavioural Therapy)

IPT (Interpersonal Therapy)

Psychodynamic (Psychoanalysis): lacks evidence based support.

3. Combinationof the above may act synergistically

4. Augmentation (Evidence for lithium and mood stabilisers).

5. ECT: May be considered as first-line therapy when there are severe biological features (significant weight loss) or marked aggression, retardation or suicide risk, psychotic features are prominent.. Consent needed, main risk due to anaesthesia, safe, no aboslolue contraindication.

6. Psychosurgery only in exceptional circumstances when all other fails. Employ stereo tactic method using MRI.

7. Others: Light Therapy, rTMS (repetitive transcranial magnetic stimulation, Magneto-Convulsion Therapy (MCT), Vagus Nerve Stimulation(VNS)

2. Bipolar Illness (Manic-depression):


Mania (Bipolar I): A distinct period of abnormally and persistently elevated, expansive, or irritable mood, with 3 (or more) symptoms. lasting 1 week or less if admission is required.

Clinical Features:

  • Elevated mood
  • Increased energy which manifest as over activity, pressed speech, racing thought or reduced need to sleep
  • Increased self esteem, evident as overoptimistic ideation, grandiosity, reduced social inhibition.
  • Reduced attention/ increased distractibility
  • Tendency to engage in behaviour that could have serious consequences such as, preoccupation with extravagant, impracticable schemes, spending recklessly, inappropriate sexual encounter
  • Other behavioural manifestations such as, excitement, irritability, aggressiveness, suspiciousness
  • Marked disruption of work, usual social activities and family life.

Psychotic symptoms: 

  • In severe forms grandiose ideas may be delusional e.g. special power.
  • Persecutory delusions
  • Catatonic behaviour
  • Total loss of insight.  

Hypomania (BPII): 4 days and symptoms less severe and does not interfere with social or occupational function


Life time prevalence 3-1.5%

M=F (except Rapid Cycling i.e. more than 4 episodes a year)

Age mean 21yrs, males earlier than females.


(Bio-Psycho-Social-/ 3Ps Predisposing, Precipitating and Perpetuating)

(Patient must have the genetic predisposability)

Genetic 1st degree relatives are more likely to develop the condition (10-15%). Children of a parent with bipolar disorder have 50% chance of developing a psychiatric disorder (genetic liability appears shared for schizophrenia, schizoaffective, and Bipolarity).

MZ twins 33-90%, DZ twins 25%

Neurotransmitters NA, DA, 5HT and glutamine

HPA axis stress hormones.

Differential Diagnosis:

As in depression exclude organicity (secondary mania)

Medication that may induce mania:


Other psychotropic medications

Anti Parkinson medications

Cardiovascular medications

Respiratory drugs

Anti infection


Gastrointestinal drugs


Others: interferons, cyclosporine, baclofen

Course & Prognosis:

Extremely variable.1st episodes may be hypomanic, manic, mixed or depressive. This may be followed by many years without further episodes, but the length of time between subsequent episodes may begin to narrow. There is often a 5-10 years interval between age of onset and treatment. Depression is much more common to be first, mania can present even at later life (>50).

Mortality and morbidity rates are high, in term of lost work, productivity, effect on marriage (much higher divorce rate). Attempted suicide up to 40% and completed up to 10%

Within the first 2 years of 1st episode, 50% will experience another episode.

Poor prognostic factors: Poor compliance, Unemployment, substance misuse, psychotic features, male, mixed state, rapid cycling.

Good prognostic factors: Mania episode of short duration, later age of onset, good response treatment, and few comorbidity physical problems.

Management & Treatment:

(Bio-psycho-social approach again!!)

Same as depression in term of assessment

  ?First line treatment:


Lithium, Antipsychotic, ECT, BDZ (for acute episode).

  ?Second line:

Anticonvulsant: Valproate and Carbamazepine

  ?Psychotherapeutic interventions:

 Most patients will struggle with some of the following issues:

  • Emotional consequences of significant periods of illness and receiving the diagnosis
  • Problems related to stigmatisation and self-esteem
  •  Interpersonal, marriage, family, occupational or academic problems
  • Coming to term with the illness, past event and future concerns

Some selected intervention:

Cognitive Behavioural Therapy (CBT)time limited, with specific aims: educate the patient about bipolar disorder and its treatment, teach cognitive behavioural skills for coping with psychosocial stressors and associated problems, facilitate compliance with treatment and monitor the occurrence of symptoms (relapse signature)

Family Therapy

Support Groups


.1.    Stevens L, Rodin I. Psychiatry: An illustrated colour text, Churchill Livingstone 2001

•2.    Steple D. Oxford Handbook of Psychiatry, Oxford University Press, 2006

•3.    Guthrie E & Creed F. Seminars in Liaison Psychiatry. Royal college of Psychiatrist 2007

•4.    World Health Organization (WHO). ICD-10 Classification of mental and behavioural disorders. Churchill Livingstone

•5.    American Psychiatric Association (APA). DSM-IV-TR. Fourth Edition Text Revision. APA Publication

•6.    King D. Seminars in clinical psychopharmacology. Second Edition 2004. Royal College of Psychiatrists
















Effect of Diabetes on the Condition of People with Cellulitis

Cellulitis is a skin condition that is caused by bacteria, usually the Staphylococcus and Streptococcus species. This infection is characterized by swelling, redness, itching and pain on the skin site involved. Cellulitis usually affects the deeper skin layers of the dermis and subcutaneous tissue. It caused deeper infections unlike impetigo and other skin ailments that are usually confined to the superficial layer of the epidermis.

Role of Diabetes on Cellulitis

One of the most common disease states that is linked or associated to cellulitis is diabetes. People with diabetes usually develop skin infections in the form of cellulitis. When a diabetic person has cellulitis, his disease stat aggravates or makes the cellulitis worse.

Why are diabetics prone to cellulitis and cellulitis re-infection?

We usually hear of diabetic cellulitis or cellulitis of diabetics. This is due to the strong role of diabetes on the development of cellulitis.

1. Increased blood glucose – The main problem in diabetes is the uncontrolled rise in blood sugar level. This increased blood glucose in a person is a very good medium for the growth of bacteria, which is the cause of cellulitis. In diabetes, blood glucose rise to a very high level that makes it a favorable environment for bacterial growth.
2. Slower blood flow – The increased concentration of blood glucose makes the blood more viscous or thick in a sense. This makes it harder for blood to flow through the small vessels. Hence, vital blood components find it hard to reach sites where wounds and other skin breaks are found. This slow blood flow has a corresponding slow wound healing consequence. Therefore, many wounds become infected and results to the slow healing in people with diabetes. These open and infected wounds become easy entry points for bacteria to grow and invade the skin. Cellulitis then becomes a common infection for the diabetic.
3. Undetected skin wounds – Some diabetics have a problem with pain perception too. Hence, many of them have wounds in the foot and other body parts that do not receive appropriate attention and cure. This makes cellulitis from diabetes possible as bacteria enter these wounds.

Clinical Peculiarities of the Chest of a Developing Child

Although the thoracic cavity houses two vital organs, the heart and lungs, the anatomic structures of the chest wall are important sources of the information concerning cardiac and pulmonary function, skeletal formation. The chest is inspected for size, shape, symmetry, movement and the presence of the bony landmarks formed by the ribs and sternum.

Important landmarks of the Chest

The doctor must become familiar with locating and properly numbering each rib, because they are geographic landmarks for palpating, percussing, and asucultatin underlying organs. Normally all the ribs can be counted by palpating inferiorly from the second rib. The tip of the eleventh rib can be felt laterally and the tip of the twelfth rib can be felt posteriorly. Other helpful landmarks include the nipples, which are usually located between the fourth and fifth ribs or at the fourth intercostal space and posteriorly, the tip of the scapula, which is located at the level of the eighth rib or intercostal space. In children with the thin chest walls, correctly locating the ribs is little difficult.

The thoracic cavity is also divided into segments by drawing imaginary lines on the chest and back: the anterior, lateral, and posterior divisions. The doctor should become familiar with each imaginary landmark, as well as with the rib number and corresponding intercostal space.

Chest size

The size of the chest is measured by placing the tape around the rib cage at the nipple line. For the greatest accuracy at least two measurements should be taken, one during inspiration and the other during expiration, and the average recorded. The chest size is important mainly in comparison to its relationship with the head circumference. Marked disproportions are always recorded, because most are caused by abnormal head growth, although some may be the result of altered chest shape, such as barrel chest or pigeon chest.

As the child grows, the chest normally increases in the transverse direction, causing the antero-posterior diameter to be less than the lateral diameter. In an older child the characteristic barrel shape of an infant’s chest is a significant sign of chronic obstructive lung disease, such as asthma or cystic fibrosis. Other variations in shape that are usually variants of the normal configuration are pigeon breast, or pectus carinatum, in which the sternum protrudes outward, increasing the anterior-posterior diameter, and funnel chest, or pectus excavatum. In which the lower portion of the sternum is depressed. A severe depression may impair cardiac function, but in general neither condition causes pathologic dysfunction. However, these conditions often cause parents and children concern regarding acceptable physical appearance.

The doctor also notes the angle made by the lower costal margin and the sternum, which ordinarily is about 45 degrees. A larger angle is characteristic of lung diseases that also cause a barrel shape of the chest. A smaller angle may be a sign of malnutrition. As the rib cage is inspected, the junction of the ribs to the costal cartilage (costochondral junction) and sternum is noted. Normally the points of attachment are fairly smooth. Swellings or bunt knobs along either side of the sternum are known as the rachitic rosary and may indicate vitamin D deficiency. Another variation in shape that may either be normal or may suggest rickets (vitamin D deficiency) is Harrison’s groove, which appears as a depression or horizontal groove where the diaphragm leaves the chest wall. Usually marked flaring of the rib cage below the groove is an abnormal finding.

Body symmetry

Body symmetry is always an important notation during inspection. Asymmetry in the chest may indicate serious underlying problems, such as cardiac enlargement (bulging on the left side of rib cage) or pulmonary dysfunction. However, asymmetry is most often a sign of scoliosis, lateral curvature of the spine. Asymmetry warrants further medical investigation.

Movement of the chest wall is noted. It should be symmetric bilaterally and coordinated with breathing. During inspiration the chest rises and expands, the diaphragm descends, and the costal angle increase. During expiration the chest falls and decreases in size, the diaphragm rises, and the costal angel narrows. In children under 6 or 7 years of age, respiratory movement is principally abdominal or diaphragmatic. In older children, particularly females, respirations are chiefly thoracic, in either type, the chest and abdomen should rise and fall together.

Any asymmetry of movement is an important pathologic sign and is reported. Decreased movement on one side of the chest may indicate pneumonia, pneumothorax, atelectasis, or an obstructive foreign body. Marked retraction of muscles either between the ribs (intercostals), above the sternum (suprasternal), or above the clavicles (supraclavicular) is always noted, because it is a sign of respiratory difficulty.

The newborns’ chest is almost circular because the antero-posterior and lateral diameters are equal. The ribs are very flexible and slight intercostals retractions are normally seen on inspiration. The xyphoid process is commonly visible as a small protrusion at the end of the sternum. The sternum is generally raised and slightly curved.

Obesity Surgery: Pros and Cons

When diet and exercise have failed, some people have nowhere to go. Savvy fatties turn to their surgeons and ask for a gastric bypass, gastric band, gastrectomy or duodenal switch operation, types of obesity surgery for those who have tried every other method conceivable to lose weight with little or no result.

While a nip there and a tuck and a gouge there may sound great, obesity surgery is not for everyone. It is almost always only for those who are facing imminent health problems due to their enormous bulk – including those who could die if they do not cut their weight down significantly.

A good doctor will only perform these types of operations on those with a body mass index, or BMI, of at least 35 accompanied with an obesity-related disease such as high cholesterol, high blood pressure and sleep apnoea. If your BMI is 40 and you don’t have such health problems, you could also be a candidate for surgery.

Types of Obesity Surgery
Different types of surgery suit different people. Discuss the options with your doctor first. Surgeries include:

Gastric Bypass Surgery: Originally performed in 1967, this type of surgery has evolved greatly since its introduction. The name comes from the fact that surgeons reconfigure parts of the stomach so that food bypasses the top bit of the gut, or the small intestine, to prevent it from being absorbed by the body, thus less weight being gained.

In most cases, a tiny part of the stomach is sectioned off to create a small pouch which will only accommodate small portions of food. If you eat more you feel sick, and may even throw up. So eventually you will be trained to want – and eat – a lot less. Several types of gastric bypass surgeries are on offer: the Roux-en-Y (distal), and the Roux-en-Y (proximal), the most common, the Mini Gastric Bypass.

Advantages: Gastric bypass surgery is a radical step when all else has failed. It can help people reach a reasonable weight which would then allow them to exercise normally and keep the weight off. For people with severe health problems caused by being obese, it often is the only answer. Often people take this step after being warned they face death unless they achieve significant weight loss.

Disadvantages: Fourteen percent of patients who had this procedure where deep incisions were made suffered complications. General risks overall are respiratory complications, infection, blood clots, bowel obstructions and leakage of the intestine or stomach contents into other parts of the body. It might also exacerbate other health problems common among the morbidly obese.

Gastric Band: This one is performed using keyhole surgery, or a laparoscopic technique, which is why it’s sometimes called “lap band” surgery (not to be confused with lap dances!). In this case, a pouch is made in the stomach thanks to a small band, kind of like a rubber band, which dictates how much a person can eat at once.

The beauty part is surgeons can make the band either tighter or looser by deflating or inflating a balloon filled with silicone, which lies inside the band itself. This is done by using a sterile needle, and can be carried out every six to eight weeks.

Advantages: Safer as no part of the stomach is actually removed. This type of keyhole surgery is considered less invasive, and most patients absorb nutrients well both during and after the the time when the band is inside them.

Disadvantages: Some people suffer sometimes fatal complications as a result of general anesthesia, and this procedure also carries risks of blood clots, organ damage, and infection. In rare cases the band slips or even erodes through the stomach wall. If you lose weight very quickly you might develop gallstones.

Sleeve Gastrectomy: The stomach is divided length-wise and about 80 percent of it is removed completely to create a banana-shaped tube, or sleeve. As it is much smaller than a regular stomach, the amount of food a patient can comfortably eat is severely restricted. Often this is performed on patients who are so big they cannot safely undergo a bypass operation; at a later date they sometimes have this carried out.

Advantages: Nutrient absorption remains good as no actual bypass has been created. And the amount of weight lost is statistically higher (no surprise there – hard to eat with virtually no stomach!).

Disadvantages: Believe it or not, the sleeve can expand if the patient continues to eat a lot, and they can regain weight lost – or not lose weight at all. Also, the procedure is a done deal as it’s not reversible, and there is a risk that leakage of the gut may occur.

Duodenal Switch: The stomach is reduced in size and reshaped to form a sleeve or banana shape, like a gastrectomy, but then it bypasses about half of the small intestine and is reconnected to its shortened shape. This forms a conduit in which both gastric juices and food are mixed together. Yum!

Advantages: Patients on the whole lose more weight with this operation.

Disadvantages: You will absorb less food including vital nutrients, and the operation is technically difficult and performed less often, so some surgeons have less experience with it.

Risks of Being Obese
The risks of obesity surgery are real – but so are the health risks of being obese. If you are more than 65lb over your ideal weight, you fall into this category. Some obese people have no health problems, but these lucky large ones are rare. If you are obese, it is estimated that you are:
More likely to have a stroke, be infertile, suffer from depression, have back problems, snore, suffer other sleep disorders such as sleep apnoea, and develop specific cancers such as breast, cervix, ovarian and prostate cancer
Twice as likely to develop arthritis than people of normal weight
Almost four times as likely to develop diabetes
Six times more likely to have disease of the gallbladder, with an almost six times greater chance that you will develop hypertension

Having obesity surgery is not a decision to be entered into lightly, as it is a step that will have a profound effect on the rest of your life. It is also not to be considered as a substitute for healthy eating and diet – it is a last-ditch attempt for morbidly obese people who have explored all other avenues to get their weight under control and failed.

If you think this could be the right choice for you, discuss all options with your doctor and choose a certified surgeon who has done countless similar operations in the best. Remember, once you start, there is no going back, so think long and hard before jumping in. Good luck!

The information in the article is not intended to substitute for the medical expertise and advice of your health care provider. We encourage you to discuss any decisions about treatment or care with an appropriate medical professional.

Interesting and effective facts about hives

Many cases have put forward interesting and effective facts about hives. These give a lot of useful information to understand hives infection. A raised itchy bump on skin is really painful. Most of the times its cause is not known until it turn severe and recurring.  Spread of hives differ person to person and as per the severity of the infection.

Normally people think that hives or urticaria can never be cured but it is not so. There are many facts and incidence that have broken the myths and assumption about hives and about its healing.

Facts about hives:

  • Hives normally occurs at most of the body parts, for example stomach or arms.
  • It results from dilation of capillaries that leads to histamine leak out
  • Often termed as idiopathic when the cause is unknown
  • Changes in the immune system also lead to hives infection in some cases
  • Intensity if itching in hives differs from person to person
  • Usually treated with an anti-histamine or Atarax medicine or home based medicines

Hives Causes and its treatment:

Hives is basically caused due to things like insect throb, allergic reaction, irregular & sudden temperature changes and stress. Hives is classified into acute and chronic type.  Acute hives persist for less than six weeks whereas chronic hives remain for over six weeks. In some cases hives have remained for several years as well.

Whatever be the duration, treatment of hives is not an easy task. It may take several months to even years to get cured. Usually, people apply home-based medicines like herbs, shrubs, natural medicines or homeopathic medication. However in chronic cases, drugs become vital to reduce the infection and alleviate the patient.

Most of the times during the initial stages, people try to go for the home-based hives treatment like herbs, shrubs, natural medicines or homeopathic medication. Although, when hives turn chronic, application of drugs becomes crucial to lessen the severity of the infection and to relieve the patient.

Size of hives rash also matters a lot. It needs thoughtful consideration where appropriate non-drug healing works better many times. In some cases it was found that wherein skin rashes got healed naturally. Such kind of interesting and effective facts about hives makes it inquisitive for people as well as doctors.

Techniques For Singing – Try a Vocal Lesson

Techniques for singing can be improved substantially by scheduling a vocal lesson with a reputable voice coach.

How do you know if you need help and when? It’s a good idea to start out your performing career by laying a foundation of good techniques for singing. Starting with an empty slate is a whole lot easier than finding out later in your career that you have to correct long-standing bad habits.

Watch for these symptoms of a voice in trouble:

Sore throat during or after singing

Pitch problems, sharp or flat

Feeling that you need to sing louder to maintain the tone

Feeling that you need to whisper to get the words out

Finding it difficult to pronounce the words

Lack of emotional communication with audience

If you are experiencing any of these symptoms, you might want to start asking around for that vocal coach we talked about and begin to develop some valid singing techniques for yourself.

I once asked country singer (first singer to record “Wind Beneath My Wings”) and Broadway star (Les Miserables) Gary Morris why he thought he needed to take a vocal lesson. He replied by saying, “You might be a big, tough guy, but you wouldn’t get in the ring with Mike Tyson without an expert trainer in your corner.” Good analogy, Gary!

How can you know what to expect from the singing coaches you may interview? Look first at their resume, client list, and fees — as is true in many fields, you tend to get what you pay for. Are any of the students known to you? Ask the coach to supply you with a way to contact present and/or former students. Encourage the coach to explain their personal philosophy of techniques for singing. What is most important to them? Vocal safety? Emotional impact? Perfect singing techniques? A five octave range? (And you need five octaves for what?)

At some point you have to quit looking and start trusting. Once you have the information you need to make a carefully considered decision, it’s time to hand yourself over to the strange things this individual will ask you to do in a vocal lesson. I, for one, admit my warm-up exercises sound a little dorky, but they work! And that’s what counts.

You have to trust your singing teacher, but keep an open mind. Regularly check your progress by taping yourself and listening to the results. Ask for progress evaluations from trusted friends and family. If your progress seems to be stalled or you are plagued by the serious voice problems listed above — well, it might be time to move on to a better fit. I always give my students a %100 guarantee that if my techniques for singing better don’t work for them, they can always go back to what wasn’t working for them before.

With the right vocal coach you can learn how to sharpen your techniques for singing freely and how to craft a song to move an audience from tears to joy and back again. But when it comes to making career moves you need to be a self-starter.

You can ask for feedback from your singing teacher when opportunities come your way. They should be able to help you make informed decisions, but don’t expect your vocal coach to manage your career, or get you a record deal — that is, unless they offer that service and have a track record of success.

Cold Sore Treatment- Its All About Reading The Symptoms

COLD SORES, common name for Herpes labialis (also known as “Orolabial herpes”) is an infection of the lip by herpes simplex virus. In many cases, it causes small blisters or sores on or around the mouth that are commonly known as cold sores or fever blisters. When the viral infection affects both face and mouth, the broader term “orofacial herpes” is used to describe the condition, whereas the term “herpetic stomatitis” is used to specifically describe infection of the mouth. Sores associated with herpes labialis typically heal within 2-3 weeks, & there are several cold sore remedies which can be tried at home but the virus that causes them is not removed from the body. The herpes virus infects and becomes dormant in the facial nerves, following orofacial infection, periodically reactivating (in symptomatic people) to create sores in the same area of the mouth or face that the original infection occurred.

To know the ( sore treatment you have to first understand its cause. There are one-time symptoms you get when you are initially infected with the herpes simplex virus. They are sore throat, fever, headaches and overall flu-like feeling. These symptoms only last about two or three days.

Here is a brief roundup of the main cold sore symptoms.


Your first indication of a possible sore is quite mild and often ignored. This first symptom will be noticeable in the area where you get cold sores. These include a slight tingling and itching sensation.

Your target area may feel dry. If you have lip balm, you will desire to use it.

You are aware that something is afoot beneath the skin. You are right. The herpes simplex virus is at the surface and infecting many cells for the purpose of replication.

Applying ice, or anything cold, at this time will provide comfort. Also, it could discourage the herpes simplex virus – or stop it completely. But if not then you need cold sore treatment.


Some painful, tiny, red bumps will form. Sometimes they are mistaken for acne pimples. Then the affected cells will become swollen with the new virus particles.

Some fever and headaches are common at this point. There are lymph glands under the jaw on each side. Usually the gland nearest the sore will inflame and enlarge as it fights the virus.


Once the cells are full, they are destroyed, leaving a gaping wound. Now your sore will weep a clear liquid because your body tries frantically to wash the virus away.

This can be quite a painful period. Cold sores, oral herpes and fever blisters are created on the end of the nerves. When the sore bursts open, the nerve endings are exposed.

You are very contagious for the entire duration of cold sores, but this is the worst time. The fluid weeping from the sore is absolutely swarming with fresh virus looking for a new home.


Once the sore breaks open, it begins the healing period. You should notice improvement every day now.

Your body will scab-over the wound, and starts to replace the damaged cells underneath. If the scab becomes dry, it will crack when you smile or chew. This hurts a lot, and can slow down the healing process.

To help keep the scab soft and pliable, apply virgin olive oil.

The crust will last approximately a week, depending on your healing speed. When it finally disappears, there will be fresh new skin underneath.

You will notice a redness to the area. This means it is still healing below the skin. There is still herpes simplex virus lurking around – making you contagious until the redness disappears.

Your previously swollen lymph glands should be back to normal now.

The final healing period seems to drag on forever. You are feeling much better and looking OK but are still infectious.

And, if you are not cautious and take suitable cold sore remedies, cold sores can reoccur quickly during this final healing process.

Another cold sore treatment involves the use of lemon balm tea.

These tea bags can be found for cheap anywhere you find specialty teas.  If the lemon balm is not “stand alone” but in a blend with other herbs, that will usually be just fine too – as long as lemon balm is the primary.

Doctors explained that the ydiscovered lemon balm herb has anti-viral properties and is a natural cold sore treatment.  They took a 16 – 20 ounce container of bottled water, then brewed a strong batch of lemon balm tea using one tea bag per 4 ounces – then froze the tea bags – using these in place of the plain ice cold sore treatment.

There are many other reported highly effective cold sore remedies that you can try.  These include tea tree oil, dmso, olive leaf oil, lysine, zinc, yogurt, aloe vera and more.  Lysine and zinc do not work well applied directly because the size of their molecules are too large for effective absorption.  Lysine and zinc are better used as internal support supplements.

Another great virus killer for surface use is alcohol. It can sting, if you have not numbed it with ice first, but it is the gold standard for keeping a wound clean and reducing infections.

Use a cotton ball or tissue to apply it. You do not want to contaminate your fingers and spread it to someone else or to another location on yourself.

To speed healing even faster, try using some fresh sap from the Aloe Vera plant leaf. Just break off an inch or so of a leaf and apply the sap to the wound. Be sure to use the alcohol, or some other germ killer first. Aloe can heal right over an infection.

Yes – it is quite simple but it is a well proven and powerful cold sore treatment.

With such information in your hand you might as well go in for a free sign up for an alternative therapist at various health information directories like World Wide Health. Certainly you are almost a specialist yourself on cold sore!

New Directions

New research is being carried out extensively to develop better ways of dealing with alcoholism and treating its devastating effects on individuals’ lives and health.


It is known now that genetics play a significant role in an individual turning into an alcoholic. Children of alcoholics are more prone to alcoholism. Since alcoholism is a complex disease, many genes are likely to play a part in raising the risk of a person taking to alcohol. Research scientists are searching for these genes and have had partial success in that they have found certain chromosomes where these may possibly be located. New technology may enable scientists to actually identify and measure how much each gene has contributed to the complex disease that is alcoholism. This research will lay a new foundation for treatment and medication related to alcoholism.


Researchers have been evaluating current therapies that are commonly used to treat alcohol-related disorders. New therapies are also being worked upon and some progress has been made on this front. There are three major approaches for treatment of alcohol – motivation enhancement therapy, cognitive-behavioral therapy and 12-step facilitation therapy. A study has shown that these therapies have helped to substantially arrest drinking in the year following treatment. Further, it was found that one-third of the participants of this study were either still not drinking or were drinking without serious problems three years after the study ended.


Naltrexone, a new anti-craving medication has been researched by neuroscientists recently. It was found that this drug, in combination with behavioral therapy, treated alcoholism effectively. Since disulfiram, which was approved in 1949, naltrexone is the first medication to have got approval. It acts on the reward circuits of the brain and helps the individual to remain sober after detoxification from alcohol. Acamprosate, another anti-craving medication which is widely used for treatment of alcoholism in Europe, is also likely to be approved in the United States.

Combined medicines and behavioral therapies

The most encouraging results have been observed when medications have been used in combination with behavioral therapy to treat alcoholism. Research and clinical trials are ongoing to find which combination of medications and behavioral therapies have optimum impact.

Further, work is also being done in other areas such as fetal alcohol syndrome, effects of alcohol on the brain and other vital organs, new treatment techniques and strategies to reduce alcohol related problems. It is hoped that in the future, all the above efforts will help diagnose alcoholism at an early stage, provide families with new techniques and approaches and even prevent alcohol related problems.

Type 2 Diabetes – The Three Stages to Recovery

The epidemic of Type 2 diabetes is here, and it is likely going to stay. The facts are not kind, and statistics show it is only going to get worse. Thankfully, more and more people are beginning to realize it is a deadly disease we must not underestimate. That people understand the disease more than in previous years is an improvement, even though there is still much work to be done.

If you are one of those afflicted with the disease, below are the three stages of treatment. You may find these arbitrary since they are not definitive or written in stone. Nevertheless, if you are interested in handling your disease, you are likely going to find the following very helpful…

Recognizing diabetes as a serious health concern. The first stage consists of identifying diabetes as the obvious health concern it is. It should never be underestimated or should it ever be neglected. Most people are guilty of making these mistakes. If you can dodge this bullet, consider yourself in good shape.

It is only when you feel compelled to treat and lower your blood sugar you will be able to push through the effort it takes. Realizing Type 2 diabetes could be a death sentence if it remains untreated is the essential first step you must take.

Active treatment and management. You can only enter the second stage: treatment and management if you are fully committed. It is not enough to merely dabble with the idea of managing your blood sugar. You have to have a strong desire to see it lowered to a healthy range which only comes with the understanding it’s the only real decision you could make.

Allowing Type 2 diabetes to stay and exacerbate, only poses serious consequences. Various complications affecting digestion, vision, movement, and vital organs like the heart and kidney, are all possibilities.

If you enter this second stage, you will need to make some bold changes in your lifestyle. Much can be said about nutrition and healthy eating, but also weight management and blood sugar reduction. It is simple in theory and is not as complicated in practice as you may have been led to believe.

If you are determined enough, you will see yourself through the second stage, by fighting for your health and not stopping short of your ultimate objective.

Maintaining a healthy lifestyle once blood sugar returns to normal. If you can make it to the third stage, take a moment to congratulate yourself. Few can fully reverse diabetes, but the ones that can deserve it. The reward is better health, which is undeniably priceless.

But the work is not finished. You still have to maintain the changes that took you to the third stage, which is maintaining your health. Fortunately, it gets easier at this point. Mostly due to the habits cultivated in the second stage.

If you have Type 2 diabetes, you owe it to yourself to attempt to move through the stages. Hopefully, you will because it is in your power to recover and live a life free of high and unstable blood sugar and all of the problems associated with them.

Reasons Why You May Be Gaining Weight – Part 4

There are many reasons why Americans are overweight. Many are not related to self-control. The current research in weight loss focuses on brain hormones called neurotransmitters. There are neurotransmitters between each of the ten billion neurons (brain cells) in your brain. These chemical messengers allow brain cells to communicate with each other. How you experience emotion and how you feel and think is dictated by certain neurotransmitters. For example, acetycholine and dopamine are related to appetite control. Serotonin diminishes cravings, while GABA (gamma amino butyric acid) helps with anti-stress, anti-anxiety, anti-panic, and relaxation.

You may not realize that your family and friends, midlife, genetics, a lack of physical activity, and your own needs may contribute to weight gain. Here are five reasons to consider as to why you may be gaining weight.

1 – Family and Friends

Eating often is a social event with loved ones. Often other people's expectations can interfere with any dieter's goals. It is difficult to eat different foods than the family unit. The worst thing you can do is tell your loved ones or friends you are going on a diet. The day you decide to lose weight, your co-worker will probably bring donuts to work! Weight loss takes energy, and it helps to have group support to accomplish those goals. Make yourself priority!

2 – Readiness

Lots of people wish to be thin and slim, but are unwilling to exercise. Learning is a state of readiness as is weight loss. Sometimes people are just not ready to weight loss. "If anything can go wrong it will," is true with weight loss. It takes time and consistent effort to find your ideal weight. Go within yourself and ask, Am I ready to be thin? Ask yourself, Is this what I really want – to be thin? Or just maybe, it's not the right time. A woman who just gave birth, may have to wait a few months until she can freely focus on losing weight. And some people need an athletic trainer to make exercise work.

3 – Midlife

After age 40, our normal metabolism naturally starts to slow down. Hot flashes symptoms or decreed energy is not the problem, but less hormonal output is a cause. Any anxiety intervention with cortisol, insulin, or thyroid hormones will initiate weight gain. It is important to check if your sex hormones are deficient. A blood test can be done without a visit to a medical doctor. Now through the Internet, you can find a blood lab in your neighborhood to test your hormones and send the results directly to you via email.

4 – Genetics

Some people find it difficult to lose weight even while using every possible strategy. Some people are genetically pre-disposed to weight gain. In very difficult cases, a partial gastric-bypass operation may be a realistic solution. The surgical procedure is reversible should any complication arise.

5 – Physical Activity

You may work hard, but do you exercise? There is no substitute for 45 minutes of nonstop walking. Some folks will need to exercise longer to obtain weight loss benefits. If exercise is not working for you, you may not have found the right exercise for your personality and psyche. Through trial and error and some patience, you can find an exercise routine that is right for you. I suggest something fun that includes camaraderie and socialization.

It requires discipline and willingness to reach and maintain your ideal weight. The statement "If anything can go wrong it will" is certainly true with weight loss. Stress, midlife, menopause, toxins, hormonal imbalance, family and friends, genetics, a lack of physical activity, and our own lack of readiness may contribute to weight gain. Of course, there are more reasons for weight gain than I've mentioned in this article. Therefore, I encourage you to read all four parts of this article series. My hope is that you find an answer that works for you.

Oxygen Based New Antifungal Treatment is the New Hope Against Toenail Fungus

Getting a toenail fungal infection is embarrassing and can require lengthy treatment. Because the source of the infection lies deep beneath the nail, it can be hard for other treatments to get to. The most recente and yet effective product to cure toenail fungus  in the market uses a combiantion of Hydrogen Peroxyde  combined with high-grade manuka oil to soften the nail, allowing the active ingredients in the treatment to penetrate the nail and attack the infection at its source. Manuka oil also has antifungal properties, so there are two antifungal agents at work to fight the infection.

One of the added benefits of the hydrogen peroxide  is that it not only works to kill the fungus causing your infection, but also works to boost your immune system’s ability to fight it as well. As the treatment provides an oxygenated boost to the cells surrounding the infection, it also boosts the strength of your white blood cells, allowing your body to fight the infection on its own, as nature intended.

The toenail fungus treatment formula is all-natural and includes birch oil and green tea catechins in addition to the hydrogen peroxide and manuka oil. The birch oil and green tea catechins serve to soothe the infected area, encouraging the regrowth of healthy cells after the infection begins to subside. So ,it not only works to cure toenail fungus infection, but also works to promote healing and isn’t just for toenail fungal infections. This natural and versatile antifungal treatment can be used to address all sorts of fungal infections, from athlete’s foot to ringworm to diaper rash.

Since it’s  a cream, it’s easier to apply than most other antifungal treatments. It absorbs quickly, much like a moisturizer, so you don’t have to deal with the mess that usually comes with liquid or gel treatments. Often, when you use traditional treatments, they seem to end up smeared all over everything but the problem area, but this  antifungal treatment is absorbed quickly and easily into the nail, without creating a mess.

If you have a fungal infection of any type, help is just a click away. Check it out visiting

Top 5 Tips to Keeping Your Skin Hydrated

If you take care of your skin, you can be sure to see some serious benefits. For example, hydrated skin is not only smoother but it is also less likely to develop such unsightly marks as blemishes and age spots. Similarly, hydrated skin is more even in color and gives off a great glow. The following include the top five tips for how you can keep your skin hydrated, healthy, and youthful.

1. Make sure to wash your face two times a day with a great cleanser. This will remove harmful bacteria and dirt from your face. If you use a high end cleanser, you can also be sure to hydrate and nourish your skin because such items come equipped with skin smelling ingredients.

2. Exfoliation is an integral step to keeping your skin hydrated. Such a product is great because it goes deep into pores to unclog them. If you use a face scrub with vitamins and moisturizers inside, you can then be sure to unclog and also soothe your skin's pores.

3. Do not forget toner when it comes to taking care of your skin. Toner is a step that a lot of people forget when it comes to skin care. This item tightens the skin's pores and provides them with helpful nutrients to make skin look as refreshed as it feels.

4. If you do end up with some spots on your face, take the time to invest in some pimple, acne or blemish spot removers. This is a solid way to get to the very root of the problem and to make sure that you rid your face of blemishes before they start to spread and take over your face. Blemish or spot removers are best worn at night because you will not touch your face or rub them off. If you have a particularly bad pimple, you can definitely add remover to your morning skin care routine.

5. And of course, the best way to keep your skin hydrated is to invest in some stellar moisturizers. This may be one of the most important steps of hydrating your skin. The right moisturizer keeps your skin hydrated because it is full of helpful ingredients that even out skin tone, reduce swelling and redness and have vitamins galore in them. Additionally, many moisturizers today also include collagen-focused ingredients to help the skin regenerate its cells at a fast rate. This keeps wrinkles at bay and helps prevent blemishes.

Do You Know Your Typical Allergy Symptoms?

Do you have what you think may be allergy symptoms, but you just are not sure? Most allergies can be remedied through self medication, but you have to know what to look for to make sure that that is what you have in the first place. So what do you need to be on the lookout for?

In this article we're going to have a look at some of the more common things you might see if you have mild, moderate, or severe allergy symptoms.

There are a large number of resources at your disposal (medical books and website) for finding out the symptoms of specific allergies, and, while this may narrow down the search for what you have, you really need to have some idea of ​​what you have Before you can look them up to start with.

If you just need to know if you may have allergy symptoms then some of the most common things to be on the lookout for are: itchy and / or watery eyes, a rash, and chest congestion. These are common mild allergy symptoms. More moderate allergic reactions could also include a difficulty in breathing and a feeling of itchiness over most of your body.

If you have mild or moderate allergy symptoms you will, generally, be able to get some form of over-the-counter medication to deal with it. If, however, you're having problems with your breathing then it's advisable to seek some sort of medical advice as soon as possible – whether that's with a local doctor, or by going directly to the hospital.

If you're suffering from severe allergic reactions you should get medical treatment as soon as possible, because they can escalate and become potentially life threatening. The things you'll need to be watching out for include: difficulty breathing, dizziness, diarrhoea, vomiting, painful cramps, and a loss of consciousness.

Although you may decide that you're only going to self medicate in the cases of mild to moderate allergic reactions, it would pay to visit your doctor at some point to talk to them about the allergy symptoms you get.

The biggest problem with dealing with the allergic reactions yourself is that you are not always going to be sure what caused them in the first place, which means they may just keep reoccurring. If you get it checked out then you'll find it far easier to avoid the problem completely.

Another advantage of visiting your doctor to get the allergies checked out is that they may be able to prescribe something that will work far better than the usual mild forms of over-the-counter medicine that you'll be able to get. If you'd prefer to avoid the medication then the doctor may be able to give you other tips that will work equally as well.

There we have it; A few of the quick things to look out for if you think you may be suffering from an allergy.

All of them will tend to include itchy and / or watery eyes, a rash, and chest congestion. Moderate allergic reactions can also include most of your body feeling itchiness, and difficulties with your breathing. Severe allergic reactions, while quite rare, may also include painful cramps, dizziness, vomiting, diarrhoea, and a loss of consciousness.

While self medication may be perfectly find in most cases, it's always best to visit the doctor so they can give you help and advice on your allergy symptoms.

Full Lead Crystal Decanter – Are They Safe?

One of the most common questions that come up in forums for people that are looking at decanting their wine is “Is it safe to drink out of a full lead decanting container?”  This is a very good question.  As you probably know lead is a very dangerous substance when it come into contact with humans, especially if it is ingested.  Lead when ingested interferes with a number of body functions.  I don’t want to scare you before we get to the answer of this question.  But I do want to provide you with information as to what can happen if leads in large quanitites are absorbed into the body.

Lead poisoning is toxic to the human body.  The organs of the body and tissue are considerable susceptible to the poison associated with lead.  Organs like the heart, bones, intestines, kidneys and reproduction systems will have a hard time with lead, because the substance is so toxic it can cause potentially permanent learning and behavior disabilities.  If you have been exposed to lead expect the following symptoms to show up.  They include abdominal pain, headaches, anemia, irritability and seizures, coma or even death.  So, it is very reasonable to not allow your body to be exposed to lead.

I know, the previous paragraph is a little scary.  But, there is no need to worry when you are using crystal lead decanters.  The leads in these decanters are not easily dispensed into wines when they are placed in them, if lead decanters were dangerous I suspect that the public would be notified by now.  As long as you don’t use lead decanters as a means to store you wine or liquor you should not have a problem with lead decanters.  The acid in the wine would take a long time to allow the lead to seep into the wine.  According to the following guidelines should be followed with using lead decanters.

1. Do not store liquids in lead glasses or bottles

2. Do not drink from lead crystal on a daily basis.  Decant you wine in a day and drink it on the same day.

3. For best measures, do not feed a baby from a lead baby bottle or container. has more information if you want to learn more about leads and glass.  These are best practices procedures. Read them and take heed to their instructions.  In the end lead decanters are still very viable options for decanting your wine.  You just should not store you wine in these containers.  If you are thinking about storing you wine, then look into lead free crystal decanters.  That are better for the environment.