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7 Ways You Can Lower Triglycerides
Feb 21, 2022|Ms. Deepali Sharma

7 Ways You Can Lower Triglycerides

Indian cuisine is prominent in the world for its unique spices and flavours. The mouth-watery delicacies have made a special in our hearts and our lifestyles and thus, largely impact our health. Sedentary living habits have led to a significant rise in heart health problems. According to the global burden of disease, nearly 28.4% of deaths in India occur due to coronary heart disease. It is thus, important to note the factors that affect your heart health like cholesterol and triglycerides. This article focuses on one such element and ways to reduce triglycerides. 

With insights from Dr Rajeev Gupta, an Internal Medicine specialist at the CK Birla Hospital, we will explore the definition, effects and measures to reduce triglycerides. Let’s begin by understanding what it is. 

What is Triglycerides?

You are most likely aware of cholesterol, but what are triglycerides? 

Triglycerides are a type of fat (lipid) found in your blood. It is the most common type of fat found in your body. It is derived from the food you eat, including butter and oils. Your body uses this component to make energy and thus it has a medical significance for your overall health. 

The excess calories that you consume also get converted and stored in cells in the form of triglycerides. 

Triglyceride Levels

A certain level of triglyceride is important for your health. However, if you constantly consume more calories than you burn, especially from foods rich in carbohydrates, you are likely to have high triglyceride levels. 

High triglyceride levels can lead to and be a sign of health problems including metabolic syndrome. This condition is a combination of high blood pressure, high blood sugar levels, excess fat around the waist, low levels of good cholesterol and high triglycerides. 

Hence, maintaining healthy levels of triglycerides are important. On average, triglyceride levels are as follows:

Category  Triglyceride levels (mg/dL)
Normal  less than 150
Borderline high 150 – 199
High  200 – 499
Very high  500 or higher 

What Causes High Levels of Triglycerides?

Primarily, excessive consumption of calories, alcohol and sugar lead to high levels of triglycerides. Other factors include

  • Obesity
  • Uncontrolled diabetes
  • Underactive thyroid (hypothyroidism)
  • Kidney disease
  • Birth control pills 

How Is Triglyceride Different From Cholesterol?

While triglycerides and cholesterol are both fatty substances known as lipids, there is a significant difference in both. Triglycerides, primarily, are fats while cholesterol is odourless, waxy substances produced by the liver. 

There is also an underlying difference in the functions of both substances. Triglycerides store unused and excess calories that are used by your body for energy formation. Cholesterol is responsible for building certain cells and hormones. 

How to Reduce Triglycerides?

The answer to how to lower triglycerides lies in an active lifestyle and healthy eating patterns. It is important to know your triglyceride levels before taking measures to reduce them. Here are some steps you can take on how to reduce triglycerides:

1. Reduce Your Sugar Consumption

It is well understood that excess sugar can lead to more calories and high triglycerides. The foremost step that you must, hence, take is to cut down your sugar intake. Maintain healthy levels of sugar in your body. Try to avoid as much sugar consumption as possible by limiting your intake of added sugar. 

Since you cannot and should not completely avoid sugar consumption, it is advised that you should make healthier choices by choosing natural sweeteners over artificial ones. 

2. Avoid Refined and Processed Foods

You gain a large number of calories from foods that are rich in carbohydrates. However, the carbohydrates you get from refined and processed foods are unhealthy. It is because once consumed, they get easily converted into sugar and lead to a rise in triglyceride. Some common sources of processed foods include rice, pasta and white bread. 

3. Increase Fibre Quantity in Your Diet

High-fibre foods are also rich in carbohydrates, however, they are more complex to break down and are gradually absorbed by the body. Dietary fibre also helps you feel full without having consumed excess calories. Therefore, it directly lowers your triglyceride levels. 

Choose healthy fats 

The main source of triglycerides is fats, themselves. Thereby, a reduction in the fat content that you consume can help you achieve good triglyceride levels. However, fat is also an essential component of your body. There are both healthy and unhealthy fats. In order to reduce triglycerides, you should aim to consume more healthy fats and decrease your intake of unhealthy, saturated fats. Healthy fats include omega-3 fatty acids that are found in oily fish, olive oil and other supplements. 

4. Stay Wary of Trans Fats

Another category of unhealthy fats include trans fats which increase the levels of LDL (bad cholesterol) in your body. A variety of food products that you pick from the shelf are rich in trans fat and is labelled hydrogenated oil. This type of oil is made by adding hydrogen to vegetable oils in an effort to increase the shelf life of the product. 

It is thus important that you read the labels of the products you buy and avoid the ones that contain trans fat. 

5. Avoid Heavy Drinking

It is a well-known fact that alcohol has ill effects on your general health. It also, particularly, includes a certain type of carbohydrate that gets easily converted to triglycerides. Excess consumption of alcohol is directly related to high levels of triglycerides. On top of this, it negatively affects liver function by disrupting its ability to metabolise fat. 

You should try to cut down on alcohol entirely. However, if you wish to, you should drink in moderation to maintain not just triglyceride levels but also your liver and general health. 

6. Exercise Regularly 

The key to maintaining healthy levels of triglycerides is to control your calorie consumption. The more calories you burn, the healthier you will remain. You can achieve your caloric recommendation and maintain healthy body weight by engaging in physical activity each day. Exercising regularly helps in the metabolisation of sugar in your body and reduces high triglyceride levels. 

You should aim to exercise every day or most days of the week for at least 30-40 minutes. 

7. Eat a Healthy Diet 

You should focus on consuming a nutrient-dense, well-balanced diet filled with foods to lower triglycerides. Common food items that can be beneficial include green leafy vegetables, beans, citrus fruits, berries, low-fat dairy products and high-fibre whole grains including quinoa, barley and brown rice.

Here are some other steps you can take to reduce triglycerides naturally with food:

  • Replace high-sugar beverages like cola, fruit drinks and iced tea with sugar-free drinks 
  • Choose sugar-free gums and herbal sweeteners
  • Read the labels at the back of shelved and packed food products
  • Eat whole fruits instead of drinking fruit juice 
  • Avoid ingredients that are bleached in the first steps 
  • Eat whole-grain foods and a low-carb diet 
  • Consult your dietician for a personalised diet chart 

Besides the above-given measures, you can seek medicinal intervention to help control or reduce triglyceride levels in your body. 

The Concluding Note 

Like other parameters, triglyceride is a determinant of good health. 

If you are experiencing high triglyceride levels, dietary changes can bring remarkable improvements in bringing down your numbers and boosting your general health. The measures listed in this article can help reduce triglycerides. These expert recommendations are practical and can be applied to your everyday life without additional effort. 

Learn more about triglycerides and receive clinical support from top experts. Consult Dr Rajeev Gupta to know your individual level and ways to maintain them. 

FAQs


Q. How can I lower my triglycerides quickly?

You can lower your triglycerides by eating a low-carb, high-fibre diet, exercising regularly, reducing sugar levels and avoiding fat content. 

Q. What is the best drink to lower triglycerides?

Low or sugar-free beverages and herbal teas are the best drinks to lower triglycerides. 

Q. Can lemon juice reduce triglycerides?

Yes, citrus foods such as lemon can help reduce bad cholesterol and triglycerides. 

Q. Can Apple cider vinegar reduce triglycerides?

Yes, studies suggest that apple cider vinegar can help lower triglycerides. 

Everything You Need to Know About Obstructive Sleep Apnea
Feb 18, 2022|Dr Vikas Mittal

Everything You Need to Know About Obstructive Sleep Apnea

Does your partner often complain about your snoring? Do you wake up tired after a full night’s sleep? Do you experience interrupted sleep and feel sleepy during the day? If so, then this article is for you. Disrupted sleep, snoring, difficulty in breathing and poor sleep quality are some attributes of a common sleep disorder – obstructive sleep apnea (OSA). According to a study, nearly 22% of men and 17% of women in India suffer from OSA. This condition is more prevalent in men compared to women.

In this article, with insights from Dr Kuldeep Kumar Grover, a leading pulmonologist at the CK Birla Hospital, we will explore everything you need to know about obstructive sleep apnea.

What is obstructive sleep apnea?

Obstructive sleep apnea (OSA) is one of the most common sleep-related disorders. It is a type of sleep apnea.

Sleep apnea is a condition in which a person experiences interrupted sleep due to breathing difficulties. It causes you to stop and start breathing at varying intervals several times in your sleep.

There are mainly two types of sleep apnea:

  • Obstructive sleep apnea – This disorder occurs as a result of complete or partial blockage of the upper airways. It happens when your throat muscles relax and block your airways at irregular intervals during your sleep.
  • Central sleep apnea – In central sleep apnea, there is no airway blockage. It happens when your brain fails to send signals to your muscles to breathe.

Obstructive Sleep Apnea Infographic

What are the obstructive sleep apnea symptoms?

The signs and symptoms of OSA affect every individual differently. Common obstructive sleep apnea symptoms include:

  • Increased sleepiness during daytime
  • Loud snoring
  • Episodes of stopped breathing during sleep
  • Sudden and abrupt awakenings in the night along with a feeling of gasping or choking
  • Waking up in the night with a dry mouth or sore throat
  • Headaches in the morning
  • Problems in concentration during the day
  • Mood swings including depression or irritability
  • High blood pressure
  • Decreased sexual drive

Some of the above-given symptoms overlap with symptoms of other, underlying medical conditions. For instance, loud snoring is not necessarily an indicator of OSA. Your healthcare provider will be better able to overcome these diagnosis dilemmas and provide a comprehensive outlook and understanding of your condition.

Obstructive sleep apnea symptoms can be life-threatening if not addressed in a timely manner.

Obstructive sleep apnea in children is different from that in adults. OSA symptoms in children may be as obvious. Common symptoms include:

  • Bedwetting
  • Choking or drooling
  • Excess sweating a lot at night
  • Learning, behaviour and developmental problems
  • Difficulty in learning lessons or socialising at school
  • Sleepiness
  • Snoring
  • Teeth grinding
  • Restlessness in bed

What are the obstructive sleep apnea causes?

The muscles in the back of your throat offer support to the structures in your mouth including your soft palate, uvula, tonsils and tongue. Obstructive sleep apnea causes when these muscles relax more than what is required for normal breathing.

In this condition, your throat muscles relax making your airways more narrow or close during breathing. Due to this narrowing of airways, you experience a disruption in breathing for longer than 10 seconds. Disrupted breathing, in turn, can cause a drop in the oxygen levels in your blood and a build-up of carbon dioxide.

When breathing is hampered and your oxygen levels dip, your brain signals you to reopen your airways to continue breathing normally. Most of the time, this awakening signalled by the brain is so short that you do not usually remember it.

However, in this condition, you are likely to experience such short awakenings due to breathing difficulty nearly 5-30 times or more each hour. This leads to a highly disturbed, disrupted sleep.

Who gets obstructive sleep apnea?

While obstructive sleep apnea causes can affect anyone at any age, some people are more vulnerable to developing it than others.

You have a higher chance of experiencing OSA if you experience the following:

Obesity: Overweight or obese people are more likely to suffer from sleep apnea. It is because extra fat deposits around the upper airways can cause breathing difficulties easily.

Advanced age: Your risk of OSA grows as you advance in age. People who are older than 60 years of age are more likely to be affected by this condition.

Genetic factors: A family history of sleep apnea can make you more susceptible to this disease. It is also because of the inheritance factor of naturally narrowed airways.

Underlying health problems: OSA is more common in people who live with underlying medical problems such as hypertension, asthma and diabetes.

Chronic nasal congestion: If you live with chronic nasal congestion, you will have a greater problem breathing during sleep.

Smoking: Smoking cigarettes affect your respiratory health making you more vulnerable to OSA.

How is obstructive sleep apnea detected?

Usually, obstructive sleep apnea is detected when an individual presents with the above-given symptoms and complaints. Your healthcare provider will take your complete personal and family history of the disease, present-day symptoms and evaluate your overall health.

He/she may further recommend certain tests to diagnose the condition properly such as polysomnography and home sleep apnea test.

What is obstructive sleep apnea treatment?

Obstructive sleep apnea treatment is based on factors including your unique symptoms, underlying health conditions and age.

Listed below are some common obstructive sleep apnea treatment methods:

Lifestyle changes

Based on your lifestyle choices and general health, your healthcare provider will recommend making the following modifications:

  • Lose weight if obese
  • Avoid or quit smoking
  • Exercise regularly to maintain a healthy weight
  • Don’t sleep on your back
  • Using medicines or inhalers for nasal congestion
  • Avoid consumption of alcohol

Use of mouthpiece or positive airway pressure

Positive airway pressure is a therapy that helps in reducing the number of respiratory events. While an oral device such as a mouthpiece is an appliance designed to improve your sleep quality by keeping your throat open and relieving OSA.

Surgery

Obstructive sleep apnea can be treated with surgical interventions including the removal of tissues from the back of your throat, upper airway stimulation and jaw surgery.

If you are suffering from mild obstructive sleep apnea symptoms, you can take the following measures for relief:

  • Sleep on your side
  • Lose weight
  • Exercise everyday
  • Avoid smoking or drinking
  • Treat nasal congestion

What are the complications of OSA?

If obstructive sleep apnea is not treated properly and timely, it can have serious complications. Untreated OSA can result in:

Daytime sleepiness & fatigue: Obstructive sleep apnea can negatively impact your sleeping habits and health making it difficult for you to have a proper, sound and restful sleep. A lack of full sleep can leave you drained and fatigued.

Cardiovascular problems – Narrowed upper airways can lead to a decrease in oxygen levels in your blood. This drop directly impacts your heart health and leads to a range of cardiovascular problems including abnormal heart rhythms, coronary artery disease, heart attacks, heart failure and strokes.

Medicinal and surgical complications – Certain medications and general anaesthesia used for surgical procedures can further narrow your upper airway making it more difficult to breathe properly during sleep.

Eye problems – Studies have found that obstructive sleep apnea can result in an increased risk of developing eye complications such as glaucoma.

Problems in your relationships – Troubling symptoms of OSA such as loud snoring can also put a strain on your relationship with your partner as such symptoms may also affect their sleep.

Other problems caused by untreated OSA include:

  • Memory problems
  • Morning headaches
  • Depression
  • Increased need to urinate at night

The concluding note

Obstructive sleep apnea (OSA) is a highly prevalent condition, especially among Indian men. It can, however, be effectively treated if you receive medicinal intervention and guidance before the condition progresses.

Your treatment is entirely dependent on your unique health markers, symptoms and lifestyle. It is, thus, important to consult a Sleep Apnea Doctor who can help you in understanding your risk and guide you to live a better, healthier lifestyle in order to improve your quality of sleep and quality of life.

Learn about your risk of obstructive sleep apnea through a one-on-one consultation with Dr Kuldeep Kumar Grover, a leading pulmonologist in Gurgaon.

All About Black Fungal Disease
Feb 14, 2022|Dr Rajiva Gupta

All About Black Fungal Disease

COVID19 has become a regular part of our lives and our news updates. The global pandemic has been constantly evolving into different variants – each with its unique set of symptoms and health impacts. India has so marked close to 4.26 crore cases of COVID19. During the dawn of these cases, a new and rare infection has been reported among COVID recovered patients. Black fungal disease or popularly known as the black fungus has concerned the nation and world, at large. 

In this article, with the help of expert insights from Dr Rajiva Gupta, a leading internal medicine specialist at the CK Birla Hospital, we will explore the symptoms, causes, recovery and treatment of black fungal disease. 

What Is Black Fungal Disease?

The black fungal disease, scientifically known as Mucormycosis, is a rare but serious fungal infection. The origin of this disease is a fungus (called Mucormycetes)that develops from a mold that grows on decaying organic matter. 

Black fungus infection affects individuals with a weakened immune system. 

Black Fungus Symptoms

Black fungus disease is identified by a range of symptoms affecting the skin and respiratory function of a person. This fungal infection can affect your brain, skin, lungs, and gastrointestinal system. 

Common black fungus symptoms include:

  • Nasal or sinus congestion 
  • Pain & redness around the eyes and nose 
  • Blurry vision 
  • Breathlessness 
  • Eye swelling 
  • Fever
  • Coughing
  • Chest pain
  • Headaches
  • Redness on skin 
  • Painful swellings appearing on the skin
  • Blackening of skin tissues
  • Ulcers and blisters appearing on the skin
  • Blood in the stool 
  • Diarrhea 
  • Gastrointestinal bleeding 
  • Pain in the stomach 
  • Nausea and vomiting 

What Causes Black Fungal Disease?

Mucormycosis is an airborne infection, meaning that it can transmit and spread through air droplets. The fungus causing this disease is present in the environment in animal dung, compost, soil, leaves, manure and rotting fruits and vegetables. 

The black fungus can enter your body through open wounds in the skin or breathing and present itself through the above-given symptoms. Once the infection enters your body, it can damage your blood vessels. 

Black fungus is not contagious, that is it cannot spread from one person to another. However, you can come in contact with airborne droplets carrying mucormycetes. 

Why Is Black Fungus Occurring in COVID Patients?

Researchers know that black fungal disease spread in people who have weakened immunity. The number of black fungus cases is growing significantly in recovering or recovered COVID patients. It is because the medications used in the treatment of coronavirus are immunosuppressants (that is, they further reduce immunity). COVID medications also increase your blood sugar levels, further lowering your immune defences. 

Due to a compromised immune system, COVID patients are more vulnerable to developing black fungus. Hence black fungus COVID is becoming very prominent and progressing largely. 

Who Can Get Affected by Black Fungus?

Besides COVID19, a weak immune system resulting from other underlying medical conditions can also make an individual susceptible to developing black fungus. 

Here are some common health problems and treatments that weaken your immunity and hence increase your chances of developing this disease:

  • Uncontrolled diabetes
  • Hypertension 
  • Cancer 
  • Long-term steroid use 
  • Malnutrition 
  • High levels of iron in your body 
  • Premature birth 
  • Surgical transplant 

Black fungal disease can be life-threatening for patients who have the above health problems. 

Can I Prevent Black Fungal Disease?

Black fungus infection can be prevented with the application of certain precautionary measures. Here are some steps you can take to help prevent this disease:

1. Boost your immunity 

The primary element of prevention is to strengthen your immune system. If you are suffering from COVID19, your healthcare provider will provide certain guidelines to help enhance your symptoms, overall health and immunity. Irrespective of being affected by COVID, you should eat a healthy diet that includes nutrient-dense, immunity-boosting foods. 

2. Practice COVID safe behaviour 

In order to prevent black fungus, it is inevitably important to prevent COVID. You should follow stringent safety measures that include wearing a face mask, maintaining social distancing, avoiding large gatherings and getting vaccinated. 

3. Practice hygiene 

An unhygienic environment is a fundamental cause for the spread of black fungal infection. Whether you are at your home or at a healthcare facility receiving treatment for COVID19, make sure to take care of your surroundings and practice good hygiene. Wash your hands frequently, improve air ventilation and sanitise high-touch surfaces. 

Take extra care of your skin by cleansing and moisturising daily in order to remove dead skin cells and dirt from your body. 

4. Avoid contact with mould 

The black fungal infection spreads when you come in contact with decaying mould. Remain wary and stay away from mould-prone areas such as construction sites and gardens. In addition, try to cover your skin and exposed wounds properly by applying bandages, wearing full sleeves and covering your legs. 

How is the black fungal disease treated?

Black fungus is a rare disease and its symptoms present differently in every individual. The treatment protocol, hence, is also dependent on factors including your overall health, the severity of symptoms and age. 

If you experience any of the aforementioned black fungus symptoms, you should consult a doctor to confirm the diagnosis. Your doctor will take your personal medical history, evaluate your symptoms and perform a manual health check. Further, he/she may order diagnostic tests including tissue biopsy, CT scan and examining the fluid sample of your nose. 

Primarily, your healthcare provider will prescribe antifungal medication to help treat black fungus symptoms. These medications are aimed at relieving symptoms and bringing the infection under control. 

However, if the infection is not treated in a timely manner, your doctor may recommend surgical treatment to remove dead skin tissues. 

The concluding note 

Black fungal disease is a rare and serious infection affecting a large population in India. Mainly, this infection is found in recovering or recovered COVID19 patients. Nonetheless, it has the potential of affecting people unaffected by COVID. 

It is important to take necessary precautions during such critical times. Though, black fungus is treatable, preventing it should be the primary concern of all individuals. 

If you are experiencing black fungus symptoms, consult Dr Rajiva Gupta, an internal medicine specialist at the CK Birla Hospital. 

FAQs


Q. Does Black Fungus affect only Covid patients?

No, the black fungus can affect anyone with a weak immune system. This infection can also develop in individuals who have compromised immunity due to underlying health problems such as diabetes and high blood pressure. 

Q. Who are at higher risk of developing serious illness from COVID-19?

Elderly, people living with comorbidities, pregnant women or any other individual who is at a high risk of weakened immunity are susceptible to developing this disease. 

Q. Is headache a symptom of black fungus?

Yes, black fungus symptoms include headache. 

Best Food for strong bones and joints
Feb 11, 2022|Dr Debashish Chanda

Best Food for strong bones and joints

As you age, keeping your bones and joints healthy is important. Start loving your bones as your healthy bones and joints are your investment and so stop making excuses and work on building healthy and strong bones.

To keep all of your body’s systems running smoothly and your bones and muscles strong and healthy, convince yourself to consume the perfect balance of nutrients every day to maintain them throughout your life and allow your body to age well. The meal you eat should incorporate all essential nutrients like vitamins, minerals etc.

There are a variety of factors that need to be considered to maintain bones and joints because as you age, your bones and muscles start to deteriorate as well. 

In this article, Dr Harshvardhan Hegde, an experienced orthopaedic surgeon, explains the best foods for strong bones and joints which will allow you to stay fit and eat what’s best for your body.

Essential Bone-Building Nutrients

A normal adult should eat food and consume nutrients as per the range required and is necessary for keeping the bones healthy and strong.

  • Vitamin D- At least 800 IU of vitamin D
  • Vitamin C- 500-3000mg
  • Vitamin A- Maximum 5000 IU
  • Vitamin B12- Maximum 1000mcg
  • Calcium- 1800-1200mg 
  • Zinc– 12-30mg
  • Potassium- 4000-6000mg
  • Magnesium-400-800mg
  • Folic avoid- 400-1000mcg

Foods to Build Strong Bone

Below are foods that can help improve the way you provide nutrients and food to the bones.

1. Green vegetables

best-foods-for-healthy-bones-Green-vegetables

No matter how much you hate it, still, you got to eat your green leafy vegetables. There is no way you can even think of skipping it because you may not feel the need for greens, but it surely is a favourite healthy snack for your bones.

Green vegetables like spinach contain a large amount of iron, vitamin A, calcium and fibre. And if you just can’t take spinach down your throat, then maybe try changing the way you eat it. Prepare a spinach smoothie for yourself and drink it right away.

You can also chop and saute the green vegetables as they are also an excellent source of vitamin K, which offers the bones the required calcium and magnesium.

These cruciferous veggies act as superfoods for strong bones. They help supply the nutrients needed to strengthen the bones and reduce the risk of bone conditions like osteoporosis, fractures, osteoarthritis, and rheumatoid arthritis. Green vegetables like kale, spinach, broccoli, cabbage and dark leafy green tops of turnips are foods to increase bone density.

2. Fresh Fruits 

best-food-for-joints-and-bones-Fresh-Fruits

There is a very famous saying, “an apple a day keeps a doctor away”, but in fact, the truth is any and every fresh and organic fruit can not only keep the doctor away but also help keep your bones away from severe pain and weakening. Banana is an excellent source of magnesium that helps activate and increase the content of vitamin D in the body.

Banana helps in digestion, strengthen the bones, keep the gut and intestines healthy. A healthy and well-balanced diet plan can help the body to absorb essential nutrients like calcium and magnesium

3. Dairy products

Best-Food-for-Bones-Dairy-products

Leaving dairy products out of your daily diet plan would be a huge mistake. Dairy products are loaded with calcium, which is the most important nutrient that improves bone strength and helps treat joint discomfort.

Dairy products like cheese, milk, curd are beneficial for keeping the bones healthy for longer. Have you ever thought about why milk is best for bones? Because it not only comprises calcium but is also filled with protein, phosphorus, vitamin D, potassium and other minerals.

4. Fatty Fish

foods-fro-joints-Fatty-Fish

Fatty fish like salmon, tuna, sardines, and trout provide omega 3 fatty acids and vitamin D. It helps strengthen bone density and plays an essential role in improving joints and bones.

Fish oil helps to reduce bone loss in women, thereby preventing osteoporosis, heart-related issues, risk of thyroid and obesity. The fish is filled with anti-inflammatory elements that support the bones and joints.

It helps in reducing the stiffness in people caused due to bone diseases like osteoporosis rheumatoid arthritis. Therefore, it is essential that you include fish in your diet for strong bones and joints.

5. Nuts

healthy-joints-food-Nuts

Nuts are a high source of calcium, magnesium and phosphorus, which help in improving bone health. Every day when you wake up, consuming 3-4 almonds, 2-3 cashews, 2 walnuts, etc., will always help keep your body healthy and strong.

So, eating dry fruits or nuts every day should become a part of your everyday diet plan. Infants, older people, pregnant women and all people who stay indoors should make sure to take extra care of their health to avoid any bone deteriorating conditions.

6. Super Seeds

super-food-for-joints-and-bones-Super-Seeds

Seeds are filled with fibre, omega 3 fatty acids, magnesium, phosphorus, calcium and protein, and that is why they are simply known as superfoods.

Flax seeds, sunflower seeds, pumpkin seeds, chia seeds and sesame seeds are great and nutritious seeds to include in your diet.

You can add them to your smoothie, sprinkle them on a salad or just take a handful to strike that sudden craving to eat something.

Consumption of these seeds can help boost bone health and are beneficial in strengthening the muscles and joints.

Who are at risk of getting affected with bone diseases?

Menopause

Women who have reached menopause, especially at an early age that is around 40-45 years, are at a higher risk of getting affected with bone problems.

Women start to lose bone density fast after menopause as their ovaries stop producing estrogen, which acts as a protective shield on bones.

Eat a healthy balanced diet that includes calcium and vitamin D supplements that can help improve bone strength. 

Vegans

Vegetarian and vegan are two different things. Vegetarian and non-vegetarian people can consume their calcium and vitamins from fish and dairy products, but for vegans, it becomes difficult to consume the required nutrients at the right time.

Here are some excellent sources of calcium for vegan people

  • Tofu (an alternative for paneer)
  • Soya
  • Rice
  • Pulses
  • Brown bread
  • Dry fruits like almonds, figs, raisins, and dried apricots 
  • Vitamin D supplements (as recommended)

To conclude

As stated in the above article, maintaining a healthy diet plan is an absolutely essential thing for keeping your bones and joints strong. Though every nutrient is important but food rich in calcium, vitamin D, and protein is the most vital nutrient to maintain healthy bones and prevent osteoporosis and the risk of rheumatoid arthritis.

And so, no matter what your age is, you have to focus on your diet and eat things that are right. If you eat food rich in nutrients, it will surely help keep your bones and muscles strong. 

And even after eating the right food and taking the right diet, you still feel you are not getting enough, and you feel weakness in your joints or bones, you can book an appointment with Dr Rakesh Mattoo, an experienced orthopaedic surgeon and understand more about the treatment plans and help you understand the right diet required for healthy bones.

FAQs


Q. Which fruit is rich in calcium?

Fruits like banana, orange, papaya, kiwi, apricots and berries are high in calcium.

Q. What is the best supplement for strong bones?

Vitamin D and calcium is best for strengthening the bones but should only be consumed as per doctors recommendation.

Q. Can you take vitamin D and calcium together?

You can take both supplements together, but as every individual’s body differs, how a supplement would affect the body will also differ. Therefore, eat as per your doctor’s suggestion only.

Q. Is it better to take vitamin D every day or once a week?

As per NCBI, vitamin D taken regularly has been found to be more effective than taking it once a week.

Side effects of cancer treatment
Feb 4, 2022|Dr Harsimran Singh

Side effects of cancer treatment

Things you need to know

  • Side effects after the cancer treatment are a sign that the healthy cells have been damaged
  • Cancer patients may suffer from side effects of cancer after years of getting the treatment done
  • It’s important to note that side effects differ from individual to individual, even among those getting the same cancer treatment

Survivors of cancer: Long-term consequences of therapy

It’s important to examine, treat, and manage the long-term effects of cancer treatment on survivors. Complications depend on the type of cancer and the location in the body where cancer had earlier been affected.

Radiation therapy and increased dose of chemotherapy have may lead to adverse side effects. Every patient’s body may respond differently to the treatment, and so will be the side effects of cancer on their body, and to know the severity of the side effects, consult your specialist.

Side effects from different treatments:-

Chemotherapy Side effects

Remember, it’s difficult to analyse each individual’s side effects. Here are some common cancer chemotherapy side effects.

  • Feeling sick (vomit and nausea)
  • Getting tired quickly or feeling tired all the time
  • Hair loss (common but does not happen to everyone)
  • Diarrhoea and feeling constipated
  • Reduce body’s ability to fight infection
  • Lowering the count of red blood cells, therefore, increasing the risk of anaemia
  • Bleeding gums
  • Easily bruised skin
  • Sore mouth, dry mouth, or bad breath
  • Loss of appetite
  • Temporary changes to the skin and nails
  • Problem in concentration affecting memory
  • Sleep problems leading to insomnia
  • May affect sexual and fertility
  • Risk of early menopause

Side effects of radiation therapy

  • Feeling exhausted and tired all the time
  • Risk of teeth problems like cavity and tooth decay
  • Risk of early menopause
  • SKin allergies or problems like sore skin and red skin
  • Weak bones leading to osteoporosis
  • Diarrhoea
  • Loss of appetite
  • Risk of lung diseases
  • May affect fertility
  • Intestinal issues
  • Affect concentration and memory
  • Loss of hair
  • Lymphedema (swelling in arms or legs)

Side effects of hormone therapy

  • Fatigue and tiredness
  • Feeling nauseated
  • Flashes of heat
  • Risk of erectile dysfunction in men
  • Vaginal discharge, irritation, and dryness in women
  • Low sexual drive
  • Increased risk of fractures due to loss of bone mass
  • Increased weight
  • Problems with memory

Ways you can deal with cancer treatment side effects

  • Consume home-cooked vegetables and eat fresh fruits only. Avoid fruits and vegetables which contain seeds, and also avoid eating broccoli, cabbage, corn, and peas as they can cause digestive issues.
  • Focus on having frequent short meals instead of 3 large full course meals and always eat warm food instead of cold and unhealthy food.
  • Cleanse your mouth well before you start eating to improve the taste of food.
  • To decrease the metallic taste, you can eat fruits, puddings, flavoured milkshakes to improve the taste of the mouth
  • Add more pleasant flavours and aroma in the food you eat to improve food smell and taste
  • Eat food rich in protein and healthy fat like eggs, fish yoghurt, beans, low-fat ice cream, etc.

FAQs

How many days after chemo do you feel better?

After chemotherapy, it takes approximately two to three months to feel better and lively. But each person’s treatment is different, so recovery time might also differ.

What percentage of chemo patients survive?

The success rate of every chemo patient differs, and there isn’t any fixed percentage to define the survival rate. Consult your specialist for a better understanding.

How many rounds of chemotherapy are considered normal?

Approximately 4 to 8 cycles of therapy are required over the course of treatment. Since after each round, your body needs rest, the number of cycles and duration of treatment varies.

Diabetes: Morning to Night Routine of Diabetic Patient

Diabetes: Morning to Night Routine of Diabetic Patient

Things you need to know:

  • Diabetic is a condition that currently has no cure, so managing and awareness is the only chance of survival
  • Diabetics have become an alarming situation for the younger generation than the older
  • It can go unnoticed for years and so can lead to severe complications to the health

Understanding diabetics: Daily routine for a diabetic patient

It’s not always easy to control diabetes and keep blood sugar levels consistent, but it is essential to do a little planning, organising, and making sure it is well executed so that the risks of highs and lows are reduced. 

It is necessary to maintain a routine that you are certain about and will be able to stick to in the long run because managing diabetics is the key to maintaining the right blood sugar levels all year long. 

 Starting afresh: AM

  • Examine: Check your blood sugar level first thing in the morning when you get up before eating. This offers you a good starting point and allows you to make adjustments during the day
  • Medication: Punctually take all medications as recommended by your healthcare professional in your prescription
  • Meals: Take your breakfast on time and avoid skipping your meals because when you have diabetes, what matters is how much you are eating and what you are eating throughout the day
  • Consuming the right amount of food: Write down portions of each food you should consume and stick to that portion size to know the exact carbohydrate count consumed. Make sure your meal is a well balanced and nutritious one
  • Travel safely: If you are off to someplace, always make sure to keep some healthy recommended snacks for yourself to eat in case of emergencies like suggested glucose tablets, or some fresh juice or fresh fruits or jamuns

Lunch Time

Examine again: Examine your blood sugar levels again before eating to have better clarity about the portion intake.

Nutritious meal: Always look for a healthy home-cooked meal to satisfy your hunger, which does not disturb your sugar levels.

Rest: If you are at home, rest for at least 30-45 minutes and if you are at work, relax for a while and go for a small walk.

Evening

Stay active: Walking, jogging, working out, light aerobics, or dancing can help you maintain a healthy weight and also help in keeping your blood sugar levels in control.

(Note: If you feel uncomfortable working out and experience low sugar, consult your doctor immediately.)

Snack time: Eat carrots, cherry tomatoes, cucumber, boiled eggs, or a handful of nuts.

Call it a night

Dinner: Avoid overeating at dinner time. Try eating small but nutritious portions to keep yourself full and healthy.

Relax: After having dinner, make it a habit to go for a little walk around your neighborhood to keep yourself active and fit.

Sleep: For people with diabetes, getting enough sleep is important because lack of sleep can make it more challenging to manage blood sugar levels. At least 6-7 hours of sleep is mandatory every night to function at their best the next day.

(Note: If you are experiencing trouble sleeping, consult your specialist. Sleep problems may be caused by either dip or rise in blood sugar levels.)

Recheck sugar levels: Before going to bed, always make it a habit to check your sugar level one last time.


FAQs

Q. How often should I eat with type 2 diabetes?

You should eat at least 5-6 meals during the day.

Q. How long after taking insulin should I check blood sugar?

Wait for at least 2 hours after taking insulin to check the sugar levels.

Q. What is the miracle fruit that cures diabetes?

Jamun and blueberries are known to manage blood sugar levels.

Q. Is rice good for diabetes?

Rice can be included in the diet chart of diabetic patients but should be eaten in moderation.

Exercise program for cancer patients
Feb 1, 2022|Dr Harsimran Singh

Exercise program for cancer patients

Things you need to know

  • Exercise can surely be linked to reduced risk of cancer in the body
  • Physical activity has been found to be beneficial for patients with prostate, breast, and colorectal cancer
  • Exercise is safe and can help prevent loss of muscle and reduce the feeling of nausea and fatigue

Use exercise as a weapon to fight off cancer

Cancer might have started the fight with your body but make sure you finish the fight because cancer is only going to be a chapter in your book of life do not let it be your whole story. Its understandable that it is easier said than done, but it is equally important to be strong to face your fears and pick up a challenge to overcome cancer. So, exercising during and post-treatment will help you stay physically and psychologically fit.

Benefits of exercising during cancer treatment

  • Helps to reduce side effects like tiredness and nausea
  • Control the feeling of anxiety, stress, and depression
  • A cancer exercise program helps to enhance the quality of life
  • Cancer training can help to strengthen the muscles and prevent further muscle loss
  • Might help to reduce the chances of other serious cancers
  • With the help of exercise, individuals can avoid chronic diseases like heart diseases, strokes, and diabetes
  • Exercise will help maintain the weight and reduce the chances of obesity and cancer
  • Might increase the effectiveness of your cancer medication

Right exercises to include in your program

1. Balancing exercises

Balancing exercises can help increase mobility and strengthen your muscles. Maintaining a good balance can help avoid fall injuries when fatigued and nauseous.

2. Stretching exercises

Stretching exercises can help improve flexibility and fix posture. Stretching can help repair the muscles by improving blood circulation. Radiation therapy can make your restrict your range of motion and tighten.

(Note: Make sure to consult your doctor before trying any exercises)

3. Breathing exercises

Breathing exercises can help improve the respiratory system as patients may feel shortness of breath during the cancer treatment. Breathing exercises also help relieve stress, make you feel less anxious, and help loosen the stiffness in your muscles.

4. Aerobics 

Aerobics helps relieve tension and stress and elevate your heart rate to keep you healthy and away from several diseases. Aerobics can reduce heart diseases, high blood pressure, diabetes, obesity, and certain types of cancer. Aerobics can help you feel less exhausted during and after treatment by strengthening your heart and lungs.

(Note: Aerobics should be performed only after consulting the doctor.)

5. Exercise safely during the treatment

Before starting to work out and performing physical activities, always make sure that your doctor gives a green signal for exercising. Your exercise depends on the type of treatment and the type of cancer you are diagnosed with. Working out is important but working out safely and cautiously is more important. Below are some of the ways to do so:-

  • Make sure to exercise safely without compromising your health
  • Pay attention and listen well to your body, do not go hard on yourself in terms of the intensity of your workout
  • Have plenty of water while working out to avoid the risk of dehydrating yourself
  • Slow and steady wins the race, so progress slowly and give time to yourself and increase your exercise level only when you feel your body is ready
  • Do not let your anger and frustration get into your head
  • Diet is the most important thing while working out. Ask your doctor to curate a well-balanced diet plan for you which should include high in protein food and food that helps your body to recover

FAQs

Q. What exercise is good for chemo patients?

There are plenty of exercises that are beneficial for the patients, but which works best might differ from individual to individual. So, it is recommended to consult a specialist.

Q. Can you exercise the day after chemo?

The decision to work out or not depends on how your body is responding. Though, it is advisable to avoid strenuous activities right after chemotherapy.

Q. Can you lift weights while on chemo?

It is beneficial t light some lightweight to help tone and strengthen your muscles

Q. Does exercise help cancer survival?

Each case and patient is different. But there have been studies with results that exercise can surely help reduce the risk of mortality in patients.

Nutrition in cancer care
Jan 30, 2022|Dr Harsimran Singh

Nutrition in cancer care

Things you need to know

  • Staying active is an important way to keep yourself healthy
  • Planning healthy nutrition will help lower the risk of infections
  • Adapting a particular lifestyle might help fight off common side effects that may arise

Why is good nutrition during cancer treatment important?

It is essential to take a healthy and nutritious diet to keep patients healthy. Consuming a proper diet full of proteins, carbohydrates, vitamins, and minerals will help cancer patients get the essential nutrients.

General nutritional recommendations for cancer patients:-

  • Maintaining a healthy weight can help reduce many conditions like obesity and being overweight. Lose weight as per your doctor’s recommendation as losing weight the right way is important during and after the treatment
  • Being active can help you stay physically fit and help deal with the anxiety and feeling of depression during the treatment 
  • Eating healthy entails consuming a wide variety of meals in order to provide your body with the nutrients it requires to fight cancer and help manage the cancer nutrition
  • Proteins, lipids, carbs, water, vitamins, and minerals are among the nutrients that act as a complete package to provide the energy required by the body to fight off the battle with cancer

What key nutrients are important during cancer treatment and why?

Protein

Protein is necessary to heal the goo cells damaged during the treatment. It helps in repairing the tissues and maintaining a healthy immune system. Without protein, the muscles might start to lose and disrupt the energy required by the body to function. Cancer patients need more protein after chemotherapy, radiation therapy, or surgery.

Source of protein:

  • Low-fat dairy products
  • Beans and peas
  • Lentils
  • Soy foods
  • Fish
  • Nuts and seeds

Carbohydrates

Carbs are the fuel to our body and are a significant source of energy. It helps in improving physical activity and enhances the functioning of the organs. 

Source of carbohydrates

  • Fruits 
  • Vegetables
  • Whole grains
  • Dairy products
  • Natural sugar
  • Cereals
  • Peas and beans

Fats

For a healthy body, intake of healthy fats is essential. Fats are broken down by the body and are used to store energy and transfer certain vitamins to the bloodstream. There are two types of healthy fats: monounsaturated fats like avocado, olive, peanut oil, and polyunsaturated fats like sunflower seeds, flaxseeds oil, seafood, and corn. Avoid using saturated and trans fats as they can affect your heart and increase cholesterol levels.

Vitamin and minerals

The majority of vitamins and minerals can be obtained in fruits and vegetables and in vitamin and mineral supplements. Your body will receive enough vitamins and minerals if you eat a diet rich in nutritious protein and carbohydrates.

Antioxidants 

To increase antioxidants intake, experts recommend eating a variety of fruits and vegetables rich in antioxidants. Avoid consuming antioxidant-rich supplements without consultation.


FAQs

Q. What are the main objectives in nutrition intervention for cancer patients?

As per NCBI, nutrition intervention for cancer patients helps to detect, manage, and treat malnutrition using nutritional counselling with or without oral nutritional supplements (ONS) or artificial nutrition.

Q. Is cancer related to nutrition or the lack of nutrition?

Each person’s condition is different, and there isn’t any one cause that could have triggered cancer. An individual can do best for himself/herself is to follow a healthy and nutritious diet. 

Q. What cancers are caused by poor nutrition?

Diet high in trans and saturated fat may lead to obesity and may also increase the risk of colon, breast, kidney, and gallbladder cancer.

Nutritional Plans & Healthy Meal Plan for Breastfeeding Mothers
Jan 25, 2022|Dr. Seema Sehgal

Nutritional Plans & Healthy Meal Plan for Breastfeeding Mothers

When you become a mother, everything revolves around what would be best for your baby as you start prioritising your baby’s needs and health.

In this article, Dr Seema Sehgal, a leading obstetrician and gynaecologist in Gurgaon explains nutritional plans and diet best for breastfeeding moms out there.

Diet for Breastfeeding Mothers

First-time moms are usually more worried and skeptical about what to eat and what to avoid while breastfeeding and believe me, this is perfectly normal behaviour.

They start being very cautious of their diet plan and ensure that it provides all of the nutrition required for the baby.

Wondering How Many Calories You Need When You Are Breastfeeding?

Post-delivery, the mother’s body produce milk the whole day. So you might think you need an extra amount of calories to keep yourself and your baby healthy. Breastfeeding does require an additional intake of calories, but it is not necessary to be too stringent about how many calories you take.

A diet chart for breastfeeding mothers should include nutrient-dense foods that assist your body and your baby’s growth and development.

New moms might still have their pregnancy weight on, and in such cases, your body already has those extra calories which will naturally be used for producing milk.

So too much intake of calories included in the diet plan of lactating mothers can also harm their body in the long run, especially when the baby starts consuming solid foods and the baby’s requirement of milk from mothers begin to decrease.

When breastfeeding, burning 200-500 calories a day is normal, so consuming the right amount of calories is essential, but overdoing it isn’t recommended.

Because the good news is that regardless of what you consume, your milk will most likely be adequate for your baby. At each stage of development, your body knows precisely what nourishment your kid requires.

Suppose you stayed within your doctor’s recommended weight throughout pregnancy and your postpartum weight is within normal ranges.

In that case, you shouldn’t need to worry about consuming any more or fewer calories than you already do, but still, if you have any doubts consulting your healthcare specialist is best.

Diet Plan Chart for Breastfeeding/Lactating Mother

Making the right nutritious choices will assist in stimulating the production of milk. Choosing foods rich in protein, vitamins, and minerals will help improve the growth and development of the baby.

diet for breast feeding mothers

Food for Breastfeeding Mothers

1. Avocado

Due to the high consumption of calories, mothers do get the required nutrients essential for their health from avocado. So, avocados act as a nutritious powerhouse as it contains over 80% fat and helps sustain a sensation of fullness while also giving heart-healthy fats to your body.

Avocados are high in vitamin B, K, C and E, folate, potassium, along with other nutrients.

2. Beans and Legumes

Beans and legumes are rich sources of protein, vitamins, minerals, and phytoestrogens, where phytoestrogens are known to boost milk production. Eating a variety of beans and legumes is beneficial to your overall health and maintaining healthy milk production.

Soybean and chickpea are some of the most nutritious foods to consume as they have been known to have the highest amount of phytoestrogens in them.

(Note: Please avoid soybean if your baby seems to be allergic to it.)

3. Sweet potatoes

Sweet potatoes are rich in vitamin A and potassium. Vitamin A is required for improving eye health and immunological function and helps improve the health of the organs, including the heart, lungs, and kidneys.

4. Whole grains

Rice, bread, oatmeal are all rich in vitamins, minerals, fibre and carbohydrates. Being rich in carbohydrates and fibre, they help to keep you fuller for longer and also provides all the necessary nutrients required by the body, and fibre also helps in milk production.

Whole grains are also known to have properties that may help support the hormones responsible for making breast milk. Include- oatmeal cookies, healthy bread and brown rice in your diet during breastfeeding.

5. Yoghurt

Yoghurt or yogurt is a convenient snack and is filled with probiotics, protein, vitamins and calcium. Include low-fat dairy products in your breastfeeding Healthy meal plan as it gives a concentrated amount of calories to help fulfil your body’s required energy needs.

Greek yoghurt is an excellent source of protein and is also available in different flavours so that you can choose as per your taste and mood.

Yogurt is also convenient to eat to consume even when you have very little time for yourself and are preoccupied with the baby’s needs.

6. Apricots

Apricots are a great source of fibre, antioxidants, vitamin A, vitamin C, carotenes and minerals. It helps to keep the mother and the baby’s immune system healthy.

Dried apricots contain phytoestrogens, which aid in balancing the lactation hormones. Apricots act as friendly food buddies to breastfeeding moms. They’re one of the best lactogenic foods that can help with breast milk supply.

7. Dark green leafy vegetables

Dark green leafy vegetables like alfalfa, lettuce, kale, spinach, and broccoli are rich in fibre, folate, calcium, and vitamins. They include phytoestrogens, which may aid in the production of breast milk.
(Note: Too much intake of broccoli can harm the baby’s digestive system)

8. Fennel seeds

Fennel seeds are rich in fibre, potassium, manganese, zinc, iron, calcium and vitamin C & A. Fennel aids in the production of breastmilk as it is a well-known herbal galactagogue.

This substance may help in increasing the production of breast milk. Breastfeeding mothers can consume fennel seeds by adding a few seeds in tea, as a flavouring agent, and in the vegetables.

Foods to Avoid When Breastfeeding

1. Processed foods

Processed foods might be easy and quick to prepare and eat but are very harmful and toxic to a baby’s health as it contains preservatives and additives.

It may leave your baby feeling irritated fussy. Processed foods can cause digestive problems and allergies to the baby.

2. Alcohol

Alcohol and breastfeeding don’t go hand in hand because there is no such thing as a safe amount of alcohol in breast milk for a baby to drink.

Some amount of alcohol reaches the breast milk, and once the baby is exposed to the alcoholic breast milk, the baby may have delayed motor development and also affect the baby’s sleep patterns.

Therefore, having too many glasses of alcohol can disturb a baby’s hormonal imbalances and reduce the production of milk.

3. Coffee

During pregnancy and even after pregnancy, having too many cups of coffee can disturb the haemoglobin levels in the child. A moderate and recommended amount of caffeine intake would not harm the baby, but too many cups might lower the iron content in the milk.

4. Cigarettes

Smoking has never been considered a good habit, even for mothers who aren’t breastfeeding. Smoking cigarettes can increase the risk of sudden infant death syndrome (SIDS) and breathing issues in children leading to asthma.

5. Parsley and Sage

Though many women may not have seen any problems with parsley and sage, their intake may be low compared to women who noted a drop in milk production after eating parsley and sage.

6. Fish high in mercury

Fish is a rich source of omega 3 fatty acids, but Breastfeeding mothers should avoid fish high in mercury at all costs.

Even in small amounts, Mercury can travel via breastmilk and harm the baby’s brain and nervous system. Fish heavy in mercury is tuna, swordfish, mackerel, orange roughy, ray, shark and ling.

7. Wheat

Wheat-based food is nutritious, but it is not suitable for everyone, so it is critical to check how the baby is responding. Wheat-allergic babies may experience digestive problems, such as rashes, bloody stools, and fussiness.

8. Junk Food

Eating junk food once in a while will not harm you or your baby, but overeating junk food can harm the baby’s health. Mothers may put their children at risk of obesity and overeating as junk food contains high saturated and trans fats.

A Concluding Note 

It is always best to test the food you eat, especially when you are breastfeeding. If you suspect your child has a food allergy, speak with your specialist immediately.

Depending on the intensity of the reaction, your healthcare practitioner may suggest avoiding a probable food for two to three weeks to see if it’s the real culprit behind the baby’s discomfort.

To know more about what to limit and what to love when you are breastfeeding, visit CK Birla Hospital or book your appointment with Dr Seema Sehgal, a leading obstetrician and gynaecologist in Gurgaon.