Can Exercise Shrink Fibroids?

If you are aware that you have fibroids, you may well have read all kinds of conflicting information about what the best treatments are to help you to reduce them. If you are wondering specifically, “Can exercise shrink fibroids”, well there isn’t really a definitive answer.

Fibroids form due to the subtle interaction of a number of factors which happen to be present in the body. It is believed that your diet, hereditary factors and lifestyle play a big part. It is virtually impossible to determine exactly what the precise causes of fibroids are in an individual.

Conventional treatment tends to deal with eliminating the symptoms of fibroids. The problem with this is that these treatments do nothing to eliminate the root causes, meaning that even after extensive surgery, fibroids can regrow and often quite quickly too! The only true way to shrink fibroids is to eliminate the root causes, meaning that the body effectively becomes a neutralized environment in which new fibroids cannot grow or existing ones supported.

So, can exercise shrink fibroids? Well, exercise can certainly help with the symptoms of fibroids. No matter what treatment you choose, it will work better if the body is fit and strong. Exercise will control stress, improve circulation and relieve muscle tension. In addition, better hormonal balance is usually enjoyed by women who exercise regularly and this in itself can help with fibroids.

Specifically, some exercises are better than others for women with fibroids and the three main forms of exercise to shrink fibroids are:-

1. Aerobic – Fast walking, swimming and running will all help improve your circulation

2. Muscle-Strengthening Exercise – Try weight training as this will generally strengthen the muscles, including those required to support the uterus. Also try Pilates and kegel exercises.

3. Energy-Enhancing and Hormone Balancing Exercises – Often Eastern-inspired. Consider Yoga and Tai-Chi.

There is little doubt that the best way exercise can help shrink fibroids is to combine it with other natural treatments, such as dietary modification and making lifestyle changes.

Your Period in Your 30s, 40s, and Beyond – What You Need to Know Between Puberty and Menopause

For many women, the only times we receive much education about our periods are at puberty and menopause. You might assume that after the teenage years, your period should be on a regular cycle, unchanged until menopause, but this isn’t true. Along with the menstrual cycle disruptions of pregnancy, birth control pills, and illnesses, you may have very different periods through the different decades of your reproductive years.

The 20s: Typically, by the time you reach your 20s, the hormonal chaos that accompanies puberty has mostly subsided, and your hormone levels are as balanced as they will ever be. There is no one “right” menstrual cycle, but the average time between one period and the next for a woman in her 20s is 32 days. Periods may be very predictable-like clockwork, even-especially if you are using birth control pills.

This doesn’t mean, however, that you should necessarily be concerned if your periods are irregular. A woman’s menstrual cycle is a complex interaction between her reproductive system; hormones produced in the pituitary glands, hypothalamus and thyroid; and the environment. Stress, diet, and the amount of sleep and exercise you get all influence your cycle, too.

When should you be concerned? Generally, these are signs that you should see a health care provider:

Severe PMS: If you are bothered by physical changes or changes in your mood consistently each month, see a health care provider to rule out underlying causes, such as clinical depression, uterine fibroids, or endometriosis.

Painful periods: Some discomfort is normal, but if the pain is severe, consistent, and not relieved by an over-the-counter medication such as ibuprofen, see a health care provider to rule out an infection, scar tissue, or another underlying cause.

Missed, or infrequent, periods: If you are sexually active, have a pregnancy test done first. An occasional missed period, even if you aren’t pregnant, shouldn’t be a concern. They can be caused by too much exercise, stress, and certain medications. If you have gone more than 3 months without a period and are not pregnant, see a health care provider to rule out a hormone imbalance, ovarian cysts, or certain hypothalamus or pituitary conditions.

Unusually heavy periods: If a pregnancy is possible, an unusually heavy period could be a sign of miscarriage. If you consistently have heavy periods, your health care provider may want to rule out endometrial cancer or an underlying thyroid or blood-clotting disorder.

These conditions are all treatable. Don’t be afraid to see your health care provider if you feel there is something unusual or wrong about the way your body functions.

The 30s: As you transition from your 20s to your 30s, and especially by the age of 35, your body begins to produce less estrogen. You may find that your menstrual cycle has shortened, from an average of 32 to 28 days. You may also notice shorter or irregular periods, increased symptoms of PMS, a heavier menstrual flow, or a combination of these changes. These hormone fluctuations are sometimes referred to as perimenopause, which simply means “the time around menopause.”

As our estrogen levels begin to decline, our fertility begins to decline as well. We may experience some of the changes associated with menopause, including the thinning and drying of vaginal tissue, breast tenderness, an increased buildup of body fat around the waistline, hot flashes, and night sweats. A woman may experience these changes for up to fifteen years before her last menstrual period. For some women, these body changes will be more severe during perimenopause than during menopause itself. In fact, seven to eleven percent of women in their late 30s will stop having periods.

If you are severely bothered by the hormone fluctuations and the body changes associated with them, you might first consider lifestyle changes to ease the symptoms. Eating well, getting moderate exercise, reducing your stress level, and getting adequate rest may make the symptoms more manageable. If lifestyle changes don’t solve the problem, you may want to see your health care provider and find out whether hormone therapy, either in the form of birth control pills to help regulate hormones or estrogen replacement therapy, is appropriate for you.

For some women, the perimenopausal years may mean changes in heart health. If you experience any heart symptoms, including skipped beats or moments of rapid heart fluttering, see your health care provider immediately to rule out an underlying heart problem. After you have had these heart symptoms checked out by your doctor, you may find that some heart symptoms become a consistent part of your cycle. Know your own body and what is normal for you.

The 40s: Women typically experience the body changes of perimenopause six to ten years before our menstrual periods stop. For most of us, this means we’ll experience perimenopause by our late 40s. Depending on family history and other factors, you may also stop having periods in your 40s. The average woman will experience shorter cycles. In contrast to what many of us experience in our 30s, you may also have lighter menstrual flows. Ovulation occurs less frequently than it did in your 20s and 30s, and fertility continues to decline.

If you haven’t already learned what to expect from your body during and after menopause, now is the time to educate yourself. If possible, talk to your mother, grandmother, and aunts about their experiences. Even if lifestyle changes worked well for you in your thirties, you may now want to talk to your health care provider about hormone replacement therapy.

Remember, too, that for many women, the transition from the menstrual to the post-menopausal years is a relief and has many positive aspects. Our bodies will change; this is inevitable. Suffering, physically or emotionally, because of these changes is not inevitable.

Women of any age should keep track of when our periods begin and end each month, and be aware of changes in our bodies’ rhythms. This way, when we do notice something unusual or bothersome, we’ll be better prepared to discuss the changes with our health care providers.

The Symptoms of Thrush – The Signs to Look For

Thrush is an infection which will happen to most people at some point in their lives. Although women are traditionally most susceptible to thrush in the vaginal form of the disease, it also affects men and children in its more generic forms.

Thrush occurs when a yeast called Candida, which is found naturally on the body, grows out of control.

In babies, thrush occurs because the immune system, which regularly controls the yeast, is not developed enough to keep it in balance. A breast-feeding mother may get a yeast infection of her nipples if her baby has thrush. This can cause sore, red nipples.

Many people will develop thrush after having taken a course of antibiotics which create an imbalance in the body as they are trying to combat disease. This gives the candida an opportunity to grow, which leads to the thrush infection.

In oral thrush, the most common symptoms are white patches which stick to the inside of the mouth and the skin. White patches elsewhere on the body can indicate a skin thrush infection. It looks like cottage cheese. Vaginal thrush is a thick mucusy discharge which also looks like cottage cheese.

Poor appetite and rashes in the area of ​​the infection are also common symptoms that a thrush infection has occurred.

Thrush is traditionally treated by over the counter creams of suppositories which act to combat the symptoms. However, newer homeopathic remedies, such as Yeastrol, are now becoming the recommended cure of physicians, as herbal remedies do not cause such an imbalance as medicinal treatments. In addition, these herbal remedies maintain the bodies candida balance and negate further yeast infections occurring.

Hepatitis C

Are you experiencing jaundice, fatigue, dark urine, abdominal pain, loss of appetite, and nausea? If you experience all these, you can be suffering from hepatitis C, a disease of the liver, which is caused by the hepatitis C virus or HCV. This disease is transmitted when the blood from an infected person enters the body of an uninfected person. It can be spread through sharing needles. It can also be transmitted from an infected mother to her baby during birth. The long-term effects of this disease include chronic infection, chronic liver disease, and death.

Unlike other diseases, hepatitis C has no vaccine, but there are blood tests that are available to check for this disease, especially if you were notified that you received blood from an infected donor or if you have ever injected illegal drugs. You should also contact your medical provider for a blood test if you have ever been on long-term kidney dialysis or if you have evidence of liver disease.

The blood tests that will be conducted are anti-HCV, qualitative tests to detect presence or absence of virus, and quantitative tests to detect amount of virus. These tests can determine if you have been infected with HCV. Your doctor can recommend you to undergo one or a combination of these tests.

Since there is no vaccine to hepatitis C, prevention is one of the best things that a person can do to avoid the risk factors. You should never shoot drugs, or if you can not stop, at least never share needles. Also do not share personal care items that might have blood on them, like razors. If you are thinking about getting a tattoo or ear piercing, you might as well think twice because there is risk of getting infected if the tools have someone else's blood on them. Keep all these preventive measures in mind because prevention is always better than the non-existent cure.

Liver Detoxification – Help Improve Liver Disease and Cirrhosis

If you've woken up feeling like you've been hit by a train or a hangover sans the booze after what you believe is a full night of sleep then this could be symptoms of an unhealthy liver. Most people would shrug off daily health nuances such as aches and pains, sluggishness, irritability, anxiety, skin problems, headaches, colds or an irregular bowel movement as just another hectic day. While this may be the case more often than not the real culprit is an unhealthy liver brought about by various factors.

Why is it important to keep the liver healthy? The liver is the body's natural detoxification mechanism. The liver a vital organ of the body has the job of making sure to filter and purify wastes and toxins that pass through it from the colon and kidneys via the bloodstream. An unhealthy liver will therefore be incapable of doing its duty and will cause a domino effect of illness and disease with the rest of the organs in the body. If you've heard of multiple organ failure as the cause of death in some medical drama series you can bet that the first thing to fail is most likely the liver.

An individual's lifestyle can greatly affect the health of the liver. Take for example a person working as an events coordinator. This person's lifestyle then is more likely a combination of late nights, early mornings, alcohol from parties, smoke either firsthand or secondhand, fast foods for those times of meeting a deadline etc. This person could have started out as a healthy eater, with a regular exercise routine and 8 hours of sleep but due to the kind of work environment it is not impossible to replace the healthy habits with bad ones either intentionally or unintentionally.

Diet definitely plays a major role in maintaining a healthy body. Detox diets Liver are On not Involve Mainly complex and the consumption of the raw whole foods or organic food products. The idea with this type of diet is to consume unprocessed food. Elimination of the usual health debilitating culprits such as tobacco, saturated fats, refined sugars, alcohol and the like are essential as well. Drinking 8 – 10 glasses of mineral or alkaline water a day is an easy method to ensure cleansing as well as re-hydration. Organic or herbal health food supplements provide essential additional nutrients. The best thing about supplements is they are effective, convenient and relatively priced. Available in health food shops in your typical pill or gel formulation. Powder supplements used to amp up juices, shakes and smoothies also make taking it more fun than conventional methods. What is integral about diets is finding one that suits a persons needs and is a fit with their lifestyle. There is no point in jumping into any kind of diet without analyzing if it is doable. Diets fail because it was not thoroughly thought of at first. Consulting with a physician, dietician or nutritionist will also help make sure that your body is capable of following the diet without suffering any ill effects.

What Is Catarrh And Do You Suffer From It?

That’s why they should come to hospital with their children, if catarrhal diseases become frequent. This must be taken at bedtime to seek relief from the nasal catarrh. This will eliminate the irritant and help clear the catarrh more quickly.

It is used for respiratory conditions such as bronchitis, catarrh and asthma; for wrinkles, wounds and dry skin, and in cases of rheumatism, cystitis and leukorrea. If the catarrh is chronic it may be a symptom of an allergy. Restores sense of smell due to catarrh.

Also excess catarrh and mucus and neuralgia, cinnamon are a good treatment from the ordinary coughs and colds to catarrh and respiratory infections, especially in cases where there is fever present. It may also help in the treatment of bronchitis, catarrh, dry persistent coughs, laryngitis as well as sore throats.

It is used for respiratory conditions such as bronchitis, catarrh and asthma; for wrinkles, wounds and dry skin, and in cases of rheumatism, cystitis and leukorrea. Using saline drops or spray can effectively help ease the symptoms of catarrh by hydrating the nasal passages. Other uses that have been identified are for diabetics, where Professor Kuhn found an improvement in the blood picture, for coughs and catarrh and in the treatment of circulatory problems of a mild nature.

Black Nightshade (Solanum nigrum) can remove the catarrh and phlegm deposited in the bronchial tubes. Regular use of tea tree oil has been found to be effective in treating Asthma, bronchitis, catarrh, cough, sinusitis and even tuberculosis, excellent for all excess catarrh and mucous conditions, particularly those in the ears.

The symptoms of rheumatic conditions and gout improve, as do chronic bladder catarrhs and urination problems. If the bout of catarrh is particularly bad, try running the hot water in the bathroom and sit in the steam in with bathroom door closed. Conditions such as asthma, bronchitis, catarrh, coughs, colds, sinusitis and sore throats can all benefit enormously.

Fennel can be used to help with bloating, flatulence, mild digestive spasms, catarrh, and coughs. Belleric Myroblan (Terminalia belerica) the fruit of the belleric myroblan has excellent curative powers in the treatment of coughs caused due to catarrh. Garlic is recommended to help treat colds and flu, catarrh, heart and circulation problems and fungal infections.

Modern science has also proven that basilic has the multiple functions of soothing nausea and digestive problems, curing various stomach ailments like cramps, gastric, vomiting, intestinal catarrh and constipation, killing germs, aiding in blood circulation, which is good for relieving muscle injuries and aches, purging perspiration and lowering the body’s uric acid level to reduce cases of gout and arthritis. The best way to get rid of catarrh is to understand its underlying cause. This condition could be caused by many factors like chronic catarrh, raised blood pressure or too much of quinine.

It is especially useful for infections of the upper respiratory tract such as laryngitis, tonsillitis and for catarrhal conditions of the nose and sinus. If you suffer from chronic catarrh, you should seek medical attention to determine the underlying cause. If you suffer from respiratory problems such as coughs and bronchitis then fennel could help to ease your congestion and is a useful remedy for catarrh.

Left untreated, catarrh can lead to more serious problems. When the nose is affected it can show symptoms such as hay fever, rhinitis, catarrh, blocked nose, sinus pain, sneezing and a running nose. Chemicals and drugs will come out of the body as well when the body builds sufficient energy and strength to liquefy and throw off catarrh (mucous).

Kidney Stone Treatment – Your Ultimate Guide

Kidney stones inside the urinary system especially those that are 4 mm in diameter poses danger to the patient. It is because the stones may be large enough that the urinary system can not naturally expel it through urine. They can block the urinary ducts and cause kidney malfunction. Another danger is blood infection when the stones have wounded the linings of the urinary tract. Kidney stones, renal calculi in medical terms, can be expelled through several means. There are several kidney stone treatment methods available.

If the renal calculi particles are relatively small, meaning it can still expelled through urine naturally, usually accompanied by pain, there are medicines that can be taken. These medications are usually doctor prescribed. They have chemicals that may either lubricate the urinary tubes to allow easier passage of the stones or they can dissolve the stones into smaller particles. Once the stones are smaller, they can easily pass without pain.

When the renal calculi are relatively larger, practically blocking the urinary ducts, the urinary organs may malfunction. These cases require immediate medical attention. An effective kidney stone treatment is operation. The side of the patient, at the kidney area, is cut to have access to the stone blocked region. If the stones are at the kidney, small slits are made to recover the particles. This process is effective; however, there are risks for complications especially for hypertensive patients.

A modern kidney stone treatment method called Lithotripsy is a way of pounding the renal calculi to smaller particles without the risky operation. In this process, shock waves are directed to the stones clogging the kidneys. Then the stones are powdered and can be more easily excreted.

Alcohol Addiction – A Social Evil

There is a group of who start using alcohol to drive away the sorrows and pains of life, whereas others turn to it because they know not any other way. Most alcohol addicts give the reason that alcohol gives them a power to face the challenges and difficulties of life. The practical theory behind this feeling is that alcohol can generate illusions and hallucinations in the minds of people and they are taken to another world where they forget the real world worries, and tensions. Sinking in this dream world, they start loving alcohol to an extent that they can’t even imagine being without alcohol.

The effects of alcohol addiction are long lasting. The harmful effects are never limited to the individual; rather the circle of society is forced to suffer the consequences. Alcohol addiction sends out a red signal by producing physical ailments and mental disturbances in the individual. Even then it is not the individual but the associated ones that realizes the danger and think of how to help the diseased stop drinking alcohol.

Harmful results of alcohol addiction start with physical damage to kidney, liver, heart and almost all internal organs. It starts carving the walls of intestine. Loss of appetite, vomiting, dizziness, nausea etc. are some among the numerous difficulties felt by the addict. He slowly starts losing memory and faint often due to lack of sleep. The physical appearance and facial appearance become too ugly.

Worst of all ill effects is the interference in his social and personal life. He fails to execute his duties and responsibilities. Instead of being a support, he becomes a burden to his family. Peace of the family is disturbed and they become the centre of criticism for the entire society. The place of his work is another area affected badly. You start to have serious backlogs at work and co-workers are humiliated. Everyone dependent on him will be forced to take the pains of suffering and obviously live through the aftermath.

Social peace is disturbed. When alcohol addiction haunts a person, he will start engaging in criminal activity. Slowly he changes into an anti-social element and none will dare to get acquainted with him. He is isolated and this adds up the fury. His evil behaviour shoots up and a criminal is born.

Several methods are available that will teach people how to stop drinking alcohol. De-addiction centres play a major role in bringing them back to life. Medicines that make them feel the taste of alcohol will inculcate a feeling of hesitance towards the drug. But the major problem in dealing with alcohol through medicine is that, their going be a drug dependency or the forceful withdrawal could lead to many related problems. These efforts of not carried out in a professional manner can cause more harm than good. This later addiction is a critical factor to be dealt with.

Hypnosis is the best method to slowly change the attitude of the individual towards liquor. The hypnosis therapy slowly operates on the minds of the addicts through relaxation devoid of medicines, thereby showing him the path of recovery. The thoughts are deviated to productive areas through hypnotherapy techniques and he is slowly brought back to normal life.

How Can You Lower Your Blood Sugar Levels Naturally And Safely?

You can lower your blood sugar levels naturally and safely by regular exercises, taking nutritious and balanced diet containing minimum sugar content and by using herbs in place of popular medicines. Diabetes is a metabolic disorder, the diet we consume contains glucose, this glucose is used for energy production by the body. Body produces insulin which takes glucose from blood and store it in the cells of liver, muscles and fat, later body burn this glucose to generate energy to perform various functions. People producing lesser insulin, poor quality of insulin or having cells in liver, fat and muscles which do not respond to insulin activity suffer with high blood sugar or diabetes.

High blood sugar affects nerves and blood vessels of the body, by harming these it can damage any organ of the body. However eyes, heart, kidney and nervous system are at high risk due to higher level of glucose in the blood. If not treated, diabetes over a period of time can become life threatening disease. You can lower your blood sugar level naturally and safely through exercise and diet control to an extent, exercises demand energy which body produces by burning glucose in the blood to lower blood sugar levels, lesser intake of sugar will supply lesser amount of glucose and keep blood sugar level healthy. But these methods cannot work alone, supplement exercise and diet control with time-tested herbs to lower your blood sugar levels naturally and safely.

There are many herbs which are easily available and have shown remarkable effects in lowering blood sugar, but using effective herbs in combination and in right doses cast even better results and provide holistic treatment. The best and convenient way to use all the herbs in perfect combination for magical results is by using herbal products. Diabkil capsule is one product which is purely herbal made by using all the effective herbs in their purest form, by using these capsules you can lower your blood sugar levels naturally and safely. Diabkil capsules contain herbs which increase number of beta cells in pancreas. Beta cells in pancreas are responsible for producing insulin, higher number of healthy beta cells ensure higher production of insulin and better sugar metabolism in the body. Diabkil also improve body’s capacity to utilize available glucose in the blood for energy production, this utilization of glucose lowers sugar levels and also provide energy to a person to stay active.

Diabetes is dangerous because it damage vital organs of the body, Diabkil protect health and organs of the body excellently. It maintains healthy cholesterol and triglyceride levels, it also protect liver and kidney and keep digestive system healthy and upbeat. Diabkil contains herbs which strengthen nervous system of the body and help in keeping problems like weakness, fatigue, body ache, pain in legs, frequent urination, pruritis and polyuria at bay. By using Diabkil capsules along with regular exercise and diet control you can not only lower your blood sugar levels naturally and safely but also suppress its ill-effects on health and lead a normal life. You can use these capsules safely for longer period and without any medical prescription.

Food Poisoning – Dehydration Can Be Fatal

Food poisoning includes any kind of illness caused by ingesting food, whether the cause is the food itself or a toxin or pathogenic agent contained in the food. The good news is that the body is highly vigilant, and in most cases of food borne illness it responds swiftly and drastically to get rid of the toxins. The bad news is that its principal methods for doing this are diarrhea and vomiting. These work very well, but they can be pretty unpleasant. Both diarrhea and vomiting tend to expel a lot of fluid, and raise the risk of dehydration.

Dehydration happens when your body is losing fluids faster than you can replace them. When you're in the midst of a food poisoning attack, you may not be able to drink replacement fluids, or even if you drink them, you may be unable to keep them down. Dehydration is a serious medical condition. Significant loss of fluids undermines your body's ability regulate its internal temperature and maintain an adequate volume of blood. If blood volume is reduced, the body is unable to carry food and oxygen to all the tissues.

If dehydration is not treated promptly, it can lead to drops in blood pressure, seizures, delirium, and loss of consciousness.

Here are some symptoms of mild to moderate dehydration:

  • Dry mouth, and a sticky sensation in the mouth
  • Lack of tears
  • Decreased output of urine
  • Urine is dark yellow
  • In children, irritability, decreased activity, and sometimes sleepiness
  • Headache
  • Lightheadedness or dizziness,

If you or a loved one suffers an attack of food poisoning, and you see any of these symptoms, you should suspect dehydration. You should provide fluids, especially water, to replace the fluids being lost. You should also seek prompt medical attention to evaluate the person's condition.

Young children, because of their smaller size and smaller fluid volume, may lose a critical fraction of their fluid volume very quickly. They should be monitored very closely in any episode of vomiting or diarrhea. The elderly, and anyone with a serious medical condition are also more vulnerable to complications of dehydration. For anyone in these categories, if you suspect dehydration you should immediately contact your health care provider.

If you or a loved one has suffered serious injury from dehydration, and you believe that food poisoning led to the dehydration, you may have a legal claim against those responsible for the food poisoning. As soon as you are able, you should consult an attorney who is experienced in food poisoning claims, for evaluation of your case.

Podiatry Coding: New Codes for Diabetic Foot Ulcer Treatment

We all know this year CPT introduced 200 new codes to help you code more accurately than ever. For your podiatry practice, the big change trains eyes on a couple of new codes to code diabetic foot ulcer treatment involving tissue cultured skin substitutes to the lower extremity.

While reporting diabetic foot ulcer treatment involving tissue cultured skin substitutes to the lower extremity for a Medicare beneficiary this year use temporary G codes. This year CPT introduced G0440 and G0441 to put to rest the confusion providers put forth the different global periods for a couple of tissue cultured skin substitute codes.

This year, you can forget about 76880 as CPT deletes this code to make way for a couple of new codes: 76881, 76882.

A complete procedure (76881) includes real time scans of a specific joint that includes examination of the muscles, tendons, joint, other soft-tissue structures, and any identifiable abnormality. A limited study (76882) involves examining the extremity where a specific anatomic structure such as a tendon or muscle is assessed. You’d also use 76882 to assess a soft-tissue mass that may be present in an extremity where knowledge of its cystic or solid characteristics is required.

Bear in mind that when the podi atrist carries out spectral and color Doppler evaluation of the extremities, you should use the proper code in association with 76881 or 76882. In the mean time, CPT 2011 revises and revalues codes for noninvasive physiologic studies of the upper or lower extremity arteries: 93922, 93923, 93924.

You will find 93922-93924’s code descriptors visibly differentiating between a limited study and a complete bilateral study, with more instructions on how to report these codes properly.

And yes, you should not forget debridement and active wound care. You will never have to worry about selecting a debridement code and an active wound code as this year’s CPT saves you the day by revising debridement code guidelines to rid the confusion.

Depth is the only documentation item you require to figure out the proper code. Active wound care, which has a 0-day global period refers to active wound care of the skin, dermis, or for that matter epidermis. For deeper wound care, you should go for debridement codes in the proper location.

Say for instance codes 11040 and 11041 have been deleted. The parenthetical note under the codes’ deletion reads, “For debridement of skin, that is, epidermis and/or dermis only, see 97597 and 97598.”

Complications of Diabetes – Truworth

The article aims to provide information about complications of diabetes. There are mainly two types of complications found in diabetes they are short term and long term. Here we will discuss short term complications.

Hypoglycemia (Low blood sugar levels): This is a condition when your blood sugar level drops to very low concentration. It can be due to one or more of the following reasons:

You have taken too much insulin because of overestimation of the dosage

You have exercised more than normal

You skip the meal despite taking the insulin or oral hypoglycemic agent dose or have not eaten adequately.

Taking too much of alcohol

If you are ill

Symptoms of Hypoglycemia:

Hunger

Sweating

Shakiness

Jerky movements

Dizziness

Seizure

Headache

Difficulty Speaking

Difficulty Paying Attention

Pale Skin Color

Tingling sensations around the mouth

Feeling anxious or weak

How to treat Hypoglycemia: Hypoglycemia can be corrected rapidly by eating sugar. If not taken care on time, it can lead to unconsciousness. If it is 70 mg/dl or below, you can take any one of the following:

1/2 cup (4 ounces) of any fruit juice

1/2 cup (4 ounces) of a regular (not diet) soft drink

1 cup (8 ounces) of milk

5 or 6 pieces of hard candy

1 or 2 teaspoons of sugar or honey

After 15 minutes, check your blood glucose again to know whether you are out of risk zone or not. If it is still too low, have another serving. Repeat these steps until your blood glucose is at least 70 mg/dl.

Hyperglycemia (High blood sugar levels):

Hyperglycemia is characterized by too much blood sugar levels. In people with diabetes, there are two specific types of hyperglycemia that occur:

Fasting hyperglycemia is defined as a blood sugar greater than 90-130 mg/dL (milligrams per deciliter) after fasting for at least 8 hours.

Postprandial or after-meal hyperglycemia is defined as a blood sugar usually greater than 180 mg/dL. In people without diabetes postprandial or post-meal sugars rarely go over 140 mg/dL but occasionally, after a large meal, a 1-2 hour post-meal glucose level can reach 180 mg/dL. Consistently elevated high post-meal glucose levels can be an indicator that a person is at high risk for developing Type 2 diabetes. Hyperglycemia can occur because of one of the following:

Skipping insulin dose or oral hypoglycemic agent dose or taking less than required dose

Eating too much at a given point of time

Taking more of high carbohydrate food

Infection or illness

Increased stress

Reduced physical activity than usual

Symptoms of hyperglycemia:

It is important to know the early signs of hyperglycemia. If hyperglycemia is left untreated, it may develop into an emergency condition. Early signs of hyperglycemia in diabetes include:

Increased thirst

Frequent urination

Fatigue (weak, tired feeling)

Headache

Difficulty concentrating

Blurred vision

Blood glucose more than 180 mg/dL

Prolonged hyperglycemia in diabetes may result in:

Weight loss

Slow-healing cuts and sores

Vaginal and skin infections

Decreased vision

Stomach and intestinal problems such as chronic diarrhea or constipation

How to Treat Hyperglycemia?  If you have diabetes record your blood sugar levels over a period of time in order to know the trend of blood sugar levels. If you have any of the early signs of hyperglycemia, be sure to test your blood glucose several times. You will have to consult your health care provider so that he/ she may recommend changes to maintain your blood sugar levels. In general follow the following measures to combat hyperglycemia:

Drink more water. Water helps remove the excess glucose from your urine and helps you avoid dehydration. Be physically active. It will help to lower your blood glucose.

Caution: If you have Type 1 diabetes and your blood glucose is over 240 mg/dL, you need to check your urine for ketones. Avoid exercising if your urine has ketones.

If you have Type 2 diabetes and your blood glucose is over 300 mg/dL, avoid exercising.

Change your eating habits. Consult a dietician to chart out the amount and types of foods you should be eating in order to regulate your sugar levels. Change your medications. Your health care provider may change the amount, timing, or type of diabetes medications you take. Do not make adjustments in your diabetes medications without first talking with your health care provider.

Diabetic Ketoacidosis: It is a condition characterized by the presence of ketone bodies in blood due to a constant state of hyperglycemia. When the body breaks down fats, acidic waste products called ketones are produced. The body cannot tolerate large amounts of ketones and tries to get rid of them through the urine. However, the body cannot release all the ketones and they build up in your blood, causing Ketoacidosis. This condition is characterized by increased acidity in the blood. Ketoacidosis is a severe condition caused by lack of insulin. It mainly affects people with type 1 diabetes.

Lactic acidosis: It is rare and affects mostly people with type 2 diabetes. Lactic acidosis is the build up of lactic acid in the body. Cells make lactic acid when they use glucose for energy. If too much lactic acid stays in the body, the balance tips and the person begin to feel ill.

Bacterial/ fungal infections: People with uncontrolled diabetes are more prone to infections which take longer than usual to heal and cure. Various infections that can affect diabetics are vaginal infections, ring worm infections, athlete’s foot, boils etc.

Love Pains Caused By Cysts

A cyst is a sac filled with fluid or a semi fluid substance. One that develops in the ovary is called an ovarian cyst.

Ovarian cysts are common in women between the ages of 20 and 50. It can grow alone or in groups in one ovary or both. Such cysts can be less than an inch in diameter or more than 20 inches in diameter. Depending on their size and location, these growths can cause severe pain or no symptoms at all.

Most women are unaware that they have this problem until they have a routine pelvic examination. In others, ovarian cysts can cause abdominal pain or a sense of pressure and fullness, pain during intercourse, and delayed, irregular, or painful periods. Some women may experience frequent urination, nausea, fever, excessive hair growth and acne if the cysts are caused by hormonal imbalances.

"The origin of most ovarian cysts is unknown. In some instances, they develop from an abnormal egg. Others originate as eggs in polycystic ovaries (ovaries in which the eggs are not released after they mature). Still others are related to abnormalities in the ovary. Women with endometriosis (the displacement of tissue from the uterine lining to elsewhere in the body) tend to develop growths on the ovaries. Dermoid cysts, which are most often found in women under the age of 31, arise from ovarian cells that produce the eggs, and may contain fragments of hair, teeth, and bone, "according to the editors of Consumer Guide's" Family Health & Medical Guide. "

In about 85 percent of women, ovarian cysts are noncancerous and disappear after two or three menstrual cycles. Large cysts, however, can be dangerous, especially if they become twisted or are ruptured. Women who develop them between the ages of 50 and 70 also have a higher risk of ovarian cancer. Be alert for severe abdominal pain, fever, vomiting, rapid breathing, or cold, clammy skin. If you have these symptoms, see a doctor immediately.

"Cysts can rupture during sexual intercourse, a fall, childbirth, or surgery, or for no apparent reason. The resulting effect depends on how irritating the cystic fluid is to the surrounding tissues. The situation can be dangerous if the fluid is infected, cancerous , or extremely irritating. Also, in response to the injury caused by cystic fluid, surrounding tissues may produce adhesions (fibrous, scarlike material), which can further complicate the situation, "said the editors of Consumer Guide's" Family Health & Medical Guide. "

If a woman has no symptoms and is younger than 40 years, she should wait for a while for the cysts to disappear. If that does not happen, surgery is necessary.

"Cysts that are small, are not creating any problems, or are likely to disappear on their own require no treatment. If treatment is necessary, cysts may be removed surgically. Removal involves either taking out the entire ovary (called an oophorectomy) or taking out only the cyst (called a cystectomy), "Consumer Guide said.

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Does Stress Cause Acid Reflux?

Let's start out with a few acid reflux statistics.

According to a study, 44% of Americans have bouts of heartburn once a month. Another 14% suffer this weekly and 7% have daily occurrences. GERD (Gastro Esophageal Reflux Disease) is reported as one of the most common complaints received by doctors.

There is no evidence that stress actually causes the disorder, but investigators have long believed that stress is a major factor in worsening the symptoms of GERD. This is supported by a Gallup poll done that found 64% of people with heartburn reporting a worsening of their symptoms when subjected to stress.

Investigators have even electronically monitored acid production and concentration in GERD patients. What they found was startling and revealed something that we all need to know. These patients registered no increase in acid concentration during periods of induced stress. BUT they did find out that when patients suffering from symptoms of GERD underwent relaxation, their symptoms decreased.

So apparently, stress can cause one's discomfort to increase without actually increasing the acidic concentration in the esophagus. Relaxation, however, did positively affect the study participants in the area of ​​their symptomatic intensity.

While stress has not been proven to cause GERD, it can physically affect how the patient feels. There seems to be a psychological factor in there somewhere. The fact is that regardless of this information, we all need to avoid stress, so here are a few tips to help you reduce stress.

  • Take a walk. Get away from the stress-inducing situation.
  • Exercise regularly. Start a regimen of physical exercise and do it daily.
  • Get enough sleep. The average person requires 7 to 8 hours a night.
  • Watch the food you take in. A balanced diet is a large factor in controlling GERD symptoms.
  • Limit your caffeine, salt, tobacco and sugar. These things heighten stress levels internally.
  • Take a "mental break". Sit back, close your eyes and go to a happy place. Imagine yourself in some activity that you enjoy.
  • Some folks have taken to meditation for stress relief. Studies have shown that people who meditate actually have lower levels of stress.
  • Use a "white sounds" recording. Listening to the sounds of the ocean or rain falling on a tin roof can be soothing.

So while stress can and will affect how you feel, it can also heighten the symptoms of acid reflux disease. As I have said earlier, there is absolutely no evidence that stress can cause acid reflux disease but it does tend to increase the intensity of the symptoms.

Stress relief is the key and should provide you with a good base to handle any situation that comes up. Conversely, relaxation has been shown to positively counteract the effects of acid reflux disease. When you start to feel a little under the weather, try the relaxation suggestions above or find your own new ways to relax and just chill out.

Whatever works for you is good.

Obesity – A Global Epidemic and Overweight and Obesity Issues solved only @ Aastha Healthcare, mumbai, mulund, pune, india

About Obesity

Though we all use the terms “fat” and “obese” casually in conversation, there is a medical definition of the condition and yes, obesity is considered a health “condition.”

It is a term used to describe body weight that is much greater than what is considered healthy. Measuring the exact amount of a person’s body fat is not easy. The most accurate measures are to weigh a person underwater or in a chamber that uses air displacement to measure body volume, or to use an X-ray test called Dual Energy X-ray Absorptiometry, also known as DEXA. These methods are not practical for the average person, and are done only in research centers with special equipment.

There are also other ways to determine if a person is obese, but experts believe that a person’s body mass index (BMI) is the most accurate measurement of body fat for children and adults. Adults with a BMI greater than 30 are considered obese. You will be surprised to know that nearly one-thirds of the world’s population is overweight. Rates of obesity are climbing. The percentage of children who are overweight has doubled in the last 20 years. The percentage of adolescents who are obese has tripled in the last 20 years. Morbid obesity is typically defined as being 100 pounds or more over ideal body weight or having a BMI of 40 or higher. Obesity becomes “morbid” when it significantly increases the risk of one or more obesity-related health conditions or serious diseases (also known as co-morbidities). According to the NIH Consensus Report, morbid obesity is a serious chronic disease, meaning that its symptoms build slowly over an extended period of time. Today 97 million Americans, more than one-third of the adult population, are overweight or obese. An estimated 5-10 million of those are considered morbidly obese.

Overweight and obesity

Overweight and obesity are both labels for ranges of weight that are greater than what is generally considered healthy for a given height. For adults, overweight and obesity ranges are determined by using weight and height to calculate a number called the “body mass index” (BMI). BMI is used because, for most people, it correlates with their amount of body fat.

* An adult who has a BMI between 25 and 29.9 is considered overweight.
* An adult who has a BMI of 30 or higher is considered obese.

It is important to remember that although BMI correlates with the amount of body fat, BMI does not directly measure body fat. As a result, some people, such as athletes, may have a BMI that identifies them as overweight even though they do not have excess body fat. Other methods of estimating body fat and body fat distribution include measurements of skin fold thickness and waist circumference, calculation of waist-to-hip circumference ratios, and techniques such as ultrasound, computed tomography, and magnetic resonance imaging (MRI).

The obesity epidemic covered on TV and in the newspapers did not occur overnight. Obesity and overweight are chronic conditions. Obesity has already reached epidemic proportions in the United States. One in three Americans is obese. Obesity is also increasing rapidly throughout the world, and the incidence of obesity has nearly doubled form 1991 to 1998. Overall there are a variety of factors that play a role in obesity. This makes it a complex health issue to address.

Causes of obesity

Overweight and obesity are a result of energy imbalance over a long period of time. The cause of energy imbalance for each individual may be due to a combination of several factors. Obesity occurs when a person consumes more calories from food than he or she burns. Our bodies need calories to sustain life and be physically active, but to maintain weight we need to balance the energy we eat with the energy we use. When a person eats more calories than he or she burns, the energy balance is tipped toward weight gain and obesity. This imbalance between calories-in and calories-out may differ from one person to another. If you look carefully at the energy balance scale ( given below), weight gain is a result of extra calorie consumption, decreased calories used (reduced physical activity) or both. Personal choices concerning calorie consumption and physical activity can lead to energy imbalance.

In most cases, obesity results from genetic, environmental and psychological factors. But sometimes certain illnesses can also lead to weight gain or obesity, e.g. endocrine disorders (such as hypothyroidism and Cushing’s syndrome) or neurological problems. In addition to this, certain drugs such as steroids and some antidepressants, can lead to either weight gain or increased appetite. Let us discuss these causes in details now:

Lifestyle Habits

Today, a changing environment has broadened food options and eating habits. Grocery stores stock their shelves with a greater selection of products. Pre-packaged foods, fast food restaurants, and soft drinks are also more accessible. While such foods are fast and convenient they also tend to be high in fat, sugar, and calories. Choosing many foods from these areas may contribute to an excessive calorie intake. This results in increased calorie consumption. If the body does not burn off the extra calories consumed from larger portions, fast food, or soft drinks, weight gain can occur.

Our bodies need calories for daily functions such as breathing, digestion, and daily activities. Weight gain occurs when calories consumed exceed this need. Physical activity plays a key role in energy balance because it uses up calories consumed. Despite all the benefits of being physically active, most of us are sedentary. Technology has created many time and labour saving products. Some examples include cars, elevators, washing machines, dishwashers, and televisions. Cars are used to run short distance errands instead of people walking or riding a bicycle. As a result, these recent lifestyle changes have reduced the overall amount of energy expended in our daily lives. According to the Behavioural Risk Factor Surveillance System, in 2000 more than 26% of adults reported no leisure time physical activity. The belief that physical activity is limited to exercise or sports, may keep people from being active. Another myth is that physical activity must be vigorous to achieve health benefits. Physical activity is any bodily movement that results in an expenditure of energy. But when we fail to do any physical activity, it just leads to calorie storage.

Environment

People may make decisions based on their environment or community. For example, a person may choose not to walk to the store or to work because of a lack of sidewalks. Communities, homes, and workplaces can all influence people’s health decisions. Because of this influence, it is important to create environments in these locations that make it easier to engage in physical activity and to eat a healthy diet.

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