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How long should you keep a blood pressure log?

Routine visits to the doctor’s office typically involve a single blood pressure measurement. For people with borderline hypertension, or high blood pressure, additional checks at the office are often necessary, in conjunction with having more checks done at home. How many exactly?

At least three days' worth, according to a study published in the Journal of the American Heart Association. According to Dr. Natalie A. Bello, the study's lead author and an assistant professor of medicine at Columbia University Irving Medical Center in New York, the study aimed to “…help practicing clinicians figure out what's enough when it comes to the number of measurements for them to feel confident that they have a good representation of patients' blood pressure outside the clinic."

Before an official hypertension diagnosis is given, a common approach after a patient has been screened at a clinic is home blood pressure monitoring. This is because measurements taken in a medical office may occasionally be high. Stress related to being at the doctor's office can be reason enough to affect a spike blood pressure.

The study participants did not have a history of cardiovascular disease, were not on medication for blood pressure, and were otherwise healthy. Over the course of two clinic visits, their blood pressure was measured multiple times, and they were given a home blood pressure monitoring device that stored data from each use. They were also given detailed instructions on how to obtain the most accurate measurement possible. Over two weeks, participants were instructed to take two measurements in the morning and twice again at night.

"Using the average of morning and evening readings, a minimum of three days are needed to reliably estimate out-of-office blood pressure and confirm a diagnosis of hypertension," the researchers wrote in their report.

Using the current blood pressure guidelines, at the time of the study, participants who consistently measured twice in the morning and twice in the evening only needed two days of home measurements. Participants who only took one measurement in the morning and one in the evening, three days was ideal for supporting a diagnosis of high blood pressure.

The guidelines from the American Heart Association and the American College of Cardiology, which defines hypertension as a measurement of 130/80 rather than the previous 140/90, emphasizes having patients monitor their blood pressure as part of "hypertension diagnosis, treatment, and management."

The average age of participants was 42, excluded from the study were those who had chronic kidney disease, overt cardiovascular problems, and other health conditions. Additionally, the study included a small number of people with diabetes. Blood pressure can easily fluctuate depending on when and how it’s measured.

It's also essential that patients use equipment that has been validated for clinical accuracy, so be sure to bring it along to your next office visit.

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The Women Mental health

Men are from mars and women are from Venus. This is an age-old adage to show the great disparity between the two genders.

Women and men differ not only in their physiological make up, meaning how they look but also psychological make up, in terms of how they think. For starters, women feel complex emptions and events like pregnancy make them face situations that are beyond the arena of man’s emotional radar.

Women and their psychological needs usually surpass that of men’s emotional needs. You must have heard the famous joke that if a man says, “I am fine”, he means it. A woman on the other hand means a million things by that one sentence. Women may not necessarily be straightforward enough about her needs.

This causes a higher burden of psychological and mental health issues in women. Not only are the rates of depression higher, but even conditions like dissociative disorder, borderline personality disorder, trance possession disorder and post-traumatic disorder are relatively higher when compared to the other sex. Our society at times also adds to their psychological burden by the extreme expectation they have from women. Women play multiple roles and balance work-home front in multiple forms.

But don’t consider the fairer to sex to be only weaker. Women’s resilience has been studied and showed fairly sustainable high in the face of adversity. Another example of this is the higher survivability of female foetus in the womb when compared with the male foetus.

Women are truly a force to be reckoned with and all we need to do is to support them to get the best of the support. Seeking support for their mental health does not make them weak, but instead makes them stronger. Let’s normalise mental health for all, especially for the wonderful women in our lives.

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Related Post = Preparing Your Family for Your Child's Surgery

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Preparing Your Family for Your Child's Surgery

Pediatric surgery affects the entire family

When it comes to your child, even a simple, outpatient procedure can be intimidating. And chances are, it’s stressful for the whole family. Here are a few tips for alleviating the anxieties and fears you and your family might be feeling.

Talk about it.

Talking about your fears, getting them out in the open, and finding answers to your questions can all help reduce stress and anxiety. If your child is old enough, have an honest but positive conversation of what to expect on the day of the procedure and afterward. Explain the benefits of the procedure for their health and well-being. Reassure them you’ll be nearby the whole time. Let him ask questions and answer them as best you can. If you don’t know the answer, write it down and call your surgeon’s office. You and your child will feel better when you know what to expect.

If your child is young or you worry a conversation about his surgery may frighten or overwhelm him, you can get him used to the idea of surgery by reading a few age-appropriate books that positively portray hospitals or surgery. A few of our favorites are Franklin Goes to the Hospital, A Visit to the Sesame Street Hospital, and Curious George Goes to the Hospital.  

Recognize sibling stress.

Whether they’re normally rivals or two peas in a pod, siblings tend to worry when one is sick or nervous. Take time to talk to older siblings about what will happen on the day of the surgery. Give them a positive impression, answer their questions, and reassure them. You may even want to recruit them as helpers so they feel like they’re helping their little brother or sister on the big day.

Be prepared.

Nothing can add stress to the day of your child’s procedure quite like the last-minute hustle to find his favorite toy or to prepare extra bottles for the diaper bag. Save yourself from this situation by making a detailed list of everything you’ll need to bring. This should include a comfort item for your child, snacks for you (especially if you’ve chosen to fast with your child), and games or books for the siblings if they will be waiting with you.

The staff at your surgical center is there for you and your child. Ask lots of questions leading up to the day of the procedure so you feel confident. The calmer you are, the calmer your child will be, too.

If possible, make sure paperwork is handled ahead of time. This way you can focus on comforting and reassuring your child while you wait, rather than filling out forms.

Take care of yourself.  

Even though your child is the one having a procedure, chances are you’re experiencing even more stress and anxiety than he is! It’s okay and completely normal for you to worry about your child. But remember, your child will sense your mood and respond to any stress or worry you feel. Help yourself stay calm by talking to the doctors and staffs to make sure all your questions are answered. You may also want to share your fears with a friend or loved one; it helps just to talk. Lastly, make sure you get plenty of rest the night before the surgery so you’re ready to be supportive and extra-patient that morning.

Have a plan for post-op.

After surgery, your child will need to recover. An outpatient procedure means your child will come home with you the same day as the procedure. You can help everyone feel calm and prepared by designating a place for your child to rest at home where he is comfortable. This may his own room, or yours, or perhaps even in the den in front of the television. Set expectations with siblings that your child is to rest, which means the house should be quiet. And yes, he gets to pick which movies you watch.

You can also prepare for post-op by carefully reading the surgical center’s post-op instructions and making sure to ask any questions ahead of time. If your child will need prescriptions filled, designate who in the family will be heading to the pharmacist and who will stay home with the child. Finally, remember that your child may experience some pain and may even cry once they are home. Stay calm, keep him comfortable and relaxed, and if you start to worry, call your pediatrician.

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9 Tips to Protect Your Ears and Hearing Health

Once your hearing is damaged, it’s gone for good. That’s why we raise awareness about the prevalence of hearing loss, the importance of early diagnosis, and the options for taking action to find the best hearing solution for your needs. Don’t wait until it’s too late to start taking care of your ears! Here are nine easy ways to protect your ears and your hearing health.

Use earplugs around loud noises

Approximately 15% of Americans have noise-induced hearing loss because of loud work or leisure environments.

Clubs, concerts, lawnmowers, chainsaws, and any other noises that force you to shout so the person next to you can hear your voice all create dangerous levels of sound. Earplugs are convenient and easy to obtain. You can even have a pair custom fitted for your ears by your local hearing healthcare provider.

Musicians’ earplugs are custom earplugs with filters that allow a person to hear conversations and music but still reduce harmful sound levels while maintaining the quality of the original sound as closely as possible.

Turn the volume down

According to the World Health Organization, 1.1 billion teenagers and young adults worldwide are at risk for noise-induced hearing loss from unsafe use of audio devices.

If you like to enjoy music through headphones or earbuds, you can protect your ears by following the 60/60 rule. The suggestion is to listen with headphones at no more than 60% volume for no more than 60 minutes a day.

Earbuds are especially dangerous, as they fit directly next to the eardrum. If possible, opt for over-the-ear headphones.

Don’t forget that any loud music, not just music played through headphones, presents a risk for noise-induced hearing loss. If you’re hosting a social event, keep the music at a volume which won’t force people to shout in order to hold a conversation

Give your ears time to recover

If you are exposed to loud noises for a prolonged period of time, like at a concert or a bar, your ears need time to recover. If you can, step outside for five minutes every so often in order to let them rest.

What’s more, researchers have found that your ears need an average of 16 hours of quiet to recover from one loud night out.

Stop using cotton swabs in your ears

It’s common for people to use cotton swabs to clean wax out of their ear canal, but this is definitely not advisable. A little bit of wax in your ears is not only normal, but it’s also important. The ears are self-cleaning organs, and wax stops dust and other harmful particles from entering the canal. Plus, inserting anything inside your ear canals risks damaging sensitive organs like your ear drum.

If you have excess wax, you can clean around the canal with a damp towel—gently. You could also use ear wax removal solution over the course of a few nights. This softens the wax so that it will eventually flow out on its own. The best solution is always to seek a professional opinion and care when possible.

Take medications only as directed

Certain medications, such as non-steroidal anti-inflammatory drugs (NSAIDS) like aspirin, ibuprofen and naproxen, can sometimes contribute to hearing loss. Discuss medications with your doctor if you’re concerned that they’ll impact your hearing ability and take them only as directed.

Keep your ears dry

Excess moisture can allow bacteria to enter and attack the ear canal. This can cause swimmer’s ear or other types of ear infections, which can be dangerous for your hearing ability. Be sure you gently towel-dry your ears after bathing or swimming. If you can feel water in the ear, tilt your head to the side and tug lightly on the ear lobe to coax the water out.

You can also ensure that your ears stay dry and healthy by using custom-fit swimmers’ earplugs, which block water from entering the ear canal. They’re great for adults and kids alike, and they work wonders in preventing swimmer’s ear. Make an appointment with your local hearing health professional to get fitted.

Get up and move

Did you know that exercise is good for your ears? It’s true. Cardio exercises like walking, running, or cycling gets the blood pumping to all parts of your body, including the ears. This helps the ears’ internal parts stay healthy and working to their maximum potential.

Make sure to stay safe! When cycling, always wear a helmet. If you fall and hit your head, a concussion can harm your hearing.

Manage stress levels

Stress and anxiety have been linked to both temporary and permanent tinnitus (a phantom ringing in the ears). High levels of stress cause your body to go into fight or flight mode, which is an instinctual reaction that fills your body with adrenaline to help you either fight or flee from danger. This process puts a lot of pressure on your nerves, blood flow, body heat, and more. It’s commonly thought that this pressure and stress can travel up into your inner ear and contribute to tinnitus symptoms.

Get regular checkups

Ask your primary care physician to incorporate hearing screenings into your regular checkups. Because hearing loss develops gradually, it’s also recommended that you have annual hearing consultations with a hearing healthcare professional. That way, you’ll be more likely to recognize signs of hearing loss and take action as soon as you do.

Taking action is important because untreated hearing loss, besides detracting from quality of life and the strength of relationships, has been linked to other health concerns like depression, dementia, and heart disease.

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High Neck Pain: Causes, Prevention and Treatment

Despite the fact that less regular than back agony, neck torment influences an expected 45 percent of grown-ups in the U.S. There are various characterizations and reasons for neck torment, and now and again, neck agony can be preventable. Neck torment is commonly delegated either intense agony or incessant torment.

Intense neck torment: Episodes of neck torment because of a muscle strain or delicate tissue sprain brought about by damage, for example, whiplash from a fender bender or neck strain from dozing in the wrong position.

Endless neck torment: Long-enduring undeniable irritation over some stretch of time. Normal reasons for unending neck torment incorporate herniated circle, squeezed nerve or certain exercises or real positions.

By and large, neck torment won't require careful mediation and will improve after some time with activities, medicine and chiropractic care. In some extreme cases, medical procedure might be the main methods for wiping out undeniable irritation because of damage or ceaseless condition. Reasons for neck torment that may require medical procedure include: cervical stenosis (narrowing of the cervical circle space), cervical joint pain, degenerative plate sickness and herniated circle.

Tips to prevent neck pain

Correcting posture and movements can prevent chronic neck pain caused by poor posture or body mechanics. Here are a few tips to help reduce or prevent neck pain that may be caused by your daily activities, such as sitting at a computer or sleeping.

• Avoid slouching. Think about keeping your head, neck and spine in one straight, upright line. • Sit straight in your chair with your lower back supported. • Keep your feet flat on the floor. • Shoulders should be down and relaxed. • Adjust your computer so the monitor is at eye level. • When talking on the phone, use a headset or speakerphone rather than cradling the phone on your shoulder. • Take at least one break every hour to get up, change position and stretch your neck muscles. • Stretch your neck muscles regularly by doing small head rolls and tilting your head from one side to the other, as well as forward and backward. • Use a neck support pillow when sleeping. • If you like to read in bed, position yourself with pillows to keep your neck in a neutral position. • Reduce stress with relaxation techniques, exercise and/or massage. • Perform neck exercises daily to strengthen and protect your neck. • Maintain a healthy body weight.

Treatment for neck pain

Acute neck pain may be treated with heat or ice applied at home, over-the-counter or prescription pain relievers, massage therapy, chiropractic manipulation and stretching. Your doctor may recommend a wearing a neck brace for a few days to help reduce acute pain from an injury.

Chronic neck pain may be treated with some of the remedies listed above. However, in some cases, surgery is required to address the specific conditions causing pain in the neck.

If you are suffering from neck pain, whether acute or chronic, be sure to mention it to your healthcare provider. Although common, neck pain is not something you should have to just “deal with,” as it can easily affect your day-to-day life.

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THE COMMON BANE OF HEAD PAIN

Headache is one of the most common disorders seen to occur in all age groups but much more so in women. Broadly headaches can be classified as Primary and Secondary Headaches disorders. Primary Headache disorders have no apparent causative factor and are thought to be interplay between genetic predisposition and environmental provocative factors. The most common by far is Migraine. Secondary headaches are those that result from a cause e.g. Brain Tumor.

The Primary Headaches:

Migraine Tension-type headache Cluster headache and other trigeminal autonomic cephalalgias Other primary headaches.

The Secondary Headaches:

Headache attributed to head and/or neck trauma Headache attributed to cranial or cervical vascular disorder Headache attributed to non vascular intracranial disorder Headache attributed to a substance or its withdrawal Headache attributed to infection Headache attributed to disorder of homoeostasis Headache or facial pain attributed to disorder of cranium, neck, eyes, ears, nose, sinuses, teeth, mouth or other facial structures. Headache attributed to psychiatric disorder

Cranial Neuralgias, Central and primary facial pain and other headaches

Cranial neuralgias and central causes of facial pain Other headache, cranial neuralgia, central or primary facial pain

For all practical purposes, most people suffering from headaches have primary headache disorders especially Migraine. Though most people worry that they may have a “Brain Tumor” or serious disease causing headache that is a rare and an unusual situation. Certain Red flags can help and decide if the headache cause could be of a dangerous origin.

Workisome Headache Red Flags “Snoop”

S

ystematic symptoms (Fever, weight loss) or secondary risk factors (HIV, Systematic cancer)

Neurologic symptoms

or abnormal signs (confusion, impaired alertness or consciousness)

O

nset: Sudden, abrupt or spilt second

O

lder : New onset and progressive headache, especially in middle –age > 50 (Giant cell arteritis)

P

revious headache history  : First headache or different (change in attack frequency, severity or clinical features)

There is also an incorrect belief that the word migraine would always implies a very severe headache. That is incorrect and most headaches suffered by people in the world are Migraine. Migraine is a spectrum of headaches that could be mild and infrequent or severe, frequent and daily. Migraine with aura (usually visual symptoms) is also called Classic migraine and occurs in 15% patients. Migraine without aura (also called Common Migraine) occurs in 85% patients.

Common Symptoms of Migraine

Head pain (Pounding, pulsating, throbbing) Nausea/Vomiting Loss of appetite Light or sound sensitivity (Sonophotophobia) Scalp tenderness Dizziness and lightheadedness  Irritability

Common Aggravating Causes of Migraine are:

Sleep deprivation – Excess or lack Irregularity of  meal times Stress Hormonal changes Food triggers

The management of headaches begins by establishing the correct diagnosis clinically or with the help of tests ruling out the rare but dangerous secondary headache disorders.

Once it is established that underlying condition is migraine than the treatment has the following steps:

Lifestyle management

- to recognize and eliminate aggravating factors.

Preventive therapy:

Daily medications of various types which are used to prevent/reduce the number of “attacks” of headache. These are not Rescue (immediate/SOS) pain relieving medicines and must be taken regularly for 3- 6 months or more.

Rescue therapy:

To abort the “attack” of severe headache.

It is important to recognize and appropriately deal with these disabling headaches to prevent Medicine Overuse Headache (MOH) which occurs in many people who chose only to take “Acute/Abortive/Rescue” medications. Painkiller over use can also result in Ulcer disease and kidney dysfunction.  For patients in whom headaches have worsened to a point where they have incapacitating near daily headaches. Newer modalities of therapy like Botox are available.

Key points:

Recognize that most headache are Migraine and not “Gas”, “Weak eyes” or “Sinus”. Migraine does not imply only severe debilitating headaches.  Practically most headaches is the world are Migraine. Prevent MOH and side effects of rescue medications. Recognize CDH (Chronic daily headache) and consider newer modalities of treatment such as Botox.

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Top 10 Summer Safety Tips

Summer fun is truly something special, but summer safety should always be a priority for you, your friends and your family. When preparing for your favorite summer activities, don’t forget to follow these summer safety tips to make sure everyone has a great time without any of dangers the warm months can bring.

1. Understand SPF and Use Sun Protection

Know your SPF numbers and what sort of SPF protection to buy for your family. Extra-high SPF numbers aren’t nearly so important as careful, effective application on all exposed skin. Today’s spray-based sunscreen is usually more child and teenage friendly, since it’s a lot easier to apply than oily lotions. UPF or ultraviolet protection factor is used to rate summer clothing for protection, another valuable specification to keep in mind when headed up to the mountain or out on the water.

2. Protect Against Mosquitos and Other Threats

Mosquitos carry some of summer’s worst diseases (Lyme, Zika, etc.), but they are also very difficult to avoid without proper care. If you are going to be spending time near open water, especially standing water, protect yourself from mosquitos by covering arms and legs, and using effective repellents like deet.

Protect against wasps, hornets, and other bugs by avoiding their nests. While bright colors are a good idea in the forest, in other environments try to stay away from bright or floral patterns, which are an attractor for these stinging insects.

3. Remember Helmets and Kneepads

From skating on the street to – well, nearly any other type of summer sport, protection is important. Equip your kids with their helmets for extra protection, but don’t stop there. Kneepads protect from scraps and hot metal surfaces, and you should encourage their use for any wheeled or motor-related activity.

4. Practice Proper Safety Near Water

A vast number of unfortunate summer deaths are caused by drowning. If you or your family are enjoying pool activities or water sports, always go in pairs and make sure that kids are under constant adult supervision, as well as equipped with the proper flotation devices.

As fun as alcohol may be while out on the water, it’s also a really bad idea. Adult water-related deaths are frequently caused by drinking on watercraft or before swimming. If your summer fun involves a few beers, then enjoy your water activities first: Drink when you are done and back on land.

5. When it Heats Up, Plan Hydration Carefully

Dehydration is no fun at best and deadly at worst. If you are heading into hot temperatures, make clear plans for water: Bring along your own water storage and make sure you have a couple liters for every person, even if you are just headed out for an afternoon. If it is particularly hot, make sure you frequently stop in the shade and take a drink of water to keep from sweating out too much.

6. When Exploring, Coordinate Times, Directions, and Group-Ups

Exploring festivals, new towns, hiking paths, and even other countries are very popular summer activities. They should also involve proper planning. Make sure everyone has an exploring buddy and a way to keep in contact. Have everyone’s phone number for contact, and arrange for specific times and places to meet up once exploring is finished.

7. Be More Careful in the Car

Summer is a more dangerous time to be on the road: The combination of drivers new to the area, drivers who may be acting more careless, and more bikers can lead to disaster. So remember to check your car, practice good maintenance, follow local traffic laws, and stay safe on the road.

8. Use Licensing and Safety Courses

From dirt-biking and off-roading to jet-skiing and flying drones, a lot of today’s summer activities involve advanced equipment. Don’t let you or your family jump into this equipment without the proper training! Make sure everyone takes the right classes, obtains any important licenses, and follows the right codes for their summer fun. It takes a little bit of preparation, but it vastly increases safety and avoids any hefty fines you may occur if no one knows the rules.

9. Stay Away from Activities That Are Simply Too Dangerous

This is particularly important as a parent, because while summer is about fun and even testing boundaries, parents still need to draw lines when activities become too dangerous. It is too dangerous to let kids go unsupervised or without the proper equipment, no matter how much they may want to do something. Certain things, like trampolines, have proven too dangerous to use, especially without the right trampoline insurance (the fact specific insurance exists should be a warning sign). Just because something is popular or trending doesn’t mean it should be allowed or encouraged.

 10. Protect Food and Wash Your Hands

Keep food sealed and covered until it is ready to eat, and try to keep it out of the sun if possible. When grilling, make sure meats are properly refrigerated before use and thoroughly cooked. When dealing with any kind of food, wash your hands first to prevent contamination. These summer home safety tips are simple, but easy to overlook during summer activities.

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Related Post = 10 Reason That Men Should See A Urologist

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10 Reason That Men Should See A Urologist

If you’re a male with a possible urological issue, even if it seems minor, it’s important to visit a Urologist to get it checked out.

It’s a well-known fact that men avoid going to the doctor unless it’s an emergency. (As the old saying goes, “Women go to the doctor, men go to the emergency room.) Even then, they’d prefer to skip the entire experience if at all possible.

I do know that many primary care doctors are under tremendous pressure by insurance companies to limit referrals to specialists. Other times it may simple ignorance by the primary doctor. Worse yet, it may be arrogance that the doctor thinks he or she knows everything urologic and so does not believe a urologist would add anything to the patient’s care.

However, as men get older, it becomes that much more important for them to pay attention to their health and heed warning signs along the way that something might be amiss. Particularly when it comes to urologic issues, minor annoyances can actually be warning signs of potentially life-threatening problems.

So what are a few problems that absolutely must be seen by a urologist? There are many, but here are some examples of signs or symptoms that absolutely should be seen by a urologist – nonnegotiable!

1. Erectile Dysfunction: This is an uncomfortable conversation to have, but it is an important one to share with a Urologist. Erectile Dysfunction (ED), the inability to achieve or maintain an erect penis, affects sexual performance and intimacy but can also reveal complications such as vascular disease, hypertension and renal failure. Even though many men find it embarrassing to talk about this issue, it’s important to evaluate and treat any underlying conditions as early as possible.

2. Blood in your urine: This is a sign to see a Urologist immediately, as it could be an early warning sign of bladder or kidney cancer. Even if you only experience blood in your urine intermittently, it signals a condition that needs immediate attention. A Urologist’s exam includes urine tests, an x-ray or CT scan and a cystoscopy (using a fiberoptic scope to see inside the bladder).

3. Testicular pain, lump or masses: When testicular pain is persistent and does not go away within two weeks, it is time to see a Urologist. Any masses, firmness or nodules on the testicles should be examined by a urologic specialist, due to the chance of testicular cancer. Fortunately, when caught early, cancer found in the testes is one of the most curable cancers.

4. An abnormal prostate exam. Any abnormality – firmness, small nodules, or irregularities – may be from a prostate cancer and so must be seen by a urologist. Likewise, any changed from prior exams must be seen. This is why it is so important that all men over the age of 40 to 45 get a yearly exam, ideally by the same doctor. As with all potentially serious problems, if detected early the cure rate is high.

5. Any abnormality of the kidney found on x-ray. It must be assumed that these are kidney cancers until proven otherwise. Do not let anyone biopsy a kidney mass unless you have seen a urologist. Biopsies of a kidney mass can actually cause more harm, and often do not provide the information desired.

6. A testicular mass or persistent pain. Because of the rare chances of having an underlying testicular cancer, any masses, firmness or nodules of the testicle must be seen by a urologist. This also includes men with testicular pain that does not resolve within a week or two. If caught early, testicular cancer is one of the most curable cancers in humans.

7. Frequent urination or the urge to urinate often: It’s time to see your Urologist if incontinence (leaking urine) begins suddenly or if it interferes with your lifestyle. Urinary incontinence is fairly common and can usually be managed or treated successfully.

8. An elevated or change in Prostate Specific Antigen (PSA) level: The PSA test is often used as a way to detect early prostate cancer. Typically, a very low level of PSA is found in the bloodstream. When there is a change or a higher level of PSA in the blood, a Urologist can determine the cause.

9. Kidney abnormality: If your doctor detects anything unusual on X-ray, you should be referred to a Urologist.

10. Infertility: 25% of infertility issues can be directly related to a male problem. If you partner is being evaluated, you should get a concurrent evaluation by a Urologist.

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Latest Cholesterol Guidelines Focus on Personalized Approach

A deep rooted way to deal with bringing down cholesterol, beginning in a few children as youthful as 2, is the United States' most solid option to bring down everybody's danger of heart assault and stroke, as indicated by refreshed rules discharged Saturday by the American Heart Association (AHA).

"Customized" cholesterol-battling strategies prescribed by the rules include:

•           More point by point hazard appraisals, to enable make sense of to an individual's particular danger of coronary illness, including the utilization of CT sweeps to identify solidified supply routes.

•           Harder-hitting cholesterol drugs like ezetimibe or the new, costly class of medications called PCSK9 inhibitors ought to be included best of statins for high-chance individuals who are attempting to bring down their dimensions.

•           Initial cholesterol blood tests for children between the ages of 9 and 11 to check their lifetime chance early, including tests for youngsters as youthful as 2 with a family ancestry of coronary illness or elevated cholesterol.

Focus on lifestyle first

It’s important to start keeping track of cholesterol levels early on. Many adults are unaware of what their cholesterol levels are, even when they have high levels of LDL.

Only healthy lifestyle changes would be recommended in kids and teens with high cholesterol, since there's a lack of evidence regarding the use of cholesterol-lowering drugs that early, the AHA said.

People from age 20 onward should receive regular heart risk assessments, including cholesterol testing, according to the guidelines released at the AHA's annual meeting in Chicago.

One big positive – people not taking statins don't have to fast before taking their cholesterol blood test, the guidelines say.

Doctors are encouraged to talk with patients about "risk-enhancing factors" that can provide a more personalized perspective of their risk.

Patients will still be checked for smoking, high blood pressure and high blood sugar, but doctors also should talk about other risk factors like family history, ethnicity, metabolic syndrome, chronic kidney disease, chronic inflammatory conditions and premature menopause or preeclampsia.

This additional information can make a difference in what kind of treatment plan a person needs, the guidelines say.

Calcium may be key

For those whose heart risk is moderate, the guidelines now call for coronary artery calcium (CAC) scans as a "tie-breaker" to help assess the health of their arteries. CAC is a type of CT scan that looks for calcified plaque in the arteries.

A CAC score of zero means a patient has no plaques at all. In most cases where the CAC score is zero, adults have 10-year risk rates below the range where statins provide a net benefit, the guidelines say. So a CAC score of zero could mean a patient might not need to start statins, at least for some time.

Risk factors that would indicate a need for statins would include smoking, diabetes or a strong family history of heart disease.

The updated guidelines also introduce other cholesterol-lowering drugs besides statins.

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INDEGENIOUS HEALERS

Introduction: Traditional medicine is an ancient medical practice that existed in human societies before the application of modern science to health. It has evolved to reflect different philosophical backgrounds and cultural origins. Although modern medicine is widely spread, traditional tribal medicine still exists in all the countries across the world. Interest in traditional medicine system has increased over the years. People in many countries are now prepared to look for alternative approaches to maintain their health.

 Importance of Indigenous Medicines: Indigenous medicine can be defined as the knowledge, skills and practices of holistic health care, recognized and accepted for its role in the diagnosis, preventive and curative aspects of illness and disease to promote total wellbeing of the community. The approach is holistic and blending of physical, mental, social and spiritual well being. Its use is global. Even in the age of developed western system of medicine the indigenous system of medicine has thrived as the indigenous system of medicines are found to be positive, beneficial and scientifically sound. The traditional adivasi medicine men are regarded as the traditional healers in their societies and they do not belong to any specific school, such as Ayurvedic/Allopathic/Homeopathic etc. There is no written document on the subject. The principle ingredients of indigenous medicine are derived from plant source. Various types of plants and herbs available in the nature are collected for medical purposes by the healers themselves.

 India has a great variety of traditional healing systems. Over the centuries, adivasis have developed their own medicine system. The indigenous Adivasi system of medicine based on indigenous theories and beliefs has been handed down orally from generation to generation. There are no written records on this branch of medicine. All the ingredients for the medicines are derived from nature. Besides herbs, seeds, roots and barks, various minerals, metals and other natural matters in their powdered form, are used for the preparations. The healers themselves gather all the necessary plants and herbs that grow wild in the forests intoning special prayers. There are prescriptions prohibitions and taboos for collection of plants and herbs on specific day and time. It is also believed that a particular plant or herb or part thereof is not collected on prescribed date and time, it looses its medicinal value.

 Traditional adivasi healers are unlicensed but not necessarily untrained. Like physicians, they pursue their specialties, learning by observation and imitation. Often healing is considered a gift that runs in a family and is passed down from generation to generation. The ability to set bones, for example, is thought to be hereditary as is the power to stop bleeding. The Adivasi herbal medicines have absolutely no side effects.

 A large proportion of the population in a number of developing countries still relies on traditional tribal practitioners, including traditional birth attendants, herbalists and bonesetters and on local medicinal plants to meet their primary health care needs. Today indigenous system of medicine is making dramatic comeback and scientists are turning to natural products for answer to ailments like cancer, AIDS, hepatitis and rheumatoid arthritis.

 Indigenous medicine under increasing threat: The traditional indigenous medicine system of late is facing a new threat. The modern pharmaceutical companies are plundering the herbal wealth of the forests for manufacturing the modern medicines. This endangers the very survival of the species and makes it more difficult for traditional healers to find the herbs they need for their medicines. Government must take steps to prevent this before irrevocable damage has been done. Another great danger is deforestation, and the adivasis have been protesting  against this practice  as for them the forest is their life.

 Traditional knowledge is in demand as a source of information of the possible properties of biological material. The traditional adivasi knowledge is not protected within the patent system as it stands today. The turmeric case highlights the problems faced by India in preventing bio-piracy. The recording of traditional knowledge seeks to reduce the possibility of bio-piracy, but looks to future legislation to effectively protect the rights of the people. Some important structural changes based on a sound legal footing are proposed, which can be easily incorporated within the present databases, and would go a long way in preventing bio-piracy and protecting the interests of the knowledge-holders footing. Realizing the potentiality of tribal medicines in curing various of chronic diseases, Pharmaceutical companies are trying their best to have the knowledge and register in their name under intellectual property rights.

 Need for promoting and protecting Indigenous Medicine System: In developing countries like India where more than one-third of the population lack access to essential medicines, the provision of safe and effective traditional and alternative remedies could become an important source of increasing access to health care. One way to ensure this is to integrate traditional medicine into the formal health system, thus ensuring better safety and adequate follow-up for patients. As the modern medicine is costly and the common people are not in position to buy it so there is greater need for promotion of adivasi medicines. Since tribal medicine is integrated in other cultural elements of a society, its concept and practice are epistemologically transmitted from generation to generation orally in the absence of written language in non litrate and pre literate societies, there is strong need for documentation of such languishing tradition and try them after proper scientific study.

At Shreya Hospital Trauma Center, our trauma team is ready, day in and day out. Working collaboratively with emergency medical services and referring hospitals, we respond to life-threatening situations with compassion, speed and expertise.

Plot No. 837, Shalimar Garden, Ext-I Sahibabad, Ghaziabad 201005 (U.P.) Phone: 0120-4557474, +91 783 873 7363

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Supper Specialist Hospital in India

Shreya Super Specialty Hospital is one of the Best Multi Specialty Hospital in Delhi, Ghaziabad. Shreya Super specialty Hospital, Shalimar garden became operational in the year 2006 with 100 beds to cater for the healthcare needs of the population residing in the area adjoining Delhi. The facility was created to provide comprehensive medical care under one roof while maintaining the highest standards of medical excellence. Shreya Hospital has varied range of Super specialty services i.e. Obstetrics & Gynecology, Diabetic, Oncology, Neurosurgery, Physiotherapy, Critical Care, Pediatrics Surgery, Gastroenterology, Cardiology, Nephrology, Urology, Neonatology, Orthopedics, Radiology, Ophthalmology, Dermatology, General Surgery, ENT Surgery etc. You can book an online appointment with doctors available at Shreya Super specialty hospital on www.shreyahospital.in.

Specialization

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 Best Supper specialty Hospital In Ghaziabad Delhi NCR

Shreya Super Specialty Hospital is one of the Best Multi Speciality Hospital In Ghaziabad Delhi. Shreya Super specialty Hospital, Ghaziabad became operational in the year 2006 with 100 beds to cater for the healthcare needs of the population residing in the area adjoining Delhi. 

Plot No. 837, Shalimar Garden, Ext-I Sahibabad, Ghaziabad 201005 (U.P.) Phone: 0120-2649444-555 E- Mail: Contact@shreyahospital.in , shreyahospital837@gmail.com