How Long Do You Live With Cirrhosis Of The Liver – Here Are 5 Ways To Increase Your Life Expectancy

If you’re wondering “how long do you live with cirrhosis of the liver?”, there aren’t really any clear-cut answers. It may depend on which stage you are in your liver cirrhosis. But there’s good news. If you and your doctor catch cirrhosis early enough, you can vastly increase your life expectancy.

Why? Because, many people may not realize this, but with the right techniques the liver can actually rejuvenate itself. Here are five things you can do to give your liver a break and help prolong your life.

#1 – If your cirrhosis is from drinking alcohol, stop drinking immediately. Your liver needs a break from the extra toxins in order to be able to rejuvenate itself.

#2 – If your cirrhosis is from Hepatitis B, C or D, or from other autoimmune disorders, talk to your doctor about the right medication for you.

#3 – Follow a liver cirrhosis diet, which is a diet rich in fruits, vegetables, whole wheat foods, and proteins and limiting sodium and fats. (Although, some fat is necessary and it should be the healthy kind from fish, nuts and plant oils.)

#4 – Supplement your diet with fat soluable vitamins like A,D,E and K and other essential minerals and vitamins.

#5 – Practice stress-relieving techniques such as deep breathing or meditation. Less stress on your body means less stress on your liver.

If you do ask your doctor “how long do you live with cirrhosis of the liver?”, he may or may not give you a rough estimate. But an estimate really is just an estimate. You can outlive any number that they give you by making sure to let your liver take a break from the stress and toxins.

And look, work with your doctor and follow the ways to prolong your life as mentioned above. And know that there is a complete liver cirrhosis solution available to you so that you can reverse your liver damage – starting today. You don’t have to fear your liver cirrhosis anymore.

Urology Don't Get Litho-Tripped Up by ESWL Coding

Proper modifier use is key to surviving these kidney stone scenarios

ESWL is ESWL is ESWL right? Wrong. Multiple stones in each kidney fragmented stones and stent placements are just a few of the things that can complicate coding for extracorporeal shockwave lithotripsy (ESWL).

ESWL represented by 50590 (Lithotripsy extracorporeal shock wave) is one of the most frequently performed procedures in urology practices as well as a popular and effective treatment for renal calculus (kidney stones). Our experts give you the facts for seven tricky ESWL coding scenarios.

Scenario 1: Multiple Stones in 1 Kidney

Problem: The urologist performs ESWL to break up multiple stones in the same kidney. Can you bill CPT code 50590 for each stone the urologist fragments?

Solution: Sorry – if there are several stones in one kidney you cannot charge 50590 more than once for that session says Carolyn Zell CPC billing manager for the Urology Team in Austin Texas.

Scenario 2: Stones in Right Kidney and Right Ureter

Problem: The urologist finds stones in both the right kidney and the right ureter. Can you bill for ESWL performed on both sites?

Solution: Whether the stones are in the renal pelvis the calyx the ureteropelvic junction the ureter or all four locations use 50590 only once per kidney for each session. The code is valued to cover those occasions when multiple stones are treated as well.

Scenario 3: Stones in Both Kidneys

Problem: Most urologists would treat bilateral stones with ESWL at different times one within the global period of the first. How can they get reimbursed for both procedures?

Solution: Usually when faced with bilateral kidney stones urologists will indicate in the preoperative note that the ESWL will be staged with one kidney initially and another several weeks later. This prospective planning for a staged procedure must be clearly documented in the preoperative note the patient’s chart or the operative note of the first procedure.

Append modifier -58 (Staged or related procedure or service by the same physician during the postoperative period) to the second 50590 if done at a different time says Lisa Center CPC quality review coordinator for the Freeman Health Center in Joplin Kan.

Note: When a patient has stones in both kidneys some urologists may treat both with ESWL at the same time although this is “rare ” Center says. Report 50590 with modifier -50 (Bilateral procedure) in this case.

Remember: Use -LT (Left) and -RT (Right) modifiers to indicate which kidney the ESWL targeted Center says. If the left kidney stone is treated first use 50590-LT; for the second ESWL use 50590-RT-58.

Scenario 4: ESWL Followed by Stent Placement

Problem: Three days after an ESWL a patient returns for a stone obstructing the ureter. In the operating room the urologist places a stent. Code 50590 has a 90-day global period so the postoperative stent placement would normally be included in the fee for 50590. Can you code for the stent placement?

Solution: Medicare views the need for a stent such as a stone obstructing the ureter as a complication so you should append modifier -78 (Return to the operating room for a related procedure during the postoperative period) to 52332 (Cystourethroscopy with insertion of indwelling ureteral stent [e.g. Gibbons or double-J type]) says Karen Delebreau coding specialist with Urological Surgeons in Green Bay Wis.

For commercial and private carriers bill the treatment of this scenario exactly the same appending modifier -78 to the second procedure code. However some private payers might view this as a new problem and therefore require you to append modifier -79 (Unrelated procedure or service by the same physician during the postoperative period) to 52332.

Remember: Medicare will not pay for any postsurgical complications treated out of the operating room in locations such as your office the emergency department at the bedside or in a treatment room in the hospital.

Scenario 5: Recurring Stones Post-ESWL

Problem: A patient with another stone presents within the global postoperative period of a previous ESWL. Since it’s a new stone the urologist did not write in the preoperative note for the first ESWL that a second ESWL would be staged. How should you report this procedure?

Solution: If the second ESWL is for a different stone in the same kidney and done within the postoperative period of the first ESWL Center advises using modifier -79 (Unrelated procedure) to indicate an unrelated procedure. “It’s unrelated to the first surgery” Center says. “Even though it’s the same procedure it’s a different stone.”

Kidney stones do tend to recur most often within months or years after an ESWL treatment. If a urologist performs another ESWL on a patient after the global period for the previous one has expired report code 50590 without modifiers Center says.

Scenario 6: ESWL Followed by More Extensive Procedure

Problem: The urologist performs an ESWL for a renal pelvic stone. After one month the physician realizes the stone was incompletely fragmented by the ESWL and decides to perform 50081 (Percutaneous nephrostolithotomy or pyelostolithotomy with or without dilation endoscopy lithotripsy stenting or basket extraction; over 2 cm). The diagnosis for both procedures is 592.0 (Calculus of kidney).

Solution: When a procedure is performed in a global period for the same diagnosis as was linked to the initial procedure – and the second procedure was not planned or staged at the time of the initial procedure – the second procedure must be more extensive than the original procedure to be separately billable. The coder should bill 50081 with modifier -58 appended. This will bring full payment for 50081 but a new 90-day global period would begin.

In this particular clinical scenario modifier -58 is used on a more invasive second procedure during the 90-day global period of the first unsuccessful surgery. This procedure was not prospectively planned or staged and documentation of this fact is not necessary as was needed in Scenario # 3 above.

However: This is a good scenario to bounce off your carriers Delebreau says. “If it’s group insurance and it’s the same stone I usually don’t hesitate to use a -58 because it’s related ” she says. She had heard different advice about Medicare though so she investigated.

“I checked with some representatives and I explained situations like this where they’re going back to re-treat the same stone ” she says “and I’ve been told that I could still use the -58 as long as it’s the same stone.”

Scenario 7: Stone Moved Back Into Kidney Before ESWL

Problem: Using cystourethroscopy and a ureteral catheter a urologist displaces a stone out of the ureter and back into the kidney with plans to perform ESWL on the stone later. How should you code both procedures?

Solution: For the first procedure in which the stone is moved into the kidney use 52330 (Cystourethroscopy [including ureteral catheterization]; with manipulation without removal of ureteral calculus) Center says. “After the cysto and stone manipulation into the renal pelvis using the ureteral catheter the doctor would take the patient over to the ESWL machine ” she says.

Since 52330 is bundled into code 50590 bill 50590 for the ESWL and 52330 for the stone manipulation with modifier -59 (Distinct procedural service). Modifier 59 indicates that the stone manipulation was performed earlier in the day at a previous separate encounter.

Acid Reflux Nausea – Makes the Unbearable Even More Unbearable

Suffering from acid reflux or heartburn is already unbearable. What more if they are combined and literally call them acid reflux nausea or heartburn nausea? It would be excruciating.

As the name implies, acid reflux nausea or heartburn nausea is one that incorporates nausea with an already painful heartburn.

Heartburn nausea is the uncomfortable feeling in the chest area and being sick down the stomach. There is heat and pressure in the throat and the tendency is to vomit violently. We could just imagine how unbearable that could be.

Heartburn nausea is a severe case of heartburn. The gas and acid in the stomach makes the person ill. The feeling is to throw up all the food that was taken in during the day. Sometimes, the sufferer will try to burp to release some of the gasses in the stomach to have some a relief.

Before going any further, let us differentiate acid reflux from nausea.

What is acid reflux and nausea?

Acid reflux or gastroesophageal reflux disease (GERD) is the movement of undigested food with acids from the stomach to the throat passing through the esophagus. A burning sensation in the chest is felt here.

Nausea is an uncomfortable queasy feeling that could be distressing to the stomach with the tendency to vomit. Nausea is a symptom of several conditions brought by the effect of several drugs or the intake of so many sugary foods. It is not a sickness and not common to those people suffering from GERD. Nausea is an occurrence common to people undergoing chemotherapy, general anesthesia and pregnancy.

Causes

Acid reflux is caused by eating fatty foods, high amount of acids, peppermint, spices, tomatoes, large meals and alcoholic beverages. Biologically, those with hernia, ulcer and other problems can experience acid reflux. Smoking, sleeping after every meal and being overweight will make you prone to acid reflux.  

Nausea is either psychological or physical. It may be due to brain problems and sickness in the upper gastrointestinal tract like the esophagus, stomach, liver, pancreas, gall bladder and small intestine. Physically, it may be due to motion, pain, medications and diseases not related to the stomach.

Medications

Acid reflux can be cured by antacids, mucus protecting drugs, promotility drugs and anti-suppressive drugs.

Nausea can be basically treated by the same drugs associated with acid reflux.

Other treatments to consider when suffering acid reflux nausea is by drinking some form of neutralizer usually an herbal remedy. Some of these herbal treatments may include Manuka Honey, ginger tea or papaya.

Suffering from acid reflux nausea can leave you feeling weak and stressed. Experts recommend that a low impact form of exercise has the ability to get you energized once you get over your episode with acid reflux nausea.

As a precautionary measure, it is better to check with your doctor the symptoms before you begin any form of treatment for acid reflux nausea.

Alvin Hopkinson is a leading health researcher in the area of natural remedies and acid reflux treatment. Discover how you can get rid of your heartburn for good using proven and effective acid reflux natural remedies, all without using harmful medications or drugs. Visit his site now at http://www.refluxremoval.com

How to Recover From Food Poisoning

Bacteria and other microorganisms cause food poisoning. There is no way to prevent food poisoning after ingestion of contaminated food. The key is to avoid eating such foods. The best food poisoning treatment is to let it run its course.
The body has two ways to get rid of contaminated food: diarrhea and vomiting. Vomiting does not prevent food poisoning. But once the body is void of the contaminated food, the food poisoning will be over. Another aspect of food poisoning treatment is to prevent dehydration. Loss of fluids is serious in food poisoning. Thus the fluid intake must be replenished at regular intervals.

The best thing for food poisoning is sleep. You’re probably exhausted from being ill anyway, so when you get home, drink some 50/50 gatorade and water, maybe have some broth and toast if you can handle it, and then just pass out. Fall asleep where you’re comfortable — if that means partially sitting up (the only way I can sleep when feeling sick to my stomach at all) then that’s fine.

When packing the foods prepared to take along you should put the food items in an air tight container. The food can be put in a cooler to keep it cool. Make sure you put plenty of ice in the cooler to keep the food cool enough. When packing food in the cooler always pack the food you are going to use last first. When packing the cooler put the food in first and proceed to put the ice on top around the food complety covering it. Remember a full cooler keeps cooler longer. Keep plenty of ice around so your able to keep refilling the cooler with ice as you need it. Pack pop in a separate cooler with ice.

By taking the time to make sure your preparing and packing your food for your picnic or family gathering safely will help in everybody enjoying the picnic or gathering and will also prevent somebody from getting sick.

Food poisoning can be prevented by thoroughly cooking food and practicing good hygiene. A meat thermometer is a good way to ensure meats are cooked to the proper internal temperature. Store uncooked food in a refrigerator or freezer at the proper temperature, and never defrost food at room temperature. If food smells or looks bad, throw it away. Be sure to clean surfaces such as countertops, cutting boards, plates, and utensils properly whenever they contact raw meats. Don’t let cooked food contact any surfaces that may have been contaminated by raw food. Wash fruits and vegetables before eating them raw, and buy only pasteurized dairy products

Don’t drink anything for 2 hours. Then take sips of water(room temp)…if you hold that down try a bit more. If you have Gatorade that’s better because it has electrolytes & hydrates you faster. Try chewing on ice chips (unless you have caps on your teeth).

Cook food to the appropriate temperature (145°F for roasts, steaks, and chops of beef, veal, and lamb; 160°F for pork, ground veal, and ground beef; 165°F for ground poultry; and 180°F for whole poultry). Use a thermometer to be sure! Foods are properly cooked only when they are heated long enough and at a high enough temperature to kill the harmful bacteria that cause illness.

Remove the stuffing from poultry and other meats immediately and refrigerate it in a separate container.

Peptic Ulcer – Get Information About Its Causes and Symptoms

An ulcer is any break in the skin or in a mucous membrane. Mucous membrane is a thin tissue that lines the interior surface of body openings. The term ulcer is used most commonly to refer to ulcers that occur in the upper part of the digestive system, such as peptic ulcers. At one time, doctors believed that ulcers were caused by too much stress. However, it is now known that bacterial infection accounts for more than three-quarters of all peptic ulcers.

A peptic ulcer is an ulcer caused by stomach acid. An ulcer is where the lining of the gut is damaged and the underlying tissue is exposed. If you could see inside your gut, an ulcer looks like a small, red crater on the inside lining of the gut.

An ulcer is an open sore that forms when the lining of the gut is corroded by acidic digestive juices. Peptic ulcers can form in the lining of the stomach (gastric ulcers), duodenum (the first part of the small bowel or intestine) or the esophagus (gullet or swallowing tube). Peptic ulcers are quite common; it is known that 5-10% of the world’s population suffer from peptic ulcers at least once.

An ulcer is an area of the stomach or duodenal (the first part of the small intestine) lining that becomes eroded by the stomach acid. Known individually as stomach and duodenal ulcers, collectively they are known as peptic ulcers. Learn about the symptoms and causes of peptic ulcers.

Symptoms:
Peptic ulcers are occasionally painless. However, the most common symptom is a dull ache in the upper abdomen that usually occurs two to three hours after a meal; the ache is relieved by eating. Other common symptoms include weight loss, bloating, belching, and nausea. Untreated, peptic ulcers often bleed and may cause sharp burning pain in the area of the stomach or just below it.

The symptoms of peptic ulcer are sharp and severe pain and discomfort in the upper part of the abdomen. Gastric ulcer pain usually occurs an hour after meals and rarely at night. Duodenal ulcer pain usually occurs between meals when the stomach is empty. The pain is relieved by food, especially milk. As the disease progresses, there is distension of the stomach due to excessive flatulence, mental tension, insomnia, and gradual weakening of the body. Blood may also be detected in the stool.

Causes, incidence, and risk factors
Normally, the lining of the stomach and small intestines have protection against the irritating acids produced in your stomach. For a variety of reasons, the protective mechanisms may become faulty, leading to a breakdown of the lining. This results in inflammation (gastritis ) or an ulcer.
The most common cause of such damage is infection of the stomach with a bacterium called Helicobacter pylori (H.pylori). Most people with peptic ulcers have this organism living in their gastrointestinal (GI) tract. On the other hand, many people have this organism living in their GI tract but they don’t get an ulcer.

The diet of the patient suffering from a peptic ulcer should be so planned as to provide adequate nutrition, while affording rest to the disturbed organs, maintaining continuous neutralisation of the gastric acid, inhibiting the production of acid, and reducing mechanical and chemical irritation. Milk, cream, butter, fruits, fresh raw and boiled vegetables, natural foods, and natural vitamin supplements constitute the best diet.

Which Ayurvedic Supplements For Acidity Work Best To Prevent Indigestion?

Digestion starts from your mouth. As soon as you chew the food in the mouth, enzymes from the saliva gland are released to digest the food. Therefore, digestion starts from your mouth. You need to chew the food 20 times before gulping down. You need to ensure timely intake of healthy diet to prevent indigestion and acidity problem. Some people skip meals in their busy schedules. Our stomach produces acids for digesting the food and ensures absorption of nutrients in small intestines. In the absence of food, excessive gas is formed and creates lot of health disorders like constipation, ulcer etc. You should not miss breakfast. You can include oat meals in your morning breakfast. It reduces cravings for more food and help to prevent indigestion. People, who are suffering from hyperacidity problem, can make use of ayurvedic supplements for acidity.

You should be prudent to select right herbal supplements to prevent indigestion and acidity problem. Arozyme capsules are one of the best ayurvedic supplements for acidity. Its key ingredients are Haritaki, Poudina, Dikamali, Sonth, Sanay, Madhur Kshar and Ajwain.

Symptoms of acidity include bloating, pain in abdomen, heart burn, feeling hungry quite often and burning sensation in stomach.

Reasons for acidity include aging, obesity, hormonal changes during pregnancy, intake of junk foods, spicy foods, fats, empty stomach for long hours, abnormalities in digestive tract, smoking, intake of alcohol, skipping meals and untimely diet.

Powerful herbs in Arozyme capsule are blended in right combination to cure your acidity problem naturally and without any side effects. It offers effective treatment for all types of digestive disorders. You can get rid of flatulence, heartburn and acidity. It prevents inflammation and infection through supporting stomach lining.

People, who are suffering from gastric problems like fullness in abdomen, lack of appetite, nausea, diarrhea, vomiting, excessive gas formation and constipation. To get rid of all these health problems, you can consume this herbal supplement daily two times for 60 or 90 days with plain water.

This herbal supplement is free from fillers, sugars, yeast, starches, binders, and synthetic materials. It is developed using only plant ingredients. You can use this herbal supplement regularly without any fear of side effects to prevent indigestion and cure acidity problem.

It offers effective treatment for flatulence, constipation, belching, heartburn and lack of appetite. It offers permanent treatment for acidity. It reduces excessive acids secretion in your stomach. It offers soothing effects for stomach lining through acid neutralizing effects. It repairs damaged tissues in esophagus and stomach. It also prevents inflammation of stomach and esophageal lining. It relieves you from pain and burning sensation in stomach through improving digestion and eliminating waste. It also prevents hard stools problem.

Hing is one of the best herbs to prevent acidity problem. It consists of volatile oil, gum, resins, ferulic acid, umbeliferone, asaresinotannols B and A, and ash to cure acidity problem.

Poudina has been in use for several centuries to cure burning sensation caused due to acidity.

Natural laxative haritaki improves bowel movement. It helps to prevent indigestion through reducing acidity.

Therefore, you are advised to consume ayurvedic supplements for acidity apart from consuming healthy diet. You can buy this herbal supplement from reputed online stores and cure acidity problem.

Gastritis is an Inflammation of the Lining of the Stomach

It is a troublesome condition which may
lead to many complications including ulcers if not treated in time. Constipation aggravates the
condition more than any other disorder.
The inflammatory lesions may be either acute erosive gastritis or chronic atrophic gastritis. The
latter type has been found to be present in half the patients suffering from severe iron deficiency
anaemia.
Symptoms
The main symptoms of gastritis are loss of appetite, nausea, vomiting, headache and dizziness.
There is also pain and a feeling of discomfort in the region of the stomach. In more chronic
cases, there is a feeling of fullness in the abdomen, especially after meals. The patient
complains of heartburn. Prolonged illness often results in the loss of weight, anaemia and
occassional haemorrhage from the stomach. There may be an outpouring of mucus and a
reduction in the secretion of hydrochloric acid during acute attacks and also in most cases of
chronic gastritis.
Causes
The most frequent cause of gastritis is a dietetic indiscretion such as habitual overeating, eating
of badly combined or improperly cooked foods, excessive intake of strong tea, coffee or
alcoholic drinks, habitual use of large quantities of condiments, sauces, etc. It may sometimes
follow certain diseases such as measles, diptheria, influenza, virus pneumonia, etc. Most often it
also results from worry, anxiety, grief and prolonged tension. Use of certain drugs, strong acids
and caustic substances may also give rise to gastritis.
Treatment
The patient should undertake a fast in both acute and chronic cases of gastritis. In acute cases,
the patient will usually recover after a short fast of two or three days. In chronic condition, the
fast may have to be continued for a longer period of seven days or so. In the alternative, short
fasts may be repeated at an interval of one or two months, depending on the progress being
made.
The fast may be conducted on fruit juices. By fasting, the intake of irritants is at once effectively
stopped, the stomach is rested and the toxic condition, causing the inflammation, is allowed to
subside. Elimination is increased by fasting and the excess of toxic matter accumulated in the
system is thrown out.
After the acute symptoms subside, the patient should adopt an all-fruit diet for further three days.
Juicy fruits such as apple, pear, grapes, grapefruit, orange, pineapple, peach and melon may be
taken during this period at five-hourly intervals. The patient can thereafter gradually embark
upon a well-balanced diet of three basic food groups, namely : (i) seeds, nuts and grains, (ii)
vegetables, and (iii) fruits on the following lines :
Upon arising : A glass of lukewarm water with freshly squeezed lemon and spoonful of honey.
Breakfast : Fresh fruits , such as apples, orange, banana, grapes, grapefruit or any available
berries, a handful of raw nuts and a glass of milk.
Mid-morning snack : One apple, banana, or any other fruit.
Lunch : Steamed vegetables, two or three slices of whole meal bread or whole wheat chappatis,
according to the appetite and a glass of butter milk.

Mid-afternoon : A glass of fresh fruit or vegetable juice or sugarcane juice.
Dinner : A large bowl of fresh salad of green vegetables such as tomatoes,carrots, red beets,
cabbage, cucumber with dressing of lemon juice and cold-pressed vegetable oil, all available
sprouts such as alfalfa seeds mung beans, fresh butter and fresh home-made cottage cheese.
Bed time snacks : A glass of fresh milk or one apple.
The patient should avoid the use of alcohol, nicotine, spices, and condiments, flesh foods,
chillies, sour things, pickles, strong tea and coffee. He should also avoid sweets, pastries, rich
cakes and aerated waters. Curds and cottage cheese should be used freely.
Carrot juice in combination with the juice of spinach is considered highly beneficial in the
treatment of gastritis. 200 ml. of spinach juice should be mixed with 300 ml. of carrot juice in this
combination. Too many different foods should not be mixed at the same meal. Meals should be
taken at least two hours before going to bed at night. Eight to 10 glasses of water should be
taken daily but water should not be taken with meals as it dilutes the digestive juices and delays
digestion. And above all, haste should be avoided while eating and meals should be served in a
pleasing and relaxed atmosphere.
Coconut water is an excellent food remedy for gastritis. It gives the stomach necessary rest and
provides vitamins and minerals. The stomach will be greatly helped in returning to its normal
condition if nothing except coconut water is given during the first 24 hours.
Rice gruel is another effective remedy in acute cases of gastritis. In chronic cases where the
flow of gastric juice is meagre, such foods as require prolonged vigorous mastication will be
beneficial as this induces a greater flow of gastric juices.
From the commencement of the treatment , a warm water enema should be used daily, for about
a week, to cleanse the bowels. If constipation is habitual, all steps should be taken for its
eradication. The patient should be given daily a dry friction and sponge bath. Application of heat,
through hot compressor or hot water bottle twice in the day either on an empty stomach or two
hours after meals , should also prove beneficial.
The patient should not undertake any hard physical and mental work. He should , however,
undertake breathing and other light exercises like walking, swimming, and golf. He should avoid
worries and mental tension.

The Affects of Rheumatoid Arthritis on Back Pain

Rheumatoid arthritis causes back pain to occur. The disease is a systemic disease that causes inflammation, which targets the synovial joint liners. This is where back pain starts. Rheumatoid arthritis may link to genetic transmissions or autoimmune illnesses according to etiology aspects. Physically speaking Rheumatoid arthritis inflames the synovial membranes, which often affects the pannus. This action causes destruction in the ligaments, bones, and the cartilages. Once the pannus is hit, fibrotic tissues start to replace the pannus. Calcification also replaces the pannus, which results in joint subluxation conditions. Calcification is abnormal hardening, which causes swelling and joint stiffness.

Symptoms;
Once potential Rheumatoid arthritis is detected the doctor considers the symptoms before moving to diagnostics. The patient may experience anorexia (Eating disorder), malaise, fatigue, limited range of motion (ROM), subcutaneous nodules, pain and swollen joints, and rises in body temperature. The joints may also demonstrate mirrored images, which is noted when the symmetrical joints swell. Stiffness in the waking hours often occurs as well, which is followed by “paresthesia of the” feet and hands. Patients also demonstrate signs of crepitus, inflamed lymph nodes, pericarditis, leukopenia, and splenomegaly.

Pericarditis causes swelling. As you can see with so much swelling, the pain will spread out reaching the back. Rheumatoid arthritis itself causes stiffness of the muscles and joints, which creates immeasurable pain. Most times the problem occurs from injury and/or infections.

How doctors discover Rheumatoid arthritis?
Doctors conduct tests, including x-rays, latex fixation, gamma globulin, synovial fluid analysis, and hematology tests. If the tests show positive results, such as spacing between narrow joints, erosion of bones, platelet, WBC, ESR increases, IgM and IgG increases, decrease of opaque and viscosity, and rheumatoid, thus a diagnostic is set.

Once the diagnostics are concluded management, interventions, stress reduction, etc are incorporated to treat the patient.

Management often leads to heat/cold therapy, gold therapy, etc. Gold therapy is used to intervene with infections reaching the inner central of the muscle layers, thus averting them from reaching the wall of the heart. The joints are often extended when and kept in form. Skin care, emotional care, etc are also prescribed.

How to reduce pain:
You will find helpful information at the Foundation of Arthritis. In the meantime, doctors often prescribe stress-reduction strategies. As well, the patient is advised to avoid stress, infections, colds, and remedies that have no concrete discoveries that help Rheumatoid arthritis.

Environmental stress should also be reduced to slow swelling, redness, and pain. Doctors prescribed range of motion exercises, warm compressors, heat therapy, etc to treat Rheumatoid arthritis. Try a few stretch exercises and stay clear of people who elevate your emotions.

It is important when you are diagnosed with any disorder, including Rheumatoid arthritis that you seek emotional and mental support. Express your feelings, otherwise suppression will only increase your symptoms, as well as pain. In addition, you want to learn to live in a calm environment, as well as provide comprehensive care for your feet and skin. Make it a daily habit. If the condition worsens, you may have to endure surgical procedures, such as synovectomy and/or joint replacement.

Unfortunately, Rheumatoid arthritis can lead to carpal tunnel syndrome. The disease carpal tunnel syndrome starts in the hands, yet the pain will spread.

In addition to Rheumatoid arthritis, gouty arthritis can cause back pain. Any form of arthritis limits movement, which causes damage to the joints, cartilages, connective tissues, muscles, bones, etc. Anytime these skeletal and linking elements in the body are interrupted back pain follows. To understand how arthritic symptoms cause back pain, learn more about gouty arthritis.

Foot Edema Information and Prevention

Edema formerly known as dropsy or hydropsy, is the increase of interstitial fluid in any organ swelling. Swollen feet and legs, referred to medically as edema. Edema can be caused by a serious condition of the kidney, heart, liver or blood vessels. The most likely explanation for edema is a constrictive wet or dry suit cuff. Prolonged or repeated exposure to a tight wet suit cuff can produce swelling at the end of the extremity, which in this case is the hand. Foot edema is a condition in which the body collects an abnormal amount of fluid in the tissues, which causes swelling and puffiness of the organ.

The extra water retention is caused by standing for overly lengthy, menstruation, pregnancy, hormone levels, obesity, old age, wound, and much. Swollen legs may be a signal of eye bankruptcy, kidney bankruptcy, or liver bankruptcy. In these conditions, there is overly more fluid in the system. Certain medications may too induce foot edema include a group of blood force lowering drugs called calcium line blockers (such as nifedipine, amlodipine, diltiazem, felodipine, and verapamil. Antidepressants, including MAO inhibitors (such as phenelzine and tranylcypromine) and tricyclics (such as nortriptyline, desipramine, and amitriptyline.

The better manner to cut stage and foot swelling is to promote your legs above the degree of the eye, which puts negligible force on knees, thighs and lower backwards. Elevate your legs above your eye while lying downward. Exercise helps pump fluid from your legs backwards to your eye. Wear support stockings. Try to come a low-salt diet, which may cut graceful retention and swelling. Avoid sitting or standing without moving for prolonged periods of moment. When flying, extend your legs frequently and have upward to walk when potential. When driving, stopover to extend and walk every minute or then.

Foot Edema Treatment and Prevention Tips

1. Eat cooked rice daily.

2. Exercise your legs helps pump fluid from your legs back to your heart.

3. Wear support stockings (sold at most drug and medical supply stores).

4. Try to follow a low-salt diet, which may reduce fluid retention and swelling

5. Avoid wearing restrictive clothing or garters around your thighs.

6. Put cucumbers strips on the foot, put potato slices on the cucumbers and bandage.

Medical Tourism in Country India

India is one of the most reputed medical tourism destinations in the world. It is known in general for heart surgery, hip resurfacing and other areas of advanced medical science. The government hospital and private health service groups are committed to the target of making India a world leader in the industry. The industry’s main focus is low cost health services. Many estimates says treatment costs in India start at around a tenth of the price of comparable treatment in America or Britain.

As an example, “Howard Staab, a self-employed, uninsured, middle aged carpenter who belong to North Carolina,” needed surgery for acute mitral valve prolapse, which would have charged him a fifth of a million dollars in his home state. Staab was treated in New Delhi, the capital of India, for less than seven thousand dollars by an Indian doctor. Consider the rising popularity of “preventive health screening”. At one private health care center in London a thorough men’s health check-up that includes blood tests, electro-cardiogram tests, chest x-rays, and abdominal ultrasound costs ?345 ($574, ?500). A comparable check-up at a clinic operated by Delhi-based healthcare company Max Healthcare costs $84.

The Escorts Heart Institute and Research Center in Delhi, India performs nearly 15,000 heart operations every year, and the post-surgery mortality rate is only 0.8 percent, which is less than half of most major hospitals in the United States.Amount of the value of medical tourism to India go as high as $2 billion a year by 2012. In the year 2003, Indian finance minister Jaswant Singh called for India to become the global health destination. The highest stumbling block preventing the fast growth of India as a healthcare destination is its poor infrastructure and less of quality hotels. However, the Indian government is taking steps to overcome these issues.

By January this year, 3.3 million travelers had already visited India, spending close to $ 5 billion. The domestic medical tourism is also witnessing fast growth. Around 368 million Indians are venturing out of their homes, based on increasing incomes, least aviation costs, and more leisure time. The World Travel and medical tourism Council has forecast that medical tourism will grow at a fast rate of 8.8% per year for the next twelve years, the highest in the world. The medical tourism industry is projected to attract a capital investment of around $21 billion by the year 2014, up from about $10.2 billion estimated in the year 2004.

Medical Tourism in India is the best alternative available to patients across the globe. Lacks of people come every year to get treated and then entertain their holidays in India. People from different types of life cut across the entire span of the world come to India to have their treatments done with peace of mind. India serves world class medical services with hospitals and specialized multi specialty health care centers giving their expertise in the areas of Cosmetic Surgery, Heart Surgeries, Coronary Bypass, Heart Check up, Valve replacements, Knee Replacements, Eye surgeries, Indian traditional treatments like Ayurvedic Therapies and much more, practically covering every aspect of medicine. Dental care centers has attracted in India, with tourists coupling stays in cities like Udaipur with general treatments and complex procedures.

Our nation India is best known for heart surgery, hip resurfacing and other areas of latest medicine. The government and private health service centers are committed to the target of making India a leader in the medical tourism industry. The industry’s main focus is least cost treatment. It is said treatment fees in India start at around one tenth of the price of comparable treatment in the nation like USA and UK.

Development Of A Blood Clot In An Artery

The great danger with this type of calcified plaque is that the thin wall surrounding the goo bursts, or breaks down. This ‘goo exposure’ sends a hugely powerful message to the blood-clotting system, and results in a blood clot (also called a thrombus) forming over the burst plaque.

If the blood clot is big enough then it completely blocks the blood supply to whatever organ that particular artery was supplying:If that organ happens to be the heart, then the heart muscle downstream will become starved of oxygen.
It may then ‘infarct’ (‘infarction’ means the localised necrosis – or cell death – that results from obstruction to the blood supply). In medical speak, this is a myocardial (heart muscle) infarction, often shortened to an MI.

In layperson speak, this is a heart attack. It is estimated that about 50 per cent of heart attacks are fatal, and people mostly die in the first hour. For those who survive the first hour, though, a myriad of medical interventions have now been developed. Among the earlier developments were clot-busting drugs, designed to break down the clot that is blocking the artery.

These are still widely used, and are pretty effective: assuming you managed to ‘bust’ the clot before the heart muscle became too badly damaged.That said, the humble blood-thinning aspirin can be almost as good, at about one-millionth of the cost. However, cardiologists now have much better toys to play with, and the latest type of treatment for an acute heart attack employs a long, thin catheter, which is inserted into an artery in the groin. Under X-ray guidance, this is then fed up to the heart, directed into the artery that is blocked and then stuck through the clot. A balloon is then inflated, opening up the artery even further.

Nowadays, a small metal framework known as a stent is wrapped round the balloon, and this folds out into a rigid ‘support’ that sits where the clot was, keeping the artery open. The entire procedure is known as angioplasty. It’s all exceedingly clever, and horribly expensive.

What You Need to Know About Heart Attacks and Ekg Machines

The leading cause of death for both men and women around the world is a heart attack. Heart attacks, also known as myocardial infarctions, are caused by several different factors and can be detected and prevented with the right medical products. A heart attack occurs when the blood supply to a certain part of the heart is interrupted. The blood is unable to circulate normally due to blockage of a coronary artery. If a person is undergoing an acute heart attack, they will experience sudden chest pain, which may radiate to the neck and the left arm, shortness of breath, nausea, anxiety, and vomiting, among other symptoms. Not all heart attacks are acute, however, and it is possible to suffer a heart attack without noticing it at first.  However, a heart attack is a medical emergency, so if you feel as though anything seems unusual or painful, go see a doctor!

The most common factors that put someone at risk for a heart attack are old age, obesity, tobacco smoking, high blood pressure, and stress. If you have had a heart attack in the past, indulge in excessive alcoholic consumption, abuse certain drugs, for instance cocaine, or have chronic kidney disease, your odds of having a heart attack are disproportionately higher than the rest of the population.

When you go to the emergency rooms, the most effective piece of used medical equipment a doctor will use to tell whether or not you have had a heart attack is an electrocardiogram machine (EKG machine). When you are tested for a heart attack, you are told to lie down on the examination table. A nurse will attach electrodes on various points of your body so that the EKG can map the heart’s activity. The resulting graph is created by measuring the strength and timing of the electric signals emitted by the heart. These electric signals are what tell the heart muscle the rate at which to pump blood throughout the body. The attending doctor then reads the resulting graph and is able to determine whether a heart attack occurred and the resulting damage.

If you feel you are at risk for a heart attack, do not leave it to the EKG machines to discover the damage after the fact! See your doctor on how you can lead a healthier lifestyle so that you avoid suffering a heart attack in the future!

What Are The Causes Of Heart Disease?

There are quite a lot of illness and diseases that are often quite fatal but one of the most deadly of them is the heart disease. It is the one of the leading cause of death in the US and most major disability is cause by it. Each year in US about 700,000 people have died due to the disease. Heart disease is not just one disease but it’s a name of the number of diseases that affects the heart. It is estimated that the heart disease cause the death of about one person in every 34 seconds in US alone.

What causes the heart diseases

Till date every one thinks or believes that it is hereditary that causes the heart disease but the thing is that it can be a reason behind it but not all of this disease is due to genetic. Recent studies have found that less than 10 % of the heart disease have accounted from hereditary. Well that leaves 90% of other factors that causes this disease. It is very important that you should know all the factors that lead to this deadly disease. The knowledge will help you to avoid or reduce the chances of suffering from any disease relating to the heart.

Diabetes

There are two types of diabetes that most people would suffer from. The type two diabetes which is often cause by overeating or diet that has a hefty amount of sugar may lead to heart disease. The fats, from the food that they eat, are afforded into the blood flow. Over the time it will get accumulated in the arteries.

High blood pressure or hypertension

Heart disease cause by hypertension can be most serious or dangerous of all the causes. Generally it is due to the uncontrolled or prolonged elevation of the blood pressure. When this happens it can result in many changes in the coronary vasculature, conduction system and myocardial structure of the heart.

One of the common complication that hypertension heart disease causes is heart failure. Most of the times, it is unrecognizable partly due to the fact that when heart failure happens the dysfunction heart are not able to create the high blood pressure that becomes difficult to understand  the etiology of heart failure.

Smoking

If you are a habitual smoker then it is time to quit that bad habit. The carcinogens found in the cigarettes have been one of the main reasons that cause the heart disease.These substances get absorbed into the blood flow and the blood gets contaminated. The nicotine from cigarettes will also get develop in the blood stream. As a result,the blood will get coagulated. The nicotine will also block the valves that lead to the heart increasing the risk of having heart attack.

High cholesterol

Heart attack or chest pain can be the most horrifying illness that can take the life of a person. This heart disease cause by high cholesterol can be very dangerous. It can lead to atherosclerosis or hardening of the arteries which subsequently blocks the coronary arteries. Other than heart attack or chest pain there are many problems that blocked arteries cam lead to like stroke, pain in the leg or limping and people can even become disabled.

Signs, Symptoms And Treatment For Pulmonary Tuberculosis

Usually Tuberculosis, also known as TB, is caused by bacteria that spreads to the lungs and infects that area. It can easily be spread from person to person as it is carried in air droplets and when a person sneezes or coughs, the droplets fly out of the mouth and can infect another person. This is the primary version of TB. Most of the time, people will recover from this kind of TB, particularly in the US.

When one is elderly or an infant, or someone with a very weak immune system, such as someone who has AIDS or is on chemotherapy, has diabetes, has a much higher chance of contracting it. And some people have it but it stays dormant for years and does not show up till years later. If you are in contact with people who have it or if you have a poor and unhealthy diet, then you have a higher chance of getting it. Also if you live in a very crowded area, you might also be affected with the disease. And in the entire population at large, if there is a height of HIV infections and an increase of impoverished peoples, then TB will be more likely, as well.

Some symptoms of the disease are the coughing, coughing up of blood, as well as some excess night sweats. Fatigue and lethargy will accompany a fever and you might lose lots of weight, too, if you have the disease. You will also find that it is very hard to breathe and your chest will hurt and you will wheeze and gasp for air, too. There are many different ways to diagnose the disease, such as seeing if there are enlarged lymph nodes in the neck, fluid in the lung, and crackling kind of breathing. The doctor may perform a biopsy of affected areas or even a chest CT scan or x-ray to see what is going on in your lungs. You can also have a skin test, that can determine if you have it as well. When the results come in, the doctor can gauge what part of the disease you are currently in and various treatment options are available such as rifampin and isoniazid, two drugs that are administered to help with fighting and vanquishing the TB bacteria. Both pyrazinamide and ethambutol are also drugs that are being given fight it, as they have been tested in labs as being great agents in fighting it.

However, it is very important to take all the pills given and to make sure that no matter how many are required, none are skipped or forgotten. When people forget to take some, it begins harder to fight the bacteria and then the disease remains in the body and then become resistant and then no longer can be eliminated from the body. Sometimes a health care provider or home nurse is needed to make sure that the patient takes all the medicine given, for it is essential that the medication is not forsaken and that it is consumed on a regular and diligent basis.

MBA In International Business: SSIS Takes Your Career Global!

In the current scenario, India is poised to write its new growth story, a saga inspired by the influence of globally connected economy. The world is presenting its opportunities to grow and the only way India will be able to capitalise on these opportunities is when we have the right talent to make them work. The Symbiosis School of International Studies looks to address this problem through its MA in International Studies program.

What is the program all about?

The MBA in International Studies is a program that focuses on explaining the importance of a globally connected scenario when it comes to the modern day economy. Gone are the days, when a business was restricted by its physical boundaries. Today, irrespective of the place of origin, every business has the ability to go global. In fact, it is going global.

The result is an economy that is closely connected to the international players. The need of the hour is professionals who are well versed with the international scenario. These professionals have to be well versed with the challenges that are likely to hamper the growth of the business. Theinternational studies masters degree program helps students update themselves with these skills and knowledge.

 Being a Symbiosis pass out!

In addition to state of the art training, the program allows students to study under the Symbiosis banner. Symbiosis is one of the most reputed institutes in the country. Pursuing the international studies masters degreegives students a chance to proudly boast of the Symbiosis tag on their resume. This qualification adds weight to their resume. Additionally, Symbiosis training is known to prepare students for their future roles as professionals.

Unlike other institutions, Symbiosis students are taught in a corporate friendly environment.

When they pass out, they are already ready to take up their roles as professionals. This makes them a preferred choice at the time of recruitment. Additionally, Symbiosis is among the few institutes in the country that actually provides placement assistance to all the eligible students.

Applying for the program

Applying for the MBA in International Studies by SSIS is really easy. Students can actually log in to SSIS portal and submit their application online. This is easy and barely takes a few seconds. While submitting the application, students will also need to pay a registration fee of INR 1200. On acceptance of the fee, students will get a confirmation.

For application deadlines and other important dates, students need to check the SSIS website: http://www.ssispune.edu.in/admissions

Additionally, students can also get in touch with the admission cell in order to get more details.

So, if you are yearning to build a career that takes you places, the MBA in international studies by SSIS could be your key to unlocking the opportunities that could help you realise this dream.