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Caring for Your Spine: Understanding Degenerative Disc Disease
Dec 14, 2023|Dr Ashwani Maichand

Caring for Your Spine: Understanding Degenerative Disc Disease

A disorder known as degenerative disc disease (DDD) causes one or more of the back discs to weaken. Technically speaking, degenerative disc disease is not a disease, despite its name. It is a gradual ailment brought on by damage or general wear and tear over time.

The spaces between your spine’s vertebrae are home to the discs. They perform the roles of shock absorbers and cushions. Discs assist you in standing upright. Additionally, they facilitate routine activities like bending over and twisting around.

With time, DDD may get worse. It may produce moderate to severe discomfort that gets in the way of your daily activities.

What Are the Symptoms of Degenerative Disc Disease?

Some of the most common symptoms of DDD include pain that:

  • comes and goes in as little as a few days and up to several months
  • can be worse from sitting
  • worsens after twisting or bending
  • extends from neck to arms
  • might extend to the legs and buttocks
  • primarily affects the lower back

People with DDD might experience less pain after walking and exercise. DDD can also cause weakened leg muscles, as well as numbness in your arms or legs.

You Can Also Read: Tuberculous Spondylitis: Symptoms, Cause & Treatment

What Are the Causes of Degenerative Disc Disease?

Spinal discs wear down as a normal part of ageing. Especially after age 40, most people experience some disc degeneration. However, not everyone experiences pain.

You might have pain if your spinal discs:

  • Tear or crack: Minor injuries can lead to small cracks in your spinal discs. These tears are often near nerves. Tears can be painful, even when they are minor. If the outer wall of your spinal disc cracks open, your disc may bulge out of place, known as a herniated disc, which may compress a spinal nerve.
  • Dry out: Your discs have a soft core that mostly contains water. As you get older, that core naturally loses some water. As a result, discs get thinner and don’t provide as much shock absorption as they used to.

How is Degenerative Disc Disease Diagnosed?

To diagnose degenerative disc disease, your healthcare provider may start by asking you about your symptoms. Questions may include:

  • When does the pain start?
  • Where do you feel pain?
  • What activities cause the most pain?
  • What activities decrease the pain?
  • Did you have an injury or accident that led to pain?
  • Do you have other symptoms, such as tingling or numbness?
  • How far can you walk?

Your healthcare provider may use imaging scans such as X-ray, CT or MRI. These tests can show your healthcare provider the state and alignment of your discs. Your provider may also conduct a physical exam to check your:

  • Strength: Muscle weakness or shrinking (atrophy) could mean you have nerve damage or degenerated discs.
  • Pain levels: Your provider may touch or press on specific areas of your back to measure your pain levels.
  • Nerve function: Your provider may use a reflex hammer to check your reactions. Poor or no reaction could mean you have damaged or compressed nerves.

What is the Treatment for Degenerative Disc Disease?

Usually, your healthcare provider will recommend noninvasive treatment options first. Your treatment may include:

Radiofrequency Neurotomy:

Using electric currents to burn sensory nerves and prevent pain signals from reaching your brain.

Steroid Injections:

Injecting medicine near your spinal nerves, disc or joints to reduce inflammation and pain.

Medications:

Taking nonsteroidal anti-inflammatory drugs (NSAIDs), muscle relaxers or steroids.

Physical Therapy:

Participating in strengthening and stretching exercises with a trained healthcare provider.

Also Watch: Hip Replacement: Why it happens?

Home Remedies

Some people find pain relief through at-home remedies. At-home treatments may decrease pain for a short time. However, they are not a long-term treatment for severely degenerated discs. You may try:

  • Stretching: Gentle yoga and stretching throughout the day may improve posture and relieve tension.
  • Hot and cold therapy: Alternating ice packs and heating pads every 10 to 15 minutes up to three to four times per day may reduce soreness and inflammation.
  • Exercise: Low-impact activity such as walking or swimming can strengthen back muscles and relieve some pain.

Surgical Options

Many patients do not need surgery for degenerative disc disease. But if you have tried multiple nonsurgical treatments and have persistent pain and/or weakness, surgery may be a good option.

Or your surgeon may use one of a few types of spinal decompression surgery:

  • Spinal fusion: During this procedure, your surgeon connects two or more vertebrae to improve stability.
  • Osteophyte removal: Removing bone spurs (osteophytes).
  • Laminectomy: Taking out a small portion of bone from your lower spine (lamina).
  • Foraminotomy: Expanding the opening for your nerve roots by removing tissue and bone.
  • discectomy: Removing part of a spinal disc to relieve pressure on your nerves.

You Can Also Read:  Bad back: Common spine issues that can affect anyone and how to prevent them

Conclusion

Understanding degenerative disc disease is crucial for timely intervention. Ignoring it may lead to worsening pain, reduced mobility, nerve damage, and diminished quality of life. Early diagnosis enhances treatment options. It is always advisable to seek medical help from an experienced orthopaedist.. Timely care and help can ensure an appropriate diagnosis and treatment of your condition. 

At the CK Birla Hospital, we ensure patients get holistic medical support which includes treatment in a compassionate environment. This patient-centric approach not only helps patients heal better but also ensures they are aware of the preventive measures as well. In case you need to consult an orthopaedist, reach out to us, or book a direct appointment at the CK Birla Hospital. (Booking Link).

FAQs

What Lifestyle Factors Contribute to Degenerative Disc Disease?

Lifestyle factors contributing to degenerative disc disease include ageing, smoking, poor posture, a sedentary lifestyle, and improper lifting techniques. These factors accelerate disc degeneration, impacting spinal health over time.

Can Degenerative Disc Disease Occur in Young Adults?

Yes, degenerative disc disease can occur in young adults, especially if they have risk factors such as genetic predisposition, trauma, or engage in activities that stress the spine.

When is Surgery Recommended for Degenerative Disc Disease?

Surgery for degenerative disc disease is considered when conservative treatments fail to provide relief, and symptoms severely impact daily life. Surgical options include discectomy, spinal fusion, or disc replacement.

Can Degenerative Disc Disease Be Prevented?

While degenerative disc disease is a natural part of ageing, maintaining a healthy lifestyle with regular exercise, proper nutrition, and avoiding smoking can help reduce the risk and delay its onset.

Winter Woes: How to Deal with Common Skin Problems during the Cold season

Winter Woes: How to Deal with Common Skin Problems during the Cold season

Winter weather can have a significant impact on human skin. The drop in humidity during colder months, combined with cold temperatures, can lead to dryness, flakiness, and irritation. Indoor heating further exacerbates the issue by reducing moisture in the air. 

These factors contribute to skin dehydration, itchiness, and conditions like eczema. Proper skincare, including moisturising and hydrating routines, becomes essential to counteract the adverse effects of winter.

What are the Common Winter Skin Problems?

Winter brings about several common skin problems due to the cold and dry conditions, such as:

  1. Dry Skin: Cold air and low humidity lead to dehydration. The skin becomes flaky and may crack.
  2. Chapped Lips: Delicate lip skin is prone to cracking in cold weather. Regular use of lip balm helps prevent and alleviate chapping.
  3. Eczema and Dermatitis: Inflammatory skin conditions may worsen due to dry winter air. Symptoms include redness, itching, and discomfort.
  4. Winter Itch: Dry and itchy skin is caused by low humidity and indoor heating. Regular moisturising and avoiding hot showers can alleviate winter itch.
  5. Psoriasis Flare-ups: Cold weather can trigger flare-ups in individuals with psoriasis. Adequate moisturization and medical management are essential.
  6. Cold Urticaria: Hives triggered by exposure to cold temperatures can cause itching, redness, and welts upon exposure to cold air.
  7. Frostbite: Exposure to freezing temperatures can damage skin and underlying tissues. Requires immediate medical attention in severe cases.
  8. Cracked Heels: Dry, cold air and inadequate foot care contribute to cracked heels. Regular moisturising and wearing warm, protective footwear can help.
  9. Rosacea: Cold weather may exacerbate symptoms of rosacea, causing redness and irritation. Gentle skincare and avoiding triggers are essential for management.
  10. Static Electricity: Low humidity in winter leads to static electricity, causing hair and skin issues. Using a humidifier and hydrating hair and skin can mitigate static-related problems.
  11. Allergic Reactions: Indoor allergens like dust mites and pet dander may trigger skin allergies, so identifying and minimising exposure to allergens is crucial.
  12. Sunburn: Sun exposure in winter, especially in snowy areas, can cause sunburn. Applying sunscreen on exposed skin helps prevent sunburn.
  13. Worsening of Acne: Dry air can lead to increased oil production as the skin tries to compensate. Proper skincare and hydration are vital for acne-prone skin.
  14. Red Nose: Exposure to cold winds can cause a red, irritated nose. Keeping the face covered and using a moisturiser can prevent redness.
  15. Under-eye Dryness: Cold weather and indoor heating can contribute to dryness around the eyes. Using a hydrating eye cream helps combat under-eye dryness.

Winter skin problems can vary among individuals, and understanding these issues is crucial for effective skincare during the colder months. Seeking professional advice for persistent or severe skin problems is recommended.

You Can Also Read: Types of Skin Problems and Their Solutions

What are the Winter Skin Care Tips?

It’s not inevitable to have dry skin in the winter. It’s possible to maintain radiant, silky, and soft skin throughout the winter by utilising the appropriate products and modifying your skincare routine and behaviours. Some of these tips are:

  1. Hydration: Drink plenty of water to maintain skin hydration from within.
  2. Moisturise: Use a rich, hydrating moisturiser to combat dryness and flakiness.
  3. Lip Balm: Apply a nourishing lip balm regularly to prevent chapped lips.
  4. Humidifier: Use a humidifier to add moisture to indoor air, preventing dry skin.
  5. Lukewarm Baths: Avoid hot showers; opt for lukewarm baths to prevent skin dehydration.
  6. Gentle Cleansing: Use a mild, hydrating cleanser to avoid stripping natural oils.
  7. Sunscreen: Apply sunscreen on exposed skin, as UV rays can still cause damage in winter.
  8. Protective Clothing: Wear layers and use hats, scarves, and gloves to shield your skin from cold winds.
  9. Avoid Wet Gloves: Wet gloves can irritate the skin; keep hands dry in winter.
  10. Exfoliate: Gently exfoliate to remove dead skin cells, promoting better absorption of moisturisers.
  11. Ointments for Cracks: For cracked heels or hands, use healing ointments or balms.
  12. Stay Active: Regular exercise improves blood circulation, benefiting overall skin health.
  13. Limit Indoor Heating: Indoor heating can dry the air; limit its use and stay adequately moisturised.
  14. Warm Clothing: Dress in layers to stay warm and protect skin from harsh temperatures.
  15. Nutrient-Rich Diet: Consume foods rich in omega-3 fatty acids and antioxidants for skin health.
  16. Overnight Moisture: Apply a thicker moisturiser overnight for intensive hydration.
  17. Pat Dry: Gently pat skin dry after washing instead of rubbing vigorously.
  18. Eye Care: Use an eye cream to combat dryness and prevent under-eye circles.
  19. Limit Exfoliation: Reduce the frequency of exfoliation in winter to prevent over-drying.
  20. Consult a Dermatologist: Seek professional advice for persistent skin issues or concerns.

These winter skincare tips help maintain skin health and prevent common issues associated with cold weather. Customise your skincare routine based on your skin type and individual needs.

What are Some Diy Remedies for Dry Skin?

From coconut oil to honey masks, pamper your skin naturally at home. Discover relief for dry skin with these DIY remedies:

  1. Coconut Oil: Apply virgin coconut oil for its natural moisturising properties.
  2. Honey Mask: Mix honey with yoghurt for a hydrating face mask.
  3. Oatmeal Bath: Add colloidal oatmeal to bathwater to soothe and moisturise skin.
  4. Avocado Mask: Mash avocado and apply as a nourishing face mask.
  5. Olive Oil Massage: Massage skin with olive oil for intense hydration.
  6. Aloe Vera Gel: Use fresh aloe vera gel to soothe and moisturise dry skin.
  7. DIY Sugar Scrub: Create a sugar scrub with olive oil for gentle exfoliation and hydration.
  8. Cucumber Slices: Place cucumber slices on dry areas for a cooling effect.

These natural remedies offer cost-effective solutions for dry skin, incorporating readily available ingredients with hydrating and soothing properties.

You Can Also Read: Know the common causes of Itchy Skin & its treatment

What are the Clothing Tips for Dry Skin?

To alleviate dry skin, consider your clothing choices. Opt for breathable fabrics such as cotton, as they allow proper air circulation, preventing irritation. Harsh materials like wool can exacerbate dryness, so choose softer alternatives. Embrace layering to regulate body temperature, ensuring comfort without compromising moisture. 

Additionally, prioritise loose-fitting garments to minimise friction and irritation on sensitive skin. These clothing tips complement a comprehensive approach to dry skin care, enhancing your comfort throughout the winter months.

Which Foods Contribute to Healthy Winter Skin?

Maintain healthy winter skin by incorporating these nourishing foods into your diet:

  • Omega-3 fatty acids found in fatty fish and walnuts contribute to skin hydration. 
  • Vitamins C and E from citrus fruits, berries, and almonds offer antioxidant protection. 
  • Foods rich in zinc, such as pumpkin seeds and chickpeas, support collagen production. 
  • Ensure an adequate intake of vitamin D through sources like fortified dairy or supplements to promote skin health. 
  • Hydrating with water-rich fruits like watermelon also aids in combating winter dryness, fostering a radiant complexion from within.

Conclusion

In the winter, dry, flaky skin affects not just your face but also your hands, feet, and other exposed skin parts. If you discover that using at-home treatments isn’t helping your dry skin, then it is always advisable to seek medical help from an experienced dermatologist. Timely care and help can ensure an appropriate diagnosis and treatment of your condition. 

At the CK Birla Hospital, we ensure patients get holistic medical support which includes treatment in a compassionate environment. This patient-centric approach not only helps patients heal better but also ensures they are aware of the preventive measures as well. In case you need to consult a dermatologist, reach out to us, or book a direct appointment at the CK Birla Hospital. 

FAQs

How Can I Soothe Chapped Lips?

Soothe chapped lips by regularly applying a moisturising lip balm, staying hydrated, and avoiding licking your lips. Exfoliate gently with a soft toothbrush and protect lips from harsh weather.

Can Winter Weather Cause Acne Breakouts?

Yes, winter weather can contribute to acne breakouts due to factors like dry skin, increased use of heavy moisturisers, and indoor heating, leading to clogged pores and breakouts.

How Often Should I Moisturise in Winter?

In winter, moisturise at least twice daily, especially after bathing. Use a rich, hydrating moisturiser to combat dryness caused by cold weather and indoor heating.

Impact of Low Testosterone Levels: Causes, Symptoms, and Solutions
Dec 11, 2023|Dr. Abhay Ahluwalia

Impact of Low Testosterone Levels: Causes, Symptoms, and Solutions

Testosterone is a male sex hormone produced in the testicles that plays a crucial role in the development of male reproductive tissues, as well as in promoting muscle mass and bone density.

Low testosterone levels, also known as hypogonadism, occur when the body doesn’t produce enough testosterone. This condition can lead to various symptoms, including fatigue, reduced libido, erectile dysfunction, decreased muscle mass, and mood changes. 

As they age, men’s testosterone levels gradually decline. You are more likely to have low testosterone as you age. If you find your low testosterone symptoms bothersome, your doctor could suggest testosterone replacement medication.

What Are the Symptoms of Low Testosterone Levels?

Low testosterone symptoms might differ greatly, especially depending on age.

Physical Signs and Symptoms

  • Reduced Libido: Low testosterone can lead to a decline in sexual desire and arousal.
  • Erectile Dysfunction: It might be difficult to get or keep an erection.
  • Fatigue: One symptom may be feeling exhausted and lacking in energy.
  • Decreased Muscle Mass: Testosterone plays a role in building and maintaining muscle mass; reduced levels may lead to muscle loss.
  • Increased Body Fat: Particularly in the abdominal region, low testosterone might lead to an increase in body fat.
  • Hair Loss: Loss of body and facial hair, as well as thinning of hair on the head, can occur.
  • Mood Changes: Irritability, mood swings, or feelings of sadness may be associated with low testosterone.
  • Reduced Bone Mass: Testosterone benefits in maintaining bone density; low levels can lead to bone loss and an increased risk of fractures.
  • Sleep Disturbances: Insomnia or other sleep issues may be related to low testosterone.
  • Hot Flashes: Some men with low testosterone may experience flashes of warmth.

Emotional Symptoms and Mental Impact 

  • Mood Swings: Testosterone plays a role in mood regulation, and low levels can lead to mood swings, irritability, and increased susceptibility to stress.
  • Depression: There’s a link between low testosterone and an increased risk of developing symptoms of depression. Individuals with low testosterone may experience persistent feelings of sadness or hopelessness.
  • Anxiety: Reduced testosterone levels can contribute to feelings of anxiety and unease. It may manifest as a general sense of worry or nervousness.
  • Irritability: Low testosterone can make individuals more prone to irritability and frustration, affecting their ability to handle stress.
  • Fatigue: Emotional symptoms can contribute to mental fatigue, making it challenging to concentrate or stay focused on tasks.
  • Decreased Motivation: Low testosterone levels may lead to a lack of motivation and decreased interest in once-enjoyable activities.
  • Difficulty Concentrating: Cognitive functions, including concentration and memory, can be affected by low testosterone, leading to difficulties in focusing on tasks.
  • Reduced Self-Confidence: Changes in mood and energy levels can impact self-esteem and self-confidence.
  • Sleep Disturbances: Emotional symptoms can contribute to sleep problems, leading to insomnia or disruptions in sleep patterns.

What Are the Causes of Low Testosterone Levels?

Low testosterone, or hypogonadism, can stem from primary or secondary causes, each with congenital or acquired factors.

Primary Hypogonadism –

Affecting testicular function can be congenital, involving conditions like:

  • Anorchia
  • Undescended testicles
  • Leydig cell hypoplasia
  • Klinefelter’s syndrome
  • Noonan syndrome
  • Myotonic dystrophy

Testicle damage, orchitis, radiation therapy, chemotherapy, tumours, and the usage of anabolic steroids are examples of acquired causes.

Secondary Hypogonadism –

Involves hypothalamus or pituitary dysfunction, often termed hypogonadotropic hypogonadism. Congenital contributors include isolated hypogonadotropic hypogonadism, Kallmann syndrome, and Prader-Willi syndrome. 

The acquired causes encompass:

  • Hypopituitarism
  • Hyperprolactinemia
  • Iron overload
  • Brain or head injury
  • Cushing’s syndrome
  • Liver cirrhosis
  • Kidney failure
  • HIV/AIDS
  • Alcohol use disorder
  • Poorly managed diabetes
  • Obesity
  • Obstructive sleep apnea
  • Certain medications

Natural Ageing Process-

Late-onset hypogonadism (LOH) results from ageing, with deteriorating hypothalamic-pituitary and Leydig cell function. LOH and low testosterone are prevalent in individuals with Type 2 diabetes, obesity, or overweight. Studies indicate a higher occurrence of low testosterone in overweight individuals (30%) compared to those with normal weight (6%). In Type 2 diabetes, 25% of individuals have low testosterone, contrasting with 13% in those without diabetes.

Understanding these causes helps healthcare providers diagnose and manage low testosterone effectively, ensuring tailored interventions for each patient’s unique circumstances. Regular monitoring and personalised treatments can enhance the overall well-being of individuals facing hypogonadism.

What is the Treatment for Low Testosterone Levels?

Healthcare professionals use testosterone replacement treatment to treat male hypogonadism or low testosterone. There are several kinds of testosterone replacement treatment, which include:

  • Oral Testosterone:

    A pill form of testosterone is available for people with low testosterone due to specific medical conditions, such as Klinefelter syndrome or tumours that have damaged their pituitary glands.

  • Testosterone Nasal Gel:

    Three times a day, you administer a testosterone gel into each nostril.

  • Buccal Testosterone Tablets:

    You apply these adhesive tablets to your gums twice a day. Your gums allow the testosterone to enter your circulation swiftly.

  • Testosterone Pellets:

    Every three to six months, a doctor implants these pellets beneath your skin. The testosterone doses provided by the pellets are steady and long-lasting.

  • Testosterone Patches:

    As instructed, you apply these patches to your skin each day. Typically, you have to move them around to prevent skin reactions.

  • Intramuscular Testosterone Injections:

    Every one to two weeks, you or a healthcare professional can inject the medication into a muscle. Every ten weeks, providers can inject long-acting testosterone. Additionally, subcutaneous injections are available.

  • Testosterone Skin Gels:

    As instructed, you apply the gel to clean, dry skin each day. You must avoid skin-to-skin contact with anyone else to avoid spreading the gel. 

Lifestyle changes can complement medical interventions in managing low testosterone levels. Here are some recommended lifestyle modifications:

  • Healthy Diet:

    • Incorporate foods high in nutrients, such as whole grains, fruits, vegetables, and lean meats.
    • Ensure an adequate intake of essential nutrients like zinc, vitamin D, and omega-3 fatty acids, which are linked to testosterone production.
  • Regular Exercise:

    • Exercise regularly, incorporating both strength and aerobic training.
    • Exercise can help boost testosterone levels and improve overall well-being.
  • Adequate Sleep:

    • Ensure sufficient and quality sleep each night, aiming for 7-9 hours.
    • Sleep is crucial for hormone regulation, including testosterone.
  • Stress Management:

    • Engage in stress-reduction practices like yoga, deep breathing, and meditation.
    • Low testosterone might be a result of ongoing stress.
  • Weight Management:

    • Keep your weight in check with a well-balanced diet and frequent exercise.
    • Obesity is associated with lower testosterone levels; weight loss can help improve hormonal balance.
  • Limit Alcohol Intake:

    • Moderation in alcohol consumption is advised, as excessive alcohol can negatively impact testosterone levels.
  • Quit Smoking:

    • Smoking has been linked to lower testosterone levels; quitting can have positive effects on hormonal health.
  • Avoid Endocrine Disruptors:

    • Reduce exposure to environmental pollutants and endocrine disruptors found in some plastics, pesticides, and certain chemicals.
  • Hydration:

    • Drink enough water to keep yourself well-hydrated throughout the day.
  • Limit Sugar and Processed Foods:

    • Minimise the intake of refined sugars and processed foods, as they can contribute to weight gain and insulin resistance, affecting hormone levels.
  • Regular Health Check-ups:

    • Regularly monitor overall health with routine check-ups, including hormone levels, to address any underlying issues promptly.

Conclusion

Many people dismiss the symptoms of decreased testosterone as an uncomfortable aspect of ageing. However, you ought to treat any symptoms that lower your quality of life. Should you be experiencing uncomfortable symptoms of low testosterone, it is always advisable to seek medical help from an experienced endocrinologist. Timely care and help can ensure an appropriate diagnosis and treatment of your condition. 

At the CK Birla Hospital, we ensure patients get holistic medical support which includes treatment in a compassionate environment. This patient-centric approach not only helps patients heal better but also ensures they are aware of the preventive measures as well. In case you need to consult an endocrinologist, reach out to us, or book a direct appointment with a doctor at the CK Birla Hospital.

FAQs

Can Low Testosterone Affect Fertility?

Yes, low testosterone can impact fertility by reducing sperm count, motility, and quality. Medical intervention and lifestyle changes can improve fertility outcomes for individuals with low testosterone.

Are There Natural Ways to Boost Testosterone Levels?

Yes, natural ways to boost testosterone include regular exercise, sufficient sleep, a balanced diet with essential nutrients, weight management, stress reduction, and avoiding excessive alcohol and processed foods.

 Is Low Testosterone Solely a Male Issue?

Low testosterone is typically associated with males, but females can also experience it, albeit in smaller amounts. In women, it can affect reproductive health, mood, and bone density.

Sinusitis: Cause, Symptoms & Treatment
Dec 11, 2023|Dr Vijay Verma

Sinusitis: Cause, Symptoms & Treatment

There’s a nip in the air and the sun has started shying away. With the onset of winter, conditions are rife to help trigger a host of respiratory problems, seasonal allergies and hyperactive sinuses. The cold air tightens our nasal passages, causing congestion. Dry indoor heating leads to irritation, leading to sinus headaches. Copious warm beverages and steamy hot food become our go-to solution for some hydration and warmth. During this time the most common form of nasal congestion comes in the form of sinusitis. As per studies and data by NIAID, India has reported up to 134 million cases of sinusitis in a year

While initially it gives flu-like symptoms, we often tend to opt for home remedies like a warm compress, saline drops, steam etc. for quick relief from symptoms. However, it is always advisable to visit a doctor for a proper diagnosis and treatment plan. 

What is Sinus and Sinusitis?

Sinus refers to air-filled cavities in the skull connected to our nasal passages through narrow vent-like passages. We are normally born with 4 pairs of sinuses, each lined by a thin watery fluid called mucus membrane. This helps the sinuses drain out any form of bacteria, allergies, and other pathogens from your nose and keeps it clean.

Allergies, bacterial infections, and viral infections can irritate and clog up the sinuses with fluid. It further leads to nasal congestion (stuffy nose) and ends up causing pain all over your face in severe congestion triggering inflammation or swelling. This swelling or inflammation of the tissue lining our sinuses is known as Sinusitis. In this case, the otherwise watery mucus turns sticky and refuses to flow out of the nasal passage. 

What Are the Causes and Risk Factors of Sinusitis?

Sinusitis can stem from different sources, including viruses, bacteria, nasal polyps, or allergies. In cases of persistent or recurring sinusitis, there may be underlying factors that necessitate specific treatment. Consulting with a healthcare professional is vital to comprehending your unique situation and devising an effective plan moving forward.

Watch out for the specific triggers for sinusitis, which are:

  • Viral: the common cold, or influenza virus can lead to sinusitis
  • Bacterial: streptococcus pneumoniae bacteria, Haemophilus influenza bacteria and Moraxella catarrhalis bacteria 
  • Allergic: nasal allergies and seasonal allergies

Sinusitis may affect anybody. But there are risk factors and medical disorders that might raise your odds. People more susceptible to sinusitis might contract it via to germs in certain scenarios, such as:

  1. flying aboard an aircraft, 
  2. dental infection,
  3. tobacco smoking,
  4. mould exposure, 
  5. mucus linings affected by cystic fibrosis
  6. colds and other upper respiratory tract infections
  7. weakened immune system
  8. structural issues affecting the nose by birth. 

You Can Also Read: Deviated Nasal Septum

What Are the Symptoms of Sinusitis?

The common symptoms of a sinus infection include:

  1. Lethargy and headache with fever.                         
  2. Cough with a sore throat and foul breath.
  3.  Pressure or pain in your teeth, ears, nose or forehead.       
  4. Blocked or runny nose with green or yellow mucus.
  5. Post-nasal drip (mucus dripping down your throat).    
  6. Diminished sense of smell and taste.

What Are the Types of Sinusitis?

The symptoms of sinusitis vary, however, there are several varieties. The symptoms will differ in terms of intensity and length.

Acute Sinusitis:

  • Shortest duration of up to 4 weeks.
  • Trigger: Viral infection due to common cold.
  • symptoms last up to seven to ten days.
Recurrent Acute Sinusitis:

  • At least four bouts of acute sinusitis in a year. 
  • Trigger: Low immunity attracts more infection. 
  • Symptoms can persist for at least seven days.
Subacute Sinusitis:

  • Duration: Average up to 12 weeks.
  • Trigger: Bacterial infections or seasonal allergies 
  • Symptoms can last up to 3 months. 
 

 

Chronic Sinusitis:

  • Trigger: Bacterial infection, recurrent allergies or structural nasal problems
  • Symptoms of chronic sinusitis last longer than 12 weeks. 
  • Fever is uncommon, and symptoms get severe over time.

 

How is Sinusitis Diagnosed?

Medical professionals identify sinusitis by looking at your medical history and symptoms. A medical professional will examine your throat, nose, and ears for swelling, drainage, or obstruction. An endoscope is a tiny, illuminated device that they could use to examine the inside of your nose.

You could also receive a referral from your doctor to a specialist, such as an otolaryngologist, or ENT (ear, nose, and throat specialist).

Your doctor may prescribe some tests to identify a sinus infection, such as:

  • Allergy screening – Your doctor could test you for allergies if you have persistent sinusitis to see whether they are the cause.
  • Imaging investigations – In some cases, your provider might order a CT scan/MRI/Endoscopy, depending on the severity of your symptoms, to get a better understanding of your pain points.
  • Nasal swabs – Your healthcare professional could take a fluid sample from your nose using a stick with a soft tip. They will check it for viruses or other microorganisms that might be the source of your symptoms. 

You Can Also Read: Tinnitus Explained: Causes, Symptoms, Diagnosis, Treatment

What is the Treatment for Sinusitis?

The different treatments for sinusitis are:

Nasal de-congestion:

To help ease nasal congestion, try these simple medical and home remedies for temporary relief:

  • Use an over-the-counter nasal corticosteroid spray as prescribed by your ENT
  • Utilize a humidifier in your bedroom to reverse the dryness.
  • Take a hot steam bath to counter the dryness.
  • Hot water gargling and sipping on water and juice helps over time. 
  • A saline nasal rinse, either homemade or over the counter.
  • A warm, moist towel on your face and forehead helps ease facial pressure.

Pain Medications:

If you’re in pain due to facial pressure from sinus congestion, several over-the-counter drugs may be able to temporarily ease the discomfort while the other medications prescribed by your ENT work their magic.

Antibiotics:

Depending on the severity and cause of your symptoms and tests performed your ENT might prescribe antibiotics, especially in case of fever, eye swelling, facial pain or headaches, cough, congestion and runny nose.
Doctors usually prescribe a full course of antibiotics which lasts up to 2 weeks. Ensure you don’t skip your medication else the problem will be recurring. If this does not help, it is time to revisit your ENT and get a further assessment done to arrive at a desired treatment.

Surgery:

If medicine and time do not relieve your chronic sinusitis, you may need surgery. This is especially true in the case of nasal polyps and deviated septum. To repair this and clear the sinuses, your ENT will suggest septoplasty surgery.

Conclusion

Sinus infections are common and treatable. Numerous factors, including viruses, germs, nasal polyps, or allergies, might cause them. If sinusitis happens often, and symptoms don’t improve or any of the above-mentioned symptoms mirror that of your own, then it is always advisable to seek medical help from an experienced ENT specialist. Timely care and help can ensure an appropriate diagnosis and treatment of your condition. Make sure you share everything with your physician and if the disease prolongs then seek expert help from an ENT surgeon. 

At the CK Birla Hospital, we follow a patient-centric approach where not only do we provide solutions but also understand the comfort of each patient undergoing treatment. This not only helps patients make an informed decision about their health, heal better and manage any treatment-induced weakness. In case you need to consult an ENT specialist, reach out to us, or book a direct appointment at the CK Birla Hospital. 

FAQs

How Long Does Acute Sinusitis Usually Last?

Acute sinusitis typically lasts for about two to four weeks. However, the duration can vary, and seeking medical advice is crucial for proper diagnosis and management of symptoms.

 Can Sinusitis Be Caused by Allergies?

Yes, sinusitis can be caused by allergies. Allergic reactions to substances like pollen, dust, or pet dander can lead to inflammation in the nasal passages, contributing to sinusitis.

 Are There Natural Remedies for Relieving Sinusitis Symptoms?

Yes, natural remedies for sinusitis symptoms include saline nasal irrigation, steam inhalation, staying hydrated, using a humidifier, and consuming warm fluids. Consult a healthcare professional for persistent or severe symptoms.

When Should I See a Doctor for Sinusitis?

See a doctor for sinusitis if symptoms persist for more than 10 days, worsen after initial improvement, or are severe. Seek immediate medical attention for high fever, severe headache, or visual changes.

Can Sinusitis Lead to Complications if Left Untreated?

Yes, untreated sinusitis can lead to complications like chronic sinusitis, ear infections, and, in rare cases, meningitis or brain abscess. Seeking medical attention for persistent or severe symptoms is crucial.

Can Sinusitis Heal in 4 Hours?

This might take 4 days of fever and then a week of weakness but certainly not 4 hours. Instant relief over-the-counter medications only provide temporary relief. 

मानसिक तनाव को कैसे कम करें
Dec 6, 2023|Dr. Sonali Bali

मानसिक तनाव को कैसे कम करें

मानसिक तनाव एक ग्लोबल चुनौती है जो जीवन के सभी क्षेत्रों के व्यक्तियों को प्रभावित कर रही है। इस ब्लॉग में हम मानसिक तनाव के मूल कारणों, लक्षणों, उपचार के विकल्पों और बचाव के उपायों के बारे में विस्तार से जानने की कोशिश करेंगे।

ये भी पढ़े: सिर में भारीपन के कारण और घरेलु इलाज

मानसिक तनाव के कारण

मानसिक तनाव के अनेक कारण हो सकते हैं। इन कारणों को समझने के बाद कुछ सावधानियां बरतने से इसेसे बचाव किया सकता है। इन कारणों में निम्न शामिल हैं:

  • काम का दबाव: कई व्यक्ति कार्यस्थल की माँगों के कारण उत्पन्न तनाव से जूझते हैं। कठिन समय सीमा और अत्यधिक काम का बोझ मानसिक तनाव में महत्वपूर्ण योगदान देता है।

ये भी पढ़े: सर्वाइकल पेन के लक्षण, कारण और घरेलू इलाज

  • व्यक्तिगत संबंध: परिवार, दोस्तों या साझेदारों के साथ तनावपूर्ण रिश्ते बड़े तनाव का कारण बन सकते हैं। प्रभावी संचार और समझ का अभाव भावनात्मक बोझ को बढ़ा देता है।
  • वित्तीय तनाव: मानसिक तनाव में आर्थिक कठिनाइयाँ और वित्तीय अस्थिरता प्रमुख योगदानकर्ता हैं। साथ ही, बिल, ऋण और अनिश्चित वित्तीय भविष्य से संबंधित चिंता मानसिक तनाव को बढ़ा देती है।
  • स्वास्थ्य के मुद्दे: पुरानी बीमारियों या अचानक स्वास्थ्य संबंधी चिंताओं से निपटने से भावनात्मक परेशानी बढ़ जाती है। शारीरिक और मानसिक स्वास्थ्य के बीच संतुलन बनाना एक कठिन चुनौती बन जाता है।

और अधिक पढ़े: झड़ते, गिरते, कमजोर बालों के लिये वरदान हैं ये घरेलु उपाय

इन सबके अलावा, जीवन की प्रमुख घटनाएँ जैसे स्थानांतरण, तलाक, या किसी प्रियजन की मृत्यु आदि महत्वपूर्ण तनाव पैदा करते हैं। परिवर्तन को अपनाने के लिए भावनात्मक लचीलेपन और मुकाबला करने की रणनीतियों की आवश्यकता होती है। इस स्थिति में परिवार वाले, दोस्त और कुछ स्थितियों में विशेषज्ञ की सहायता आवश्यक होती है।

और अधिक पढ़े: मानसिक  टियर का कारण, लक्षण और उपचार

मानसिक तनाव के लक्षण

मानसिक तनाव होने पर आप खुद में कुछ मुख्य लक्षणों को अनुभव कर सकते हैं जैसे कि:

  • शारीरिक लक्षण: सिरदर्द, मांसपेशियों में तनाव और लगातार थकान जैसे लक्षण। अनिद्रा या अधिक नींद सहित नींद संबंधी गड़बड़ी आम लक्षण हैं।
  • भावनात्मक संकेत: चिंता, चिड़चिड़ापन और मूड में बदलाव सामान्य हो जाते हैं। दैनिक चुनौतियों से निपटने में अभिभूत या असमर्थ महसूस करना बार-बार अनुभव होता है।
  • संज्ञानात्मक प्रभाव: अव्यवस्थित दिमाग के कारण ध्यान केंद्रित करने और निर्णय लेने में कठिनाई होना। विचारों की दौड़ और लगातार चिंता तनाव के संज्ञानात्मक प्रभाव (cognitive effect) को दर्शाती है।

और अधिक पढ़े: बीपी (ब्लड प्रेशर) कम करने के 5 उपाय

इन सबके अलावा, व्यवहार में परिवर्तन होना भी एक मुख्य लक्षण है। बढ़े हुए तनाव की प्रतिक्रिया के रूप में परिवार जनों, दोस्त और समाज से दुरी बनाना भी मानसिक तनाव के लक्षणों में से एक है। खाने की आदतों में बदलाव, जैसे ज़्यादा खाना या भूख न लगना, स्पष्ट हो जाते हैं।

और अधिक पढ़े: मोटापा और वजन घटाने के लिए कम्पलीट डाइट चार्ट

मानसिक तनाव के उपचार

मानसिक तनाव का उपचार इसके कारणों पर निर्भर करता है। निदान की मदद से सटीक कारण की पुष्टि करने के बाद डॉक्टर उपचार के माध्यम का चयन करते हैं। इसके उपचार विकल्पों में निम्न शामिल हैं:

  • परामर्श और चिकित्सा: मानसिक स्वास्थ्य विशेषज्ञ के साथ खुली बातचीत में शामिल होना, अभिव्यक्ति के लिए एक सुरक्षित रास्ता प्रदान करता है।
  • संज्ञानात्मक-व्यवहार थेरेपी (सीबीटी): यह तनाव ट्रिगर को प्रभावी ढंग से पहचानने और प्रबंधित करने में सहायता करती है।
  • दवाई: कुछ मामलों में, गंभीर लक्षणों को कम करने के लिए दवाएं निर्धारित की जा सकती हैं। अवसादरोधी या चिंतारोधी दवाएं ऐसे विकल्प हैं जिन पर एक विशेषज्ञ विचार कर सकता है।
  • तनाव प्रबंधन तकनीकें: गहरी साँस लेने के व्यायाम या ध्यान जैसी विश्राम तकनीकों को सीखना और अभ्यास करना। साथ ही, कार्यों को प्राथमिकता देने और बोझ की भावनाओं को कम करने के लिए प्रभावी समय प्रबंधन कौशल प्राप्त करना।
  • स्वस्थ जीवनशैली: एंडोर्फिन जारी करने और समग्र मूड में सुधार करने के लिए नियमित व्यायाम करना। मानसिक स्वास्थ्य को बनाए रखने में एक महत्वपूर्ण कारक के रूप में पर्याप्त नींद के महत्व को स्वीकार करना।

और अधिक पढ़े: सेरेब्रल पाल्सी: कारण, लक्षण और इलाज

Lower & Upper Stomach Pain: Know the Cause, Symptom & Treatment

Lower & Upper Stomach Pain: Know the Cause, Symptom & Treatment

Pain that is felt between the chest and pelvic areas is referred to as stomach pain. It may feel crampy, achy, dull, acute, or sporadic. Severe discomfort in the stomach can also be caused by parasitic, bacterial, or viral illnesses affecting the stomach and intestines.

Lower stomach pain is discomfort below the belly button, often caused by digestive issues, reproductive concerns, or other underlying conditions. Upper stomach pain is discomfort in the region above the belly button, potentially stemming from digestive problems, organ issues, or infections.

Should the discomfort linger or worsen, speak with your healthcare provider. If you are experiencing severe acute stomach discomfort, schedule a visit with your doctor so that you can identify the cause and begin the proper treatment. 

What Are the Symptoms of Lower and Upper Stomach Pain?

The symptoms of lower stomach pain may include:

  • Cramping
  • Sharp or dull ache
  • Tenderness
  • Swelling
  • Nausea
  • Vomiting
  • Changes in bowel habits
  • Fever
  • Fatigue
  • Loose motions

Lower stomach pain can also be associated with frequent urination, severe pain, or bleeding, depending on the underlying cause. Conditions such as urinary tract infections, kidney stones, or gynaecological issues may be present with these symptoms.

The common symptoms associated with upper stomach pain include:

  • Burning Sensation – A burning or gnawing discomfort in the upper stomach.
  • Heartburn – A sensation of acid reflux or regurgitation, often accompanied by a sour taste in the mouth.
  • Nausea – Nausea or the feeling of being sick to oneself.
  • Vomiting – Emptying the stomach contents via the mouth. 
  • Feeling Full – Early satiety or a sensation of fullness after eating a small amount.
  • Loss of Appetite – A reduced desire to eat.
  • Belching or Gas – Releasing air from the stomach through the mouth.
  • Indigestion – Difficulty in digesting food, often accompanied by bloating.
  • Fatigue – Feeling tired or lethargic.
  • Radiating Pain – Pain that may spread to the chest, back, or shoulders, depending on the cause.

You Can Also Read: Inflammatory Bowel Disease: Causes, Symptoms & Treatments

What are the Causes of Lower and Upper Stomach Pain?

Lower stomach pain causes

Swallowing excess air, eating high-fat foods that delay stomach emptying, and even stress can contribute to abdominal bloating and lower stomach pain.

The following digestive and stomach-related illnesses can produce these symptoms:

The following reproductive organ-related conditions may be the source of these symptoms:

Other possible causes of these symptoms include:

Upper stomach pain causes

Upper stomach pain can stem from various conditions, each with distinct symptoms and causes. Understanding these issues can help you recognize potential concerns and seek appropriate medical attention.

  • Gallstones:

    These are solid deposits in the gallbladder causing pain on the right side, including upper stomach pain, right shoulder pain, nausea, vomiting and back pain. Treatment is done through medication or gallbladder removal surgery. 

  • Hepatitis:

    It is a liver infection which causes right-sided upper stomach pain. Its types are Hepatitis A (contaminated food/water), Hepatitis B (serious, may lead to liver issues) and Hepatitis C (chronic viral infection). The symptoms include weakness, fatigue, nausea, vomiting, fever and jaundice.

  • Liver Abscess:

    This is a pus-filled sac in the liver, causing right upper stomach pain. The symptoms are chest pain, clay-coloured stool, dark urine, appetite loss, fever and jaundice.

  • GERD (Gastroesophageal Reflux Disease):

    It’s an acid reflux which causes pain in the upper stomach. The symptoms include heartburn, chest pain, swallowing issues, sour taste and nighttime reflux-related symptoms.

  • Hiatal Hernia:

    A hiatal hernia occurs when your stomach protrudes through the diaphragm. The symptoms are heartburn, acid reflux, swallowing problems, shortness of breath, and chest pain.

  • Gastritis:

    It refers to the inflammation of the stomach lining. The symptoms include upper stomach pain, nausea, vomiting and feeling full after eating.

  • Peptic Ulcer:

    This is an open sore in the stomach or upper small intestine. The symptoms are burning stomach pain, fullness, bloating, heartburn and nausea.

  • Gastroparesis:

    This occurs when delayed stomach emptying interferes with digestion. The symptoms include upper stomach pain, vomiting, nausea, acid reflux and bloating.

  • Functional Dyspepsia:

    It is an indigestion without an obvious cause. The symptoms are upper stomach pain, feeling full, bloating and nausea.

  • Pneumonia:

    It is a lung infection that causes chest pain. The symptoms include shortness of breath, cough with phlegm, fever and fatigue.

  • Ruptured Spleen:

    This is an emergency condition, which causes intense left upper stomach pain. The symptoms are tenderness, shoulder pain, dizziness and confusion.

  • Enlarged Spleen:

    This occurs when your spleen swells due to infections or liver disease. The symptoms include feeling full, anaemia, frequent infections and fatigue.

  • Other Gallbladder Issues:

    It refers to the various conditions affecting the gallbladder. Some general symptoms are nausea, vomiting, fever, diarrhoea, light-coloured stools and dark urine. 

  • Pancreatitis:

    This is an inflammation of the pancreas, which causes left upper stomach pain. The symptoms include stomach pain, fever, nausea and vomiting.

  • Shingles:

    It is a viral infection which leads to a painful rash. The symptoms are sensitivity, fluid-filled blisters, itching, pain and fever.

  • Cancer:

    A variety of cancers cause upper stomach pain. The symptoms include unexplained weight loss, poor appetite, fatigue, nausea and jaundice.

  • Blind Loop Syndrome:

    It refers to the formation of loops in the small intestine. The symptoms are appetite loss, nausea, bloating, weight loss and diarrhoea.

  • Pregnancy:

    Pregnancy can cause upper stomach pain due to natural changes in the body, but persistent or severe pain warrants medical evaluation.

You Can Also Read:  12 common gastrointestinal disorders & prevention tips

What is the Treatment for Lower and Upper Stomach Pain?

Lower stomach pain treatment

First, your doctor will ask questions in an attempt to find out why you are experiencing these symptoms. They may want to know when you noticed the pain, what makes it worse, and whether you have experienced it before. A complete list of treatment options for the conditions that may cause stomach bloating and pelvic pain are beyond the scope of this article, but some examples of treatments for certain conditions include the following:

  • If painful menstruation is the cause of these symptoms, over-the-counter (OTC) and at-home drugs can help.
  • For the treatment of bacterial gastroenteritis, colitis, or PID, your doctor may prescribe antibiotics.
  • A ruptured appendix requires surgery as treatment.
  • Your doctor may be able to treat an intestinal blockage with intravenous fluids, bowel rest, and a nasogastric tube, but sometimes surgery is necessary.

Bloating and lower stomach pain due to digestion issues or menstruation will typically resolve with time. You can do some things at home that may help relieve bloating and lower stomach pain due to certain causes:

  • Taking mild OTC pain relievers may lessen stomach pain.
  • Treatment for acid reflux or heartburn may involve using over-the-counter (OTC) acid-reducing drugs.
  • Increasing your fluid intake can reduce constipation.
  • Breathing out might help release trapped gas and air in the stomach.

Upper stomach pain treatment

Not all causes of upper stomach pain can be effectively treated through home remedies. OTC antacids might help ease indigestion if it appears to be a straightforward case. For general pain and inflammation, NSAIDs (nonsteroidal anti-inflammatory drugs) might help. But these aren’t long-term solutions for persistent pain. See a healthcare practitioner if you have frequent pain or if your current pain management isn’t providing adequate relief.

A medical professional will evaluate you physically and inquire about your medical history. They may also run tests to narrow down the cause of your upper stomach pain. These might include imaging tests of your tissues and organs and blood tests that check for infections and inflammation. Based on their diagnosis, they will propose a course of therapy to you.

Conclusion

There are several potential reasons for stomach discomfort, both well-known and less-known. Medical professionals attempt to focus by gathering as much information as they can on your discomfort, so it is always advisable to seek medical help from an experienced gastroenterologist. Timely care and help can ensure an appropriate diagnosis and treatment of your condition. 

At the CK Birla Hospital, we ensure patients get holistic medical support which includes treatment in a compassionate environment. This patient-centric approach not only helps patients heal better but also ensures they are aware of the preventive measures as well. In case you need to consult a gastroenterologist, reach out to us, or book a direct appointment at the CK Birla Hospital.

FAQs

When Should I Be Concerned About Stomach Pain?

If you experience severe or persistent stomach pain, especially accompanied by other concerning symptoms like fever, vomiting blood, or difficulty breathing, seek immediate medical attention to rule out serious conditions.

Can Stress and Anxiety Cause Stomach Pain?

Yes, stress and anxiety can contribute to stomach pain. The gut-brain connection influences digestive processes, and heightened stress levels may lead to symptoms like abdominal discomfort, cramping, or changes in bowel habits.

What Dietary Changes Can Help Prevent Stomach Pain?

Dietary changes to prevent stomach pain include maintaining a balanced diet, staying hydrated, avoiding trigger foods (spicy or fatty), and incorporating fibre-rich foods. 

Is There a Way to Differentiate Between Indigestion and a More Serious Condition?

Differentiating between indigestion and a more serious condition involves considering factors like the duration, severity, and associated symptoms. Persistent or severe symptoms warrant medical evaluation to rule out underlying issues.

Understanding Obsessive-Compulsive Disorders (OCD)
Dec 5, 2023|Dr. Sonali Bali

Understanding Obsessive-Compulsive Disorders (OCD)

The illness known as obsessive-compulsive disorder (OCD) is characterised by recurrent undesirable thoughts and feelings (obsessions) that drive the sufferer to engage in repetitive behaviours (compulsions). Repeated behaviours can seriously hinder everyday duties and social interactions.

Though symptoms of OCD might fluctuate over time, the disorder is often lifelong (chronic). At some point, everyone has compulsions and obsessions. OCD may consume a person’s day for hours at a time. It interferes with daily living and activities. OCD sufferers don’t like engaging in obsessive behaviours, and their obsessions are undesired.

It is crucial to acknowledge that obsessive-compulsive disorder, or OCD, is a mental health issue. Seeking assistance as soon as symptoms arise will help lessen the disturbances to your life, as is the case with any mental health issues. You may minimise or even completely eradicate the influence of your symptoms on your daily life with the support of a variety of coping mechanisms and professional therapy. 

What Are the Symptoms of Obsessive-compulsive Disorder?

OCD presents two main symptoms: obsessions and compulsions. While some experience both, others have only one. 

These symptoms are persistent, requiring at least an hour daily and significantly impacting daily life. Obsessions or compulsions can hinder focus at school or work, even preventing attendance. Despite realising their irrationality, these thoughts and behaviours often feel uncontrollable, illustrating the challenging nature of living with OCD.

Obsessions

Though obsessive thoughts can include a wide range of topics, the following are some prevalent themes:

  • intrusive images, words, or sounds
  • concerns for your loved ones’ or your health and safety
  • questioning your sexual desires or orientation
  • worries about throwing things away
  • explicit sexual or violent thoughts
  • a desire for your possessions to be in line, symmetrical, or organised
  • fears of saying something offensive or obscene
  • fears of harming yourself or someone else
  • worries about germs, dirt, or illness

Unwanted, intrusive thoughts persist despite efforts to ignore or suppress them, fostering a stronger conviction they might come true.

Compulsions

Examples of compulsive behaviours in OCD include:

  • reviewing your activities in your head to make sure you haven’t hurt anyone else
  • hiding objects that you may use to hurt yourself or others
  • accumulating certain items or purchasing multiples of the same thing
  • seeking reassurance from others
  • touching something a set number of times
  • counting or repeating specific phrases
  • arranging or positioning things in a particular manner
  • washing your hands, objects, or body

Compulsions are responses to obsessions. When obsessions arise, you may feel compelled to act to relieve anxiety or prevent the obsessive thought from coming true. Actions may need repeating until perfect.

You Can Also Read: Mental health 101: Getting the basics right

What Are the Types of Obsessive-compulsive Disorder?

While there isn’t a single classification for the many varieties of OCD, experts usually separate the symptoms into several subtypes: 

  • collecting or hoarding
  • intrusive sexual, violent, or other taboo thoughts
  • symmetry, perfectionism, and ordering
  • fear of harm and checking
  • contamination and cleaning

Your symptoms might align with one subtype or fall into multiple categories, given the complexity.

Nor are these the only hypothesised subtypes of OCD. Other unrecognised OCD “types” consist of:

  • Pure O (obsession) is characterised by intrusive, violent, or sexual thoughts and obsessions without any discernible compulsions. Compulsions may still exist in Pure O; they may merely manifest as rituals in the mind as opposed to acts.
  • Relationship OCD is characterised by persistent uncertainties, queries, and bothersome thoughts regarding your relationship.
  • Compulsive behaviours and obsessions centred on religion are a feature of scrupulosity, often known as Religious OCD. You may feel obligated to touch many items, count to a specific number, or pray a certain number of times to negate a notion that you deem blasphemous.

What Are the Causes of Obsessive-compulsive Disorder?

While the exact cause of OCD remains unknown, a family history of the condition may play a major role in the disorder’s development. If you have a close family who has OCD, your chances of getting it are higher.

If you’re genetically more likely to develop OCD, other factors can also increase your chances of developing the condition, such as:

  • Traumatic brain injury – Symptoms of OCD may appear for the first time following a head injury. 
  • Childhood acute neuropsychiatric symptoms (CANS) –  For some children, OCD begins suddenly after an infection. After a streptococcal infection, this syndrome is known as PANDAS, which stands for paediatric autoimmune neuropsychiatric disorders associated with streptococcus. However, symptoms from other illnesses or infections may also exist.
  • Abuse in childhood – Children who experience abuse or other traumatic childhood experiences, like bullying or severe neglect, have a higher chance of developing the condition.
  • Personality – Perfectionism, high emotions of duty, and inability to handle ambiguity are some personality qualities that may contribute to OCD. Whether they are more adaptable learning responses that can be altered or if they are genuinely fixed features is up for discussion.
  • Stress or trauma – Excessive stress at work, school, home, or in relationships can exacerbate pre-existing symptoms of OCD or increase the likelihood that you will acquire it.

OCD often occurs with other mental health conditions, including eating disorders, social anxiety disorder, major depressive disorder, Tourette syndrome and attention deficit hyperactivity disorder (ADHD).

Even with a family history and risk factors, developing OCD isn’t guaranteed. Individuals with no known risks may still have OCD.

You Can Also Read: Basic Facts About Aphasia – What You Need to Know

How is Obsessive-compulsive Disorder Diagnosed?

An OCD test does not exist. A medical professional asks you about your symptoms and past medical and mental health issues before making the diagnosis. They employ a set of standards, which consist of:

  • It is impossible to attribute the symptoms to any other mental health condition, including eating disorders, body image problems, or generalised anxiety disorder.
  • Substances, alcohol, drugs, or any other medical issue are not the source of the symptoms.
  • The compulsive behaviours lead to distress or interfere with social interactions, professional obligations, or other aspects of your life.
  • The compulsions or obsessions consume a significant amount of time—more than an hour per day.
  • Having obsessions, compulsions or both.

What is the Treatment for Obsessive-compulsive Disorder?

A wise place to start when looking for beneficial treatment options is by getting in touch with a therapist who has expertise with OCD.

OCD patients typically receive both medication and psychotherapy as part of their treatment.

Medication

A variety of psychiatric drugs can lessen the symptoms of OCD.

A prescribing professional, such as a psychiatrist, may prescribe:

  • Selective serotonin reuptake inhibitors (SSRIs)
  • A tricyclic antidepressant, though this medication generally won’t be prescribed as a first-line treatment
  • antipsychotics which can enhance the effects of SSRIs
  • An antagonist of the NMDA receptor, which can also strengthen the effects of SSRIs

If you don’t feel better right away, don’t stop taking your SSRIs as prescribed; it may take 8 to 12 weeks for them to start working.

Therapy

Typically, mental health providers advise therapy as a component of a multimodal treatment plan.

Medication can often help relieve symptoms, but by working with a therapist, you can also learn tools to manage unwanted thoughts and change unhelpful patterns of behaviour and strategies to improve relaxation and cope with emotional distress. 

Therapy approaches recommended for OCD include:

  • Mindfulness-Based Cognitive Therapy – This involves learning mindfulness skills to cope with distress triggered by obsessive thoughts.
  • Cognitive Behavioural Therapy (CBT) – CBT can help you learn to identify and reframe patterns of unwanted or negative thoughts and behaviours.
  • Exposure and Response Prevention (ERP) – This kind of CBT exposes patients gradually to dreaded scenarios or worries that underlie obsessions or compulsive behaviours. ERP aims to teach people how to control their obsessions without resorting to obsessive behaviours.

You Can Also Read:  Know the Stages of Grief | CK Birla Hospital

Other approaches

Additionally, there is little evidence in favour of brain stimulation for OCD symptoms.

  • Transcranial Magnetic Stimulation (TMS) – TMS uses magnetic pulses on your brain through a coil. It’s non-invasive, complementing medication and therapy for OCD.
  • Deep Brain Stimulation – Electroconvulsive therapy directs electrical pulses to OCD-associated brain areas. It is reserved for severe, treatment-resistant cases due to its surgical nature.

Conclusion

Obsessive-compulsive disorder (OCD) is a mental health condition which can wax and wane for a long time. When OCD sufferers obtain the right care, their quality of life frequently improves along with their ability to function in social, academic, and/or professional settings. It is always advisable to seek medical help from an experienced psychiatrist. Timely care and help can ensure an appropriate diagnosis and treatment of your condition. 

At the CK Birla Hospital, we ensure patients get holistic medical support which includes treatment in a compassionate environment. This patient-centric approach not only helps patients heal better but also ensures they are aware of the preventive measures as well. In case you need to consult a psychiatrist, reach out to us, or book a direct appointment at the CK Birla Hospital.

FAQs

What Distinguishes Normal Behaviour From Obsessive-compulsive Disorder?

Normal behaviour involves occasional, manageable thoughts. In obsessive-compulsive disorder (OCD), intrusive thoughts persist, leading to compulsive behaviours performed to reduce anxiety, affecting daily life significantly.

What Role Does Therapy Play in Ocd Treatment?

Therapy, particularly cognitive-behavioural therapy (CBT) and exposure and response prevention (ERP) are crucial for OCD treatment. It helps individuals manage obsessions and compulsions, fostering healthier thought patterns and behaviours.

Are There Support Groups for Individuals With Ocd?

Yes, support groups for individuals with OCD provide a valuable community where people can share experiences, coping strategies, and emotional support, fostering a sense of understanding and connection.

Can Children Develop OCD?

Yes, children can develop OCD. The onset often occurs between late childhood and early adulthood, and early intervention through therapy and support is crucial for effective management and improved outcomes.

Is There a Cure for Ocd, or is It a Lifelong Condition?

OCD is typically a chronic condition, but it can be effectively managed with a combination of therapy, medication, and support. While there is no cure, many individuals experience significant improvement with treatment.

अनिद्रा (Insomnia) का कारण, लक्षण और उपचार
Nov 25, 2023|Dr Vikas Mittal

अनिद्रा (Insomnia) का कारण, लक्षण और उपचार

अनिद्रा एक व्यापक स्लीप डिसऑर्डर है जो दुनिया भर में लाखों लोगों को प्रभावित करता है। यह किसी के जीवन की गुणवत्ता को महत्वपूर्ण रूप से प्रभावित कर सकता है, जिससे दिन में थकान, चिड़चिड़ापन और कॉग्निटिव फंक्शनिंग कम हो सकती है।

अनिद्रा के कारण (Insomnia Causes)

अनिद्रा कई कारणों से उत्पन्न हो सकती है, जिन्हें मोटे तौर पर तीन मुख्य समूहों में वर्गीकृत किया जा सकता है: इसमें मनोवैज्ञानिक, चिकित्सा और जीवनशैली कारक शामिल हैं।

मनोवैज्ञानिक कारण

उच्च स्तर का तनाव या पुरानी चिंता आपके लिए आराम करना और नींद सोना मुश्किल बना सकती है। मन में आते-जाते रहने वाले विचार और चिंताएँ दिमाग को सक्रिय रख सकती हैं, जिससे नींद आने में दिक्कत हो सकती है।

  • अवसाद: अवसाद अक्सर नींद के पैटर्न में बदलाव के साथ होता है। अवसाद से ग्रस्त कुछ लोगों को सुबह जल्दी जागने का अनुभव हो सकता है, जबकि अन्य को सोने या सोते रहने में परेशानी होती है।
  • आघात: पिछली दर्दनाक घटनाओं के बाद का तनाव विकार (पीटीएसडी) बार-बार बुरे सपने और नींद में खलल पैदा कर सकता है, जो अनिद्रा में योगदान देता है।
  • दुख और हानि: किसी प्रियजन की हानि या जीवन की किसी महत्वपूर्ण घटना के बाद भावनात्मक उथल-पुथल नींद के पैटर्न को बाधित कर सकती है।

और अधिक पढ़े: मिनिस्कस टियर का कारण, लक्षण और उपचार (Meniscus Tear in Hindi)

चिकित्सीय कारण

क्रोनिक दर्द जैसे कि गठिया, फाइब्रोमायल्गिया या पीठ दर्द जैसी स्थितियां असुविधा का कारण बन सकती हैं जिसके कारण नींद में खलल पैदा होती है।

  • श्वसन संबंधी विकार: अस्थमा या स्लीप एपनिया जैसी स्थितियां रात के दौरान बार-बार जागने का कारण बन सकती हैं, जिससे अनिद्रा हो सकती है।
  • हार्मोनल परिवर्तन: हार्मोनल उतार-चढ़ाव, जैसे कि रजोनिवृत्ति या गर्भावस्था के दौरान, नींद के पैटर्न को बाधित कर सकते हैं।

इसके अलावा, तंत्रिका संबंधी विकार जैसे कि पार्किंसंस रोग या रेस्टलेस लेग सिंड्रोम जैसी स्थितियां नींद की गुणवत्ता में बाधा डाल सकती हैं।

जीवनशैली कारक

अनियमित नींद कार्यक्रम, अत्यधिक कैफीन या शराब का सेवन, और सोने के समय की अनियमित दिनचर्या अनिद्रा में योगदान कर सकती है।

  • शिफ्ट में काम: जो लोग अनियमित घंटों या रात की शिफ्ट में काम करते हैं, उन्हें अक्सर नींद सोने और जागने के चक्र को स्थिर बनाए रखने में कठिनाई होती है।
  • इलेक्ट्रॉनिक उपकरण: सोने से पहले स्क्रीन के संपर्क में आना, जैसे स्मार्टफोन या कंप्यूटर, नीली रोशनी के उत्सर्जन के कारण शरीर के प्राकृतिक नींद-जागने के चक्र को बाधित कर सकता है।

और अधिक पढ़े: झड़ते, गिरते, कमजोर बालों के लिये वरदान हैं ये घरेलु उपाय

अनिद्रा के लक्षण (Symptoms of Insomnia)

शीघ्र हस्तक्षेप और उपचार के लिए अनिद्रा के लक्षणों को पहचानना महत्वपूर्ण है। अनिद्रा विभिन्न तरीकों से प्रकट हो सकती है, और इसकी गंभीरता हर व्यक्ति में अलग-अलग हो सकती है। सामान्य लक्षणों में निम्न शामिल हैं:

  • सोने में कठिनाई: अनिद्रा से पीड़ित व्यक्तियों को नींद शुरू करना, बिस्तर पर लंबे समय तक करवटें बदलते हुए बिताना चुनौतीपूर्ण हो सकता है।
  • बार-बार जागना: अनिद्रा के कारण अक्सर रात में बार-बार जागना पड़ता है। इन जागृतियों के साथ दोबारा सो जाने में कठिनाई भी हो सकती है।
  • सुबह जल्दी जागना: अनिद्रा से पीड़ित कुछ व्यक्ति इच्छा से बहुत पहले जाग जाते हैं और वापस सोने के लिए संघर्ष करते हैं।
  • दिन की थकान: अनिद्रा से दिन की थकान हो सकती है, जो काम, दैनिक गतिविधियों और जीवन की समग्र गुणवत्ता को प्रभावित कर सकती है।

इसके अलावा, चिड़चिड़ापन, मूड में बदलाव और तनाव के प्रति बढ़ती संवेदनशीलता पुरानी अनिद्रा के सामान्य भावनात्मक लक्षण हैं।

और अधिक पढ़े: मिर्गी क्या है – कारण, लक्षण और इलाज (Epilepsy, Seizure in Hindi)

अनिद्रा का इलाज (Insomnia Treatment)

अनिद्रा का प्रभावी उपचार इसके अंतर्निहित कारणों की पहचान करने और उसके अनुसार मेडिकल हस्तक्षेप करने पर निर्भर करता है। उपचार के तरीकों को गैर-फार्माकोलॉजिकल (व्यवहारिक) और फार्माकोलॉजिकल तरीकों में वर्गीकृत किया जा सकता है।

गैर-औषधीय उपचार

अनिद्रा के लिए संज्ञानात्मक व्यवहार थेरेपी (सीबीटी-आई): सीबीटी-आई एक संरचित, साक्ष्य-आधारित प्रक्रिया है जो अनिद्रा से जुड़े विचार पैटर्न और व्यवहार को बदलने पर केंद्रित है। इसमें विश्राम प्रशिक्षण, नींद प्रतिबंध और उत्तेजना नियंत्रण जैसी तकनीकें शामिल हैं।

  • नींद की स्वच्छता: नियमित नींद का कार्यक्रम स्थापित करना, आरामदायक नींद का माहौल बनाना और सोने से पहले कैफीन, शराब और इलेक्ट्रॉनिक उपकरणों से परहेज करने से नींद की गुणवत्ता में सुधार हो सकता है।
  • विश्राम तकनीकें: ध्यान, गहरी सांस लेने या प्रगतिशील मांसपेशी विश्राम जैसी विश्राम तकनीकों का अभ्यास चिंता को कम करने और बेहतर नींद को बढ़ावा देने में मदद कर सकता है।

औषधीय उपचार

कुछ मामलों में, डॉक्टर अनिद्रा को प्रबंधित करने में मदद के लिए दवाएं लिख सकते हैं। सामान्य दवाओं में बेंजोडायजेपाइन या गैर-बेंजोडायजेपाइन जैसी शामक-कृत्रिम निद्रावस्था वाली दवाएं शामिल हैं। इनका उपयोग चिकित्सीय देखरेख में और निर्भरता के जोखिम के कारण केवल अल्पकालिक राहत के लिए किया जाना चाहिए।

पूरक और वैकल्पिक उपचार

कुछ लोगों को वेलेरियन रूट या कैमोमाइल जैसे हर्बल सप्लीमेंट का उपयोग करके अनिद्रा से राहत मिलती है। इन उपचारों का उपयोग करने से पहले एक विशेषज्ञ से परामर्श करना आवश्यक है। साथ ही, कुछ लोगों के लिए नींद की गुणवत्ता में सुधार और अनिद्रा के लक्षणों को कम करने में एक्यूपंक्चर फायदेमंद हो सकता है।

Myths Surrounding Cardiac Arrest & Heart Attack

Myths Surrounding Cardiac Arrest & Heart Attack

When it comes to matters of the heart, even the smallest problems can lead to bigger issues, which is why heart health is vital for our well-being. While people are mostly aware of the commonly used cardiovascular terms, sometimes few phrases are unknowingly misused in regular parlance. Two of the most misinterpreted phrases are “Heart Attack” & “Cardiac Arrest”.

The Myth: Heart Attack and Cardiac Arrest are the same.

Fact: NO

In reality, heart attack and cardiac arrest are as different as oranges and lemons. They both belong to the same citrus category, however are two different plants. Similarly, heart attack and cardiac arrest are both related to our cardiovascular health, but physiologically their mechanism is totally different.

 

How to know if it is a heart attack? When do you call it a cardiac arrest?
A strong stifling sensation somewhere in the middle of your chest cavity.  It starts with a sudden pain in the heart, followed by lack of pulse and consciousness.
A pain that does not relieve by itself and keeps building even when you rest. Blood circulation stops, oxygen does not reach all parts of the body, and affects breathing.
The process can be slow, lasting a few hours or sudden. This is more sudden and often more fatal than a heart attack. 

 

As we know heart is a muscle, so it will react like every other muscle and stay healthy as long as there is proper circulation of blood and oxygen. But what if you get a cramp in this muscle, the heart will stiffen up and abruptly stop pumping blood, the entire body’s circulation will stop, oxygen will not circulate and eventually, the body will stop breathing. This situation is what we call in medical parlance a V-Fib. In such an event, always rush to the nearest hospital for emergency medical attention.

Either way, it is a critical medical emergency that will need immediate attention. So, when in doubt, it is always advisable to check up with your doctor.

Also Read: Healthy Diet Chart for High Blood Pressure Patients

The Myth: Cardiac Arrest is a medical term for Heart Attack.

Fact: NO

Interestingly, both are valid medical terms that signify two different heart conditions. Technically heart attacks are called MI or myocardial infarction.
Over time when bad cholesterol builds up and clogs the arteries, it leads to obstructing the passage of blood and oxygen into our heart. Due to this obstruction despite having healthy muscle strength, the heart does not receive oxygen-filled blood. Lack of supply over a short period of time triggers a chain reaction where the heart muscle starts dying. This is indicated by the pain and stifling sensation suggesting you seek help.

If ignored, gradually this leads to breathlessness and vascular spasms triggering a sudden cardiac arrest, where the heart stops pumping blood completely. Technically, this event is called cardiopulmonary arrest or circulatory arrest. Therefore, heart attack if not dealt with properly will lead to cardiac arrest, but not vice versa. So, both the terms clearly cannot be used interchangeably.

You Can Also Read: Cardiac Arrest vs. Heart Attack: Know the Key Differences & Signs

The Myth: Surviving a heart attack is tougher than surviving a cardiac arrest.

Fact: NO

First of all, congratulations if you are a survivor. It does not matter which side you experienced, at the end of the day you live to tell the tale and that is a job well done for us at healthcare. 

Secondly, patient survival patterns are unique to each case and rehabilitation plays a big role in recovery.

 

Recovery from heart attack Recovery from cardiac arrest
Mild heart attacks might not need surgery. Severe cases need open-heart or bypass surgery (CABG) It starts with a sudden pain in the heart, followed by lack of pulse and consciousness.
In case of surgery attention must be given to restore nerve health and ensure the surgical changes are well accepted by the body.  Blood circulation stops, oxygen does not reach all parts of the body, and affects breathing.
The process can be slow, lasting a few hours or sudden. This is more sudden and often more fatal than a heart attack. 

 

If other complications exist, the same needs to be explored under proper medical advice. 

 

Common causes of a heart attack Common causes of cardiac arrest
Lack of proper diet, increased bad cholesterol levels. Heart attack from coronary heart disease (CHD)
Excessive consumption of alcohol, drugs or cigarettes.  Cardiomyopathy and genetic heart conditions.
Hypertension, high pressure and blood clotting. Congenital heart disease or heart valve disease.
Stress, depression and lifestyle problems. Arrhythmia and acute myocarditis (inflammation in heart muscle).


Cardiac Arrest needs prompt attention to revive the heart muscle in time to keep the body’s

circulation intact. Since the body often suddenly collapses, survivors sometimes show the same

symptoms that a brain stroke survivor might have, such as partial paralysis. Since the heart’s pumping rhythm needs to be perfect to avoid cardiac arrest, specialists recommend regular checkups to check on symptoms like arrhythmia. Identifying the cause helps identify the path to recovery.

Those patients who are prescribed pacemakers need to be extra cautious regarding their heart

health. A simple pacemaker malfunction can also lead to cardiac arrest. Hence a routine check-up is of utmost importance.

To conclude, when it comes to healthcare, never rely on hearsay. Always consult a proper medical practitioner and seek their advice. If you have doubts about your heart health or concerns for someone you know, feel free to book a consultation today.