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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।

और अधिक पढ़े: ठण्ड में अस्थमा के मरीज़ो को क्या सावधानियां रखनी चाइये?

  • 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.

मानसिक स्वस्थ्य के लिये ये उपाय हैं ज़रूरी ?
Nov 24, 2023|Dr. Sonali Bali

मानसिक स्वस्थ्य के लिये ये उपाय हैं ज़रूरी ?

मानसिक स्वास्थ्य हमारे समग्र स्वास्थ्य का एक महत्वपूर्ण अंग है, फिर भी हमारे समाज में इसे अक्सर नजरअंदाज और कलंकित किया जाता है। हाल के वर्षों में, मानसिक स्वास्थ्य के महत्व, इसके विकारों और मानसिक स्वास्थ्य को प्राथमिकता देने की आवश्यकता के बारे में जागरूकता और समझ बढ़ रही है।

यह भी पढ़े: मुंह में छाला होने के कारण, लक्षण और उपचार | Mouth Ulcers in Hindi

मानसिक स्वस्थ्य के प्रति जागरूकता क्यों ज़रूरी है

मानसिक स्वास्थ्य के प्रति जागरूकता मानसिक स्वास्थ्य मुद्दों के बारे में सार्वजनिक ज्ञान और समझ बढ़ाने का एक अभियान है। इसमें विषयों की एक विस्तृत श्रृंखला शामिल है, जिसमें समझ को बढ़ावा देना, समाज में इसके प्रति मौजूद कलंक की भावना को कम करना और मानसिक स्वास्थ्य के बारे में खुली बातचीत को प्रोत्साहित करना शामिल है। इसका लक्ष्य एक ऐसा वातावरण तैयार करना है जहां जरूरत पड़ने पर कोई भी सहायता मांगने में सहज महसूस करे।

मानसिक स्वास्थ्य इतना ज़रूरी क्यों है

मानसिक स्वास्थ्य समग्र स्वास्थ्य का एक अभिन्न अंग है। जिस तरह एक पूर्ण जीवन के लिए शारीरिक स्वास्थ्य आवश्यक है, उसी तरह मानसिक स्वास्थ्य तनाव से निपटने, रिश्ते बनाने और जीवन का पूरा आनंद लेने के लिए आवश्यक है।

  • प्रोडक्टिविटी और सफलता: अच्छा मानसिक स्वास्थ्य कार्य, शिक्षा और व्यक्तिगत संबंधों के साथ-साथ जीवन के विभिन्न पहलुओं में बेहतर बनाने और सफलता प्रदान करने में योगदान देता है। जब हम मानसिक रूप से स्वस्थ होते हैं, तो हम ध्यान केंद्रित कर सकते हैं, बेहतर निर्णय ले सकते हैं और अपने लक्ष्यों को अधिक प्रभावी ढंग से प्राप्त कर सकते हैं।
  • भावनात्मक लचीलापन: मानसिक स्वास्थ्य हमें जीवन की चुनौतियों का सामना करने के लिए भावनात्मक लचीलापन प्रदान करता है। यह हमें तनाव से निपटने, प्रतिकूल परिस्थितियों से उबरने और असफलताओं से उबरने में मदद करता है।
  • शारीरिक स्वास्थ्य: मानसिक और शारीरिक स्वास्थ्य के बीच गहरा संबंध है। मानसिक स्वास्थ्य संबंधी समस्याएं शारीरिक स्वास्थ्य समस्याओं को जन्म दे सकती हैं, और इसके विपरीत भी। मानसिक स्वास्थ्य को प्राथमिकता देने से शारीरिक स्वास्थ्य पर सकारात्मक प्रभाव पड़ सकता है।

इन सबके अलावा, अच्छा मानसिक स्वास्थ्य दूसरों से जुड़ने की हमारी क्षमता को बढ़ाता है। यह सहानुभूति, समझ और स्वस्थ संबंधों को बढ़ावा देता है, जो हमारे लिए सामाजिक और भावनात्मक रूप से महत्वपूर्ण है।

और अधिक पढ़े : विटामिन डी की कमी से होने वाले नुक्सान एवं बढ़ाने के उपचार

मानसिक स्वास्थ्य से जुड़ी बीमारियां

मानसिक स्वास्थ्य से जुड़े विकार ऐसी स्थितियां हैं जो किसी व्यक्ति के विचारों, भावनाओं और व्यवहार को प्रभावित करती हैं। ये विकार किसी व्यक्ति के दैनिक जीवन, रिश्तों और समग्र स्वास्थ्य पर महत्वपूर्ण प्रभाव डाल सकते हैं। इसमें मुख्य रूप से निम्न शामिल हो सकते हैं:

  • अवसाद: अवसाद की विशेषता लगातार उदासी, गतिविधियों में रुचि या आनंद की कमी, भूख या नींद के पैटर्न में बदलाव, थकान और नकारात्मक भावनाएं हैं। इससे सिरदर्द और पाचन संबंधी समस्याएं जैसे शारीरिक लक्षण हो सकते हैं।
  • एंग्जायटी डिसऑर्डर: इसमें सामान्यीकृत चिंता विकार, पैनिक विकार, सामाजिक चिंता विकार और विशिष्ट भय जैसी स्थितियां शामिल हैं। उनमें अत्यधिक चिंता, भय शामिल होता है और अक्सर हृदय की गति तेज होना और पसीना आना जैसे शारीरिक लक्षण उत्पन्न होते हैं।
  • बायपोलर डिसऑर्डर: इसमें अत्यधिक मनोदशा परिवर्तन, उन्माद (उन्नत मनोदशा, आवेग) और अवसाद की अवधि के बीच चक्र शामिल है। यह स्थिति दैनिक जीवन और रिश्तों को बाधित कर सकते हैं।
  • सिज़ोफ्रेनिया: इसे स्किज़ोफ्रेनिया भी कहा जाता है। यह एक गंभीर मानसिक विकार है जो भ्रम, मतिभ्रम, अव्यवस्थित सोच आदि का कारण बनता है। इसके लिए दीर्घकालिक उपचार और सहायता की आवश्यकता होती है।
  • ओसीडी: ओसीडी में संकट को कम करने के उद्देश्य से लगातार, अवांछित विचार (जुनून) और दोहराए जाने वाले व्यवहार या अनुष्ठान (मजबूरियां) शामिल हैं। यह बेहद कष्टकारी और समय लेने वाला हो सकता है।
  • पोस्ट-ट्रॉमैटिक स्ट्रेस डिसऑर्डर (पीटीएसडी): किसी दर्दनाक घटना का अनुभव करने या देखने के बाद पीटीएसडी हो सकता है। इससे फ्लैशबैक, बुरे सपने और गंभीर चिंता जैसे लक्षण सामने आते हैं।
  • भोजन संबंधी विकार: एनोरेक्सिया नर्वोसा और बुलिमिया नर्वोसा जैसी स्थितियों की में अस्वास्थ्यकर खान-पान और विकृत शारीरिक छवि शामिल हैं। अगर इलाज न किया जाए तो उनके जीवन के लिए खतरनाक परिणाम हो सकते हैं।

इसके अलावा, सब्स्टेंस यूज डिसऑर्डर यानी मादक द्रव्य उपयोग विकारों में शराब या नशीली दवाओं का दुरुपयोग शामिल है, जिससे शारीरिक और मनोवैज्ञानिक निर्भरता होती है। वे अक्सर अन्य मानसिक स्वास्थ्य समस्याओं के साथ सह-घटित होते हैं।

और अधिक पढ़े :  मिर्गी क्या है – कारण, लक्षण और इलाज

मानसिक बीमारी के लक्षण

मानसिक बीमारी के लक्षणों को पहचानना समय पर मेडिकल हस्तक्षेप और उपचार के लिए महत्वपूर्ण है। इसके सामान्य लक्षणों में निम्न शामिल हैं:

  • उदासी होना
  • मूड में बदलाव आना
  • अत्यधिक चिंता या भय होना
  • सामाजिक गतिविधियों से विमुख होना
  • नींद के पैटर्न में बदलाव आना (अनिद्रा या अधिक सोना )
  • ध्यान केंद्रित करने या निर्णय लेने में कठिनाई होना
  • भूख और वजन में बदलाव होना
  • थकान या कम ऊर्जा का अनुभव होना
  • शारीरिक लक्षण जैसे सिरदर्द या पाचन संबंधी समस्याएं होना
  • भ्रम या मतिभ्रम होना
  • आवेग या जोखिम भरा व्यवहार करना
  • फ़्लैशबैक, बुरे सपने, और बढ़ी हुई उत्तेजना होना
  • पदार्थों के लिए बार-बार और तीव्र इच्छा होना होना
  • व्यक्तिगत स्वच्छता और जिम्मेदारियों की उपेक्षा करना

इस बात पर ध्यान देना महत्वपूर्ण है कि इनमें से एक या अधिक लक्षणों का अनुभव करने का मतलब यह नहीं है कि आपको मानसिक विकार है, क्योंकि ये लक्षण तनाव या अस्थायी जीवन चुनौतियों का भी परिणाम हो सकते हैं। 

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

मानसिक स्वास्थ्य को बेहतर कैसे बनायें

अच्छा मानसिक स्वास्थ्य बनाए रखना एक सतत प्रक्रिया है जिसमें आत्म-देखभाल, परिवार वालों और दोस्तों से मांगना और स्वस्थ विकल्प चुनना शामिल है। मानसिक स्वास्थ्य को बढ़ावा देने के लिए आप निम्न उपायों को अपना सकते हैं:

  • स्व-देखभाल को प्राथमिकता दें: स्व-देखभाल गतिविधियों के लिए समय निकालें जो आपको खुशी और आराम दें। इसमें शौक, व्यायाम, ध्यान, या बस दोस्तों और परिवार वालों के साथ समय बिताना शामिल हो सकता है।
  • शारीरिक रूप से सक्रिय रहें: नियमित व्यायाम से मूड में सुधार और चिंता और अवसाद के लक्षणों को कम करने में मदद मिलती है। सप्ताह के अधिकांश दिनों में कम से कम 30 मिनट की शारीरिक गतिविधि का लक्ष्य रखें।
  • संतुलित आहार लें: फलों, सब्जियों, साबुत अनाज और लीन प्रोटीन से भरपूर पौष्टिक आहार शारीरिक और मानसिक स्वास्थ्य दोनों के लिए आवश्यक पोषक तत्व प्रदान करता है।
  • पर्याप्त नींद लें: मानसिक स्वास्थ्य के लिए गुणवत्तापूर्ण नींद महत्वपूर्ण है। हर रात 7-9 घंटे की आरामदायक नींद का लक्ष्य रखें।
  • तनाव को प्रबंधित करें: दैनिक तनावों को प्रबंधित करने में मदद के लिए गहरी साँस लेना, ध्यान, योग या माइंडफुलनेस जैसी तनाव कम करने वाली तकनीकों का अभ्यास करें।
  • नशीली चीजों का उपयोग सीमित करें: अत्यधिक शराब और नशीली दवाओं के उपयोग से बचें, क्योंकि वे मानसिक स्वास्थ्य समस्याओं का कारण बन सकते हैं।
  • माइंडफुलनेस का अभ्यास करें: माइंडफुलनेस तकनीक आपको वर्तमान क्षण में स्थिर रहने और अतीत या भविष्य की चिंताओं के बारे में चिंतन कम करने में मदद कर सकती है।
  • प्रोफेशनल मदद लें: यदि आप लगातार मानसिक स्वास्थ्य लक्षणों का अनुभव कर रहे हैं, तो मूल्यांकन और उपचार के लिए किसी एक्सपर्ट से संपर्क करें। थेरेपी और दवा कई मानसिक स्वास्थ्य विकारों के प्रबंधन में प्रभावी हो सकती है।

साथ ही, मानसिक स्वास्थ्य के प्रति समाज में मौजूद कलंक की भावना को कम करने और समझ को बढ़ावा देने के लिए मानसिक स्वास्थ्य और विकारों के बारे में अधिक से अधिक जानकारी प्राप्त करें। अपने आसपास के लोगों के साथ मानसिक स्वास्थ्य के बारे में खुली बातचीत को प्रोत्साहित करें।

Kidney Dialysis: Types, Risks & Outlook
Nov 24, 2023|Dr Vikram Kalra

Kidney Dialysis: Types, Risks & Outlook

Kidneys are your two reddish-brown bean-shaped blood-filtering organs. Each kidney is attached to a ureter, a tube that carries your excreted urine to the bladder. The kidney participates in the removal of toxins, various electrolyte concentrations, acid-base balance, fluid osmolality and control of the volume of various body fluids. 

Sometimes, the kidneys may not function due to chronic kidney disease, acute kidney failure or other kidney issues. Dialysis is a life-saving treatment that can take the place of the function of failing kidneys. It works by filtering your blood to help restore both electrolyte and fluid balances. 

There are also complications and risks to consider, as well as problems with treatment access. Talk with a doctor about the pros and cons of dialysis, and ask them which type might be best for your situation.

What is Kidney Dialysis?

By eliminating extra fluid and waste from your body, the kidneys filter your blood. When you urinate, the bladder receives this waste and excretes it.

When your kidneys can not perform well due to injury or disease, dialysis can help keep the body running using a machine. Kidney failure occurs when the kidneys perform only 10% to 15% of their typical function. Salts and other waste items build up in the blood without dialysis, which can harm other organs.

What are the Different Types of Kidney Dialysis?

Types of dialysis can include CRRT (continuous renal replacement therapy), peritoneal dialysis and hemodialysis. 

Hemodialysis

Hemodialysis is a form of dialysis that uses a filter called a hemodialyzer to remove extra fluid and waste from the blood. 

  • Before hemodialysis 

To get access to your blood vessels, a doctor conducts a little surgical procedure. This is done in advance, as it might take several months to heal.

The 3 types of entrance points include:

  • Vascular access catheter
  • AV graft
  • AV (Arteriovenous) fistula

Both the AV graft and AV fistula are designed for long-term dialysis treatments. Catheters are designed for temporary or short-term use.

  • During hemodialysis

Your blood is drawn from your body during therapy and sent through the hemodialyzer to be purified. The body receives the filtered blood back after that with the aid of a dialysis machine.

Hemodialysis treatments last about four hours each, up to three times per week. You might also have hemodialysis treatment in shorter, more frequent sessions.

At first, most hemodialysis treatments are performed at a dialysis centre, doctor’s office or a hospital. The length of treatment depends on your current health, the amount of waste in your body and your body size. 

  • After hemodialysis

After you have been on hemodialysis for an extended period, you might be ready to give yourself dialysis treatments at home. People who require long-term therapy frequently choose this alternative. 

Peritoneal Dialysis

Peritoneal dialysis uses a PD (peritoneal dialysis) catheter in your abdomen to filter your blood. The catheter filters blood through the peritoneum, a membrane in your abdomen. 

  • Before peritoneal dialysis

A doctor performs surgery to implant the catheter. This usually happens about 3 weeks in advance.

You normally receive training from a dialysis nurse for a couple of weeks before dialysis to learn to perform the exchanges and care for the catheter site. 

  • During peritoneal dialysis

Dialysate, a unique fluid used in therapy, enters the peritoneum. The dialysate absorbs waste. Once the dialysate draws waste out of the bloodstream, it is drained from your abdomen.

This process can take a few hours and needs to be repeated three to five times daily. But this fluid exchange can happen while you are awake or sleeping, and even during daily activities.

Types of peritoneal dialysis include:

  • Continuous ambulatory peritoneal dialysis (CAPD): Your abdomen is filled and drained multiple times daily. This method doesn’t require a machine and must be performed while awake.
  • Continuous cycling peritoneal dialysis (CCPD): To cycle the fluid in and out of your abdomen, CCPD employs a machine. Usually, it’s done when you’re sleeping at night.
  • Intermittent peritoneal dialysis (IPD): This treatment is usually performed in the hospital, though you may perform it at home. Although it makes use of the same equipment as CCPD, the procedure takes longer.
  • After peritoneal dialysis

After treatment, you will need to take care of your catheter, exit site, and other supplies to prevent infection.

Continuous Renal Replacement Therapy (CRRT) 

CRRT is used mainly in the intensive care unit for people with acute kidney failure. It is also known as hemofiltration.

A machine passes the blood through the tubing. After that, a filter eliminates waste and water. A machine returns the blood to the body, along with replacement fluid. This process is carried out for at least 24 hours at a time.

You Can Also Read: 10 kidney disease symptoms to watch out for 

What Risks are Associated With Kidney Dialysis?

All 3 forms of kidney dialysis can carry certain risks:- 

Risks Associated with Hemodialysis

  • sudden cardiac arrest
  • irregular heartbeat
  • bacteremia (a bloodstream infection)
  • sepsis
  • pericarditis (an inflammation of the membrane around the heart)
  • hyperkalemia (high blood potassium levels)
  • itching
  • difficulty sleeping
  • muscle cramps
  • anaemia
  • hypotension (low blood pressure)

Risks Associated with Peritoneal Dialysis

Peritoneal dialysis might increase your risk of infections in or around the catheter site, like peritonitis. Other risks include:

  • stomach pain
  • fever
  • hernia
  • vomiting or nausea 
  • weight gain from excess fluids and dextrose 
  • Dialysate dextrose causes elevated blood sugar.
  • abdominal muscle weakening

Risks Associated with CRRT

  • anaphylaxis
  • weakening of bones
  • delayed renal recovery
  • bleeding
  • electrolyte disturbances
  • hypotension (low blood pressure)
  • hypothermia
  • infection

Long-term dialysis patients run the danger of contracting other illnesses, such as amyloidosis.

After learning they have long-term renal failure, some patients experience anxiety or sadness. If you are having thoughts associated with depression, talk with a mental health professional or a member of your care team. 

You Can Also Read: Diet Chart for Kidney Patients

Are there any Alternatives to Kidney Dialysis?

Other treatment options might help manage your symptoms if you decide not to pursue dialysis.

One option is anaemia management. When the kidneys work correctly, the EPO (hormone erythropoietin) is produced naturally. You can receive an EPO injection once a week to help with a kidney that isn’t working properly.

You can decrease kidney degeneration by keeping your blood pressure in a healthy range. Drink fluids to avoid dehydration. Before using any anti-inflammatory medications, see a doctor.

A kidney transplant might be an option. Find out if a transplant is right for you by speaking with a doctor. A kidney transplant may not be an option for you if you:

  • have an untreated mental health condition
  • have obesity
  • heavily use alcohol
  • smoke

What is the Long-term Outlook for Kidney Dialysis?

Dialysis can temporarily serve the same function as kidneys until your kidneys repair themselves and begin to work on their own again.

But if you have chronic kidney disease, you usually go on dialysis permanently or until a kidney transplant becomes an option.

While on hemodialysis, you will need to limit your sodium, phosphorus and potassium intake. You might need to keep a record of how much liquid you consume. Problems might arise from having too much fluid in the body.

A kidney doctor (nephrologist) usually has a dietician on the team to help guide dietary choices.

Maintaining a regular dialysis schedule will help lessen your need for a kidney transplant.

If you are considering stopping dialysis, mention any concerns to a doctor.

While it is in your right to stop any treatment at any time, they might suggest you talk with a mental health professional before ending this life-saving treatment. If the condition causing kidney failure has not been corrected, stopping dialysis will eventually lead to death.

Conclusion

Your kidneys perform many vital roles, including the removal of toxins. Sometimes, they may not function properly due to a disease or kidney failure. Kidney dialysis is a life-saving therapy but it also has risks and complications to consider, so it is always advisable to seek medical help from an experienced nephrologist. 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 nephrologist, reach out to us, or book a direct appointment with Dr. Umesh Gupta at the CK Birla Hospital.

FAQs

Is Kidney Dialysis Painful?

The dialysis treatment itself is painless. However, some patients might have a drop in their blood pressure that could lead to cramps, headaches, vomiting or nausea. However, if you take care to follow your fluid restrictions and kidney diet, these types of side effects can be avoided.

How Long Can a Kidney Patient Live on Dialysis?

Life expectancy on dialysis differs depending on how well you follow your treatment plan,  your other medical conditions and various other factors. The usual life expectancy on dialysis is 5 to 10 years. Many patients, nevertheless, have successfully maintained a 20- or 30-year dialysis regimen.

Testosterone
Nov 23, 2023|Dr Tushar Tayal

Testosterone

Your gonads (sex organs) primarily manufacture the hormone testosterone. Specifically, the ovaries in persons assigned female at birth (AFAB) and the testicles in those designated male at birth (AMAB) generate testosterone.

Dehydroepiandrosterone (DHEA), which your body converts into testosterone and oestrogen, is another hormone that your adrenal glands make.

The primary androgen, testosterone, is responsible for promoting the development of masculine traits. In comparison to AFAB individuals, testosterone levels in AMAB individuals are naturally substantially greater.

What is Testosterone?

Both humans and other animals contain the hormone testosterone. The primary source of testosterone in males is the testicles. While in far lesser quantities, the ovaries of women also produce testosterone.

During puberty, testosterone production starts to rise dramatically and then starts to decline around the age of thirty.

Testosterone is essential for the development of sperm and is most commonly linked to sex drive. It also has an impact on red blood cell formation, bone and muscle mass, and how men store fat in their bodies.

The amount of testosterone a man has might also impact his mood.

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What Does Testosterone Do?

Depending on the period of life, testosterone plays various functions. These responsibilities include:

  • Adulthood.
  • Puberty for male children.
  • Foetal development.

Testosterone and Adults Assigned Female at Birth

Testosterone increases libido in adults allocated to the feminine gender at birth. But most of the testosterone generated by the ovaries is transformed into estradiol, the main hormone involved in female sex.

Testosterone and Adults Assigned Male at Birth

Testosterone is essential for the production of sperm. It also:

  • Increases libido, or the desire to have sex and well-being.
  • Make sure your muscles and bones continue to be strong.
  • Tells the body to start producing new red blood cells.

Testosterone and Puberty

Many of the changes observed in children designated male at birth during puberty are caused by testosterone and include:

  • Boosting libido (sex drive).
  • Enlargement of the prostate, testicles, and penis.
  • Body and pubic hair growth.
  • An increase in height.

Testosterone and Foetal Development

The Y chromosome’s sex-related gene starts the development of the testicles in male newborns at around week seven in gestation. Testicles generate testosterone.

Testosterone triggers the development of the male internal and external reproductive organs during foetal development.

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What Are Normal Testosterone Levels by Age?

Based on age and gender, the two charts below show the typical normal ranges of testosterone. Nanograms per deciliter (ng/dL) is the unit of measurement for this level.

It’s crucial to remember that the typical ranges for testosterone levels might change depending on the kind of blood test performed and the laboratory that does it. When interpreting your results, your provider will always refer to the typical ranges of your laboratory. 

Normal testosterone levels for people assigned male at birth:

Age range Normal testosterone range
Under 1 year old Less than 12 ng/dL.
1 to 5 years old. Less than 12 ng/dL.
6 to 10 years old. Less than 25 ng/dL.
11 to 15 years old. Less than 830 ng/dL.
16 to 17 years old. 102 to 1010 ng/dL.
18 to 99 years old. 193 to 824 ng/dL.

For individuals designated female at birth, normal testosterone levels are:

Age range Normal testosterone range
Under 1 year old. Less than 21 ng/dL.
1 to 5 years old. Less than 12 ng/dL.
6 to 10 years old. Less than 25 ng/dL.
11 to 17 years old. Less than 79 ng/dL.
18 to 99 years old. Less than 40 ng/dL.

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What Causes High Testosterone Levels?

Your body may overproduce testosterone for many reasons, such as:

  • Adrenal Tumours 

    Sex-hormone-producing adrenal tumours are rare tumours that make too much androgen (testosterone), oestrogen or both.

  • Ovarian or Testicular Tumours

    Androgen-producing ovarian and testicular tumours can release excess testosterone.

  • Congenital Adrenal Hyperplasia

    The adrenal gland experiences an insufficiency of enzymes due to genetic abnormalities in CAH. Normally, the body uses these enzymes to aid in the production of cortisol, a hormone necessary for responding to stress. The adrenal glands overproduce other hormones, such as testosterone, in place of cortisol when the enzymes aren’t functioning properly.

  • Polycystic Ovarian Syndrome (PCOS)

    Those with ovaries are susceptible to this hormonal imbalance. It takes place when the ovaries produce too much testosterone or androgens. Weight gain and excessive body hair are some of the physical signs brought on by this hormonal imbalance in reproduction.

    Depending on your age and sex, too much testosterone has varied effects on your body.

High Levels of Testosterone in Amab People (Assigned Male at Birth)

It is improbable, and challenging to determine, that an adult designated male at birth has higher-than-normal testosterone levels.

An overabundance of testosterone in male-assigned newborns can cause (early) puberty or the onset of puberty before the age of nine.

High Levels of Testosterone in AFAB People (Assigned Female at Birth)

Infants designated female at birth (AFAB) may have clitoris elongation, which might resemble a penis, due to high testosterone levels. Additionally, it may result in precocious puberty, or the onset of puberty before the age of eight.

In adults assigned to females at birth, high levels of testosterone may be a sign of polycystic ovary syndrome (PCOS). This condition is very common — up to 15% of people AFAB of reproductive age have it.

PCOS causes certain symptoms, including:

  • Deeper voice.
  • Balding at the front of your hairline.
  • Irregular menstruation (periods).
  • Excess body and facial hair (hirsutism).
  • Acne

How are Testosterone Levels Controlled?

Your body controls the level of testosterone in your blood. Generally speaking, levels peak in the morning and fall during the day.

Your gonads, or testicles or ovaries, generate and release testosterone under the direction of your hypothalamus and pituitary gland.

The production of gonadotropin-releasing hormone (GnRH) by your hypothalamus sets off the release of luteinizing hormone (LH) by your pituitary gland. After arriving in your gonads, LH causes the release and synthesis of testosterone. (LH more often causes the ovaries to produce more progesterone and oestrogen.)

A rise in blood testosterone levels inhibits the synthesis of gonadotropin-releasing hormone, assisting in the maintenance of normal testosterone levels.

Anomalies in your hypothalamus, pituitary gland, or gonads might result in abnormally high amounts of testosterone.

Conclusion

For those who are designated male at birth, testosterone plays a crucial role in both reproductive health and general health. You could feel uncomfortable if they are always high or low. 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 Dr. Kumar Saurav at the CK Birla Hospital.

FAQs

How Does Testosterone Affect the Body? 

The body uses the sex hormone testosterone for essential purposes. It’s believed to control men’s libido, or sex drive, as well as their bone mass, fat distribution, muscle mass, and sperm and red blood cell production. Converted from circulating testosterone to the oestrogen estradiol, very little testosterone remains in the body.

How Do I Fix My Low Testosterone?

Testosterone replacement therapy (TRT) is the most often used treatment. Usually, a doctor will only recommend TRT in cases when the patient exhibits several low testosterone symptoms and has blood test results that support the diagnosis. There are other ways to administer TRT, such as using skin patches.

Which Foods Help Boost Testosterone Levels?

Certain foods help in treating low testosterone levels, such as pomegranate, green leafy vegetables, ginger, onions, egg yolk, fatty fish, bananas and red meat. 

Palliative Care: Know the Facts
Nov 23, 2023|Dr Rajiva Gupta

Palliative Care: Know the Facts

Palliative care is a type of specialised medicine that aims to relieve pain and other severe sickness symptoms. Additionally, it might help you deal with the unfavourable effects of medical procedures. Palliative treatment is accessible regardless of whether your ailment is curable. 

Palliative care teams aim to improve the quality of life and provide comfort for people and their families. This form of care is offered alongside other treatments a person might be receiving. Palliative care is provided by a team of healthcare providers, including nurses, doctors, social workers and other trained specialists. The team collaborates with you, your loved ones, and your other healthcare professionals to give additional support and respite to go along with your continuing treatment.

If you or someone in your family has a serious illness, palliative care might be an option you want to consider. Talk with a doctor to find out more about palliative care and how to get this type of care.

What is Palliative Care?

The goal of palliative care is to enhance the general health of patients with life-threatening diseases. It addresses both the stress of living and the symptoms of a chronic illness. It might also involve support for caregivers or loved ones. 

Since it is based on individual needs, palliative care can be quite different from one person to the next. A care plan may involve one or more of the following goals:

  • accessing and identifying additional resources to provide support
  • assisting in coordinating care, making treatment decisions and understanding treatment options 
  • helping to cope with changes and feelings related to illness
  • identifying and addressing spiritual and practical needs
  • improving understanding of illness and its progression
  • alleviating symptoms, including side effects of treatment

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Palliative Care is Helpful for Which Medical Conditions?

Numerous disorders may be candidates for palliative care. The following are a few of the most typical illnesses where palliative care might be extremely beneficial:

Palliative Care for Cancer

As both symptoms and therapy can significantly affect your quality of life, cancer is one of the most prevalent diseases connected with palliative care.

Palliative cancer care varies depending on:

  • prognosis
  • age
  • treatment
  • symptoms
  • the type of cancer

Someone with a recent cancer diagnosis may receive palliative care to manage the side effects of radiation or chemotherapy or to help them recover after surgery.

Palliative care for cancer often includes treatments for anxiety or depression and tools to help family members plan for the future. 

Palliative Care for Cardiovascular Diseases

Cardiovascular diseases can affect a person’s ability to care for themselves and their quality of life. Cardiovascular diseases include:

  • aortic stenosis
  • stroke
  • coronary artery disease
  • heart failure

Palliative care might be underutilised globally for people with cardiovascular diseases. 

Early palliative care might help increase the likelihood that people with these diseases will experience their desired end-of-life outcomes. Increasing early palliative care might also increase referrals to hospice care.

Palliative care for cardiovascular disease might help in decision-making for people with these diseases and their families, mental health support and symptom relief. It might also include help with end-of-life planning, should that be needed.

Palliative Care for Dementia

Dementia is associated with deteriorating brain function. It greatly impacts a person’s:

  • behaviour
  • judgement
  • language
  • memory
  • cognition

Treatment for dementia-related anxiety may be part of palliative care. As the illness progresses, it may involve helping family members make difficult decisions about caring or feeding for their loved one. Support for family caregivers might also be a part of it. 

Palliative Care for COPD

Palliative care can help people manage COPD, a respiratory illness that causes shortness of breath and coughing. 

For this condition, palliative care may include treatments for anxiety, discomfort, or insomnia associated with difficulty breathing. You may receive education on lifestyle changes, like quitting smoking, that can slow the progress of your illness and improve your activity level. 

What are the Benefits of Palliative Care?

Palliative care aims to enhance the quality of life for those dealing with serious or terminal illnesses while also providing support for their families. Some of the benefits can include:

  • Improved caregiver satisfaction – Palliative care consistently improves both caregiver and patient satisfaction. 
  • Support for caregivers and family members – Palliative care can include emotional support and instructional guidance for family members caring for a loved one with a serious illness.
  • Support in making decisions – Palliative care specialists provide support to people diagnosed with a serious illness and their families to make decisions about treatment, care for their illness, and support in emotionally coping with the diagnosis.
  • Longer survival – The same review makes the connection between depression and mortality, which might lead to a higher life expectancy for those with advanced cancer who get palliative care.
  • Reduced risk of depression – Early palliative care is associated with a lower risk of depression in people newly diagnosed with advanced cancer.
  • Improved quality of life – Those who receive palliative care usually have a higher quality of life than those who undergo traditional treatments.
  • Symptom management support – Palliative care specialists might help people with pain management and symptom management in people living with advanced cancer.

When to Consider Palliative Care?

If you have a life-threatening or serious illness, you can ask about palliative care at any time.

There is a widespread misperception that receiving palliative care requires you to wait until your disease is advanced or fatal. Several studies suggest that palliative care is most effective when started early, closer to diagnosis.

Early use of palliative care improves both overall survival and the quality of life. There is evidence that palliative care can help people with depression and other mental health issues.

Your loved ones are also likely to benefit if you receive palliative care, which can help them access support and resources to cope with your illness.

Can You Get Palliative Care at Home? 

It depends on where you live. Palliative care has become more accessible in recent years, but it is still not available everywhere.

Depending on where you live, you may have more than 1 option as to where you can receive palliative care. Some options might include:

  • your home
  • an outpatient clinic
  • an assisted living facility
  • a nursing home
  • a hospital

Find out more about the palliative care choices you have and where you may get treatment in your region by speaking with your doctor. 

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How do you Get Palliative Care?

The first step in receiving palliative care is to ask a healthcare professional or doctor about it. Your treating physician should suggest that you seek out a palliative care professional.

By establishing a list of your symptoms and how they affect your daily activities, you can be ready for your meeting with a palliative care provider. You will also want to bring a list of medications you take and any relevant medical history.

It is a good idea to ask a family member or friend to accompany you to your appointment. After the consultation, you will work with your palliative care team to develop a plan. The plan will be based on your symptoms and any treatments you are currently undergoing, as well as how your illness is affecting your family members, everyday activities and mental health. 

The plan will be carried out in cooperation with any additional medical care you are getting. As your needs vary over time, they should alter as well. If it becomes needed, your plan can also involve advanced care and end-of-life planning.

Conclusion

Palliative care helps in providing relief from pain and other symptoms of a serious illness. It also gives comfort to people and their families and aims to improve their quality of life. Palliative care can be quite different from one person to the next, so it is always advisable to seek medical help from an experienced palliative care physician. 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 palliative care physician, reach out to us, or book a direct appointment with Dr. Rajiva Gupta at the CK Birla Hospital.

FAQs

What Are the 3 Forms of Palliative Care?

The 3 main forms of palliative care are spiritual care, emotional support and symptom management. The primary purpose of palliative care is symptom management. It includes monitoring and treating symptoms that might include anxiety, depression, difficulty breathing, fatigue, nausea or pain. 

What Stage of Life is Palliative Care?

While the length of palliative care can differ, it typically begins when a serious illness is diagnosed and could last until the end of life. It is important to note that palliative care can begin at any stage of an illness and can be provided alongside other treatments.