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The unconquered enemy

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We humans think of ourselves as intelligent and rational. We have successfully evolved, subdued the lower animal species and conquered the world. We could not be more wrong.

The simple, single-celled bacterium has been around longer than we have, and has effectively survived the ice age, floods, drought and the chemical onslaught of antibiotics.

The medical community thought that it had finally conquered bacteria and infectious diseases after Alexander Fleming discovered penicillin in 1928. Doctors couldn’t have been more naive.

Bacteria have offensive, defensive, stealth fighter and commando manoeuvres that no human army can match. They hide in areas like pus, thick layers of skin, bone and cartilage that antibiotics can’t penetrate. They adapt and change faster than a speeding bullet. They are not bound by narrow-minded considerations like race or ethnicity; they join forces enthusiastically with bacteria of other species. When all else fails they copulate, and during the process, exchange genetic material that provides resistance to antibiotics.

Immunisation is a powerful weapon that boosts the body’s own defence mechanism

Unfortunately, human beings are collaborating in this warfare, unwittingly aiding bacterial victory. Fifty per cent of the total antibiotic production is used for animals. Farmers rearing cows, sheep, goats, chicken and fish often use animal feed fortified with antibiotics to keep their livestock healthy. Sometimes the antibiotics are administered as regular supplements. These antibiotics contaminate the environment. The sub-optimal quantities administered to the animals aren’t enough to kill all the targeted bacteria. Genetic mutations occur and resistant bacteria emerge. These eventually find their way into the human community. Treatment with the antibiotic recommended for that particular infection will then fail, requiring more potent and expensive drugs.

Sometimes doctors may be at fault. They may fail to calculate the correct dosage, particularly in case of children where it is based on the body weight. Sometimes the dosage intervals may be incorrect and the next dose is administered later than required, after the drug has been totally eliminated from the body. Also, in the absence of investigations, the chosen antibiotic may be inappropriate for that particular infection. Instructions to patients may be incomplete, without specifications on whether it is to be taken before or after food, as food may help or impede absorption.

Surgery or ICU admissions raise the spectre of post operative infection, although this should not be the case if proper sterilisation techniques are followed. To prevent this, antibiotics are administered prophylactically prior to, during and after surgery. This aids the development of resistance, as the targeted organism may not be the same as the infecting one.

Often patients, too, have unrealistic expectations. They are not willing to accept the fact that antibiotics do not work against viral infections. They find it difficult to follow a “wait and watch” policy. They fail to realise that it is antipyretics (like paracetemol) and not ad hoc doses of antibiotics that reduce fever. They tend to “doctor shop” till they find someone who will prescribe the antibiotics they want.

Diseases that compromise host immunity allow bacteria to gain a foothold and thrive. In such a scenario, higher and longer doses of antibiotics have to be used. Some of these diseases, like diabetes, can be controlled with a little effort, diet control and exercise.

Our drug control policy is somewhat lax. Pharmacies freely dispense unprescribed schedule H antibiotics in irrational combinations OTC (over the counter). Although this is illegal, their activities cannot be faulted, as “supply meets demand.”

As educated responsible citizens, we should not self medicate and perpetuate this menace. Immunisation is a powerful weapon that boosts the body’s own defence mechanisms. As soon as the invading bacteria launch an attack, the sentries and foot soldiers (white blood cells and immunoglobulins) sound the alarm, engulf and annihilate the bacteria. Immunisation is available against diphtheria, tetanus, pertussis (whooping cough), H. influenzae (meningitis, ear infections, bronchitis), Pneumococcus (pneumonia, ear infections, meningitis), Meningococcus (meningitis) and typhoid.

Researchers are trying to discover newer and stronger antibiotics to combat the menace of bacterial resistance. They cost crores to discover and test before they can be finally used. We therefore need to conserve and use what we already have. Once the rate of discovery ceases to keep pace with the mutation in the bacteria, we have lost the battle to the microbes.

So, I strongly believe that people should rely more on alternative therapy like yoga,meditation,herbal medications etc. for maintaining a good health unless there is any medical emergency .

Source:The Telegraph(Kolkata,India)

Categories
Ailmemts & Remedies

Colitis: Inflammation of the Colon.

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Colitis refers to inflammation of the colon .The diseases results from prolonged irritation and inflammation of the delicate membrane, which lines the walls of the colon. Chronic ulcerative colitis is a severe prolonged inflammation of the colon or large bowel, in which ulcers form on the walls of the colon…..click & see

Symptoms:
Colitis usually begins in the lower part of the colon and spreads upwards. The first symptom of the trouble is an increased urgency to move the bowel, followed by cramping pains in the abdomen and sometimes, bloody mucous in the stool. As the disease spreads upward the stool become watery and more frequent and are followed by rectal straining. The patient is usually malnourished and may be severely underweight.

People exhibit a broad range of symptoms depending on the cause of their colitis. Following are some of the more common complaints:

Frequent loose bowel movements with or without blood
Urgency and bowel incontinence
Lower abdominal discomfort or cramps

Fever, lethargy, and loss of appetite

Weight loss in chronic diarrhea and inflammatory bowel disease
People with inflammatory bowel disease also may exhibit the following symptoms:

Eye problems or pain
Joint problems
Neck or lower back pain
Skin changes

Root cause:

One of the causes of the colitis is chronic constipation and the use of purgative. Constipation causes an accumulation of the hard faecal matter, which is never properly evacuated. Purgatives used as a cure only increase irritation. Often colitis results from poorly digested roughage, especially of cereals and carbohydrates, which causes bowel irritation. Other causes of the disease are an allergic sensitivity to certain foods, intake of antibiotic and severe stress.

Causes of colitis may be placed in the following categories:

Infectious colitis: A variety of “bugs” may cause colitis, including these:
Bacteria: Commonly found in food or contaminated water, bacteria may produce toxins that trigger intestinal cells to secrete salt and water and interfere with their normal functions. Salmonella, Shigella species, Campylobacter jejuni, and Clostridium are examples of bacteria associated with infectious colitis.
Viruses: Those such as rotavirus or Norwalk can damage the mucous membrane lining your intestine and disturb fluid absorption.
Protozoa: People infected with protozoa such as Entamoeba histolytica may show no symptoms (carrier state), or they may have chronic, mild, loose, bowel movements or acute severe dysentery. Colitis due to E histolytica, also known as amebiasis, has become an important sexually transmitted disease in homosexual men.
These “bugs” have developed a variety of ways to overcome our natural defenses and ultimately cause colitis.
Radiation-associated colitis: Localized areas of colitis may occur at variable periods after treatment of the pelvic region with radiotherapy.

Ischemic colitis: This disease often affects the elderly. The mechanism of ischemia  massive decrease in the blood supply to the bowel’is not known, but shunting of blood away from the mucosa may be an important contributing factor.

Irritable bowel syndrome: This is a common disorder of the intestine that leads to cramps, excessive production of gas, bloating, and changes in bowel habits. No one knows the cause of irritable bowel syndrome.

Antibiotic-associated colitis: Usually this condition occurs in people receiving antibiotics, but gastrointestinal surgery remains an important risk factor. A bacterial toxin has been isolated from the large bowel of these people, evidence that the disease is related to changes noted in the large bowel and symptoms.

Chronic inflammation of unknown causes, for instance, inflammatory bowel diseases: Two major forms are recognized—Crohn disease and ulcerative colitis. The causes are unknown. But certain features of these diseases have suggested several contributing factors:
Familial: Both conditions are more common in first-degree relatives than in the general population.

Genetic: There is a high similarity of symptoms among identical twins, particularly with Crohn disease.

Infectious agents or environmental toxins: No single agent has been associated consistently with either form of inflammatory bowel disease. Viruses have been reported in tissue from people with inflammatory bowel disease, but there is no compelling evidence.

Immune defense mechanisms: Several alterations in the immune regulation have been identified in inflammatory bowel disease. But none of the altered immunologic findings has been specific for either ulcerative colitis or Crohn disease.

Smoking: Smokers increase their risk of developing Crohn disease twofold. In contrast, smokers have only half the risk of developing ulcerative colitis.

Oral contraceptive pill: Birth control pills have been implicated as a possible cause of Crohn disease.

Psychological factors: There is little evidence relating possible emotional factors as a cause of inflammatory bowel disease. Psychological factors may modify the course of the disease, however, and your response to therapy.

Healing option :(As per Ayurveda)

Diet: Diet plays an important part in the treatment of colitis. It is advisable to observe a juice fast for five days or so, in most cases of ulcerative colitis. Papaya juice, raw cabbage juice, and carrot juice are especially beneficial. Citrus juice should be avoided.

After a juice fast a patient should gradually adopt a diet of small, frequent meals of soft cooked or streamed vegetables, rice, porridge, dalia, and well ripped fruits like banana and papaya. Yogurt and home made cottage cheese. All food must be eaten slowly and chewed thoroughly.

Lifestyle: During the first five days of the juice fast the bowels should be cleaned daily with a warm water enema .A buttermilk enema taken twice a week is also soothing and helps in re-installing useful bacterial flora in the colon. Complete bedrest is very important. The patient should eliminate all causes of tension and face his discomfort with patience.

Ayurvedic
Supplements: 1. Bhuwaneshar Ras 2. Isabbael(H)or Metamucil 3.Kutjarishta

YOGA: 1.Vajrasana 2.The Knee to Chest (Pawanmuktasan) 3.The Shoulder Stand (Sarvang Asana)

HOME CARE:For a mild case of diarrhea, you can manage your discomfort by doing the following:

1. Drink clear fluids such as water, lemonade, light lemon tea, and light soup.

2.Drink at least 8-10 glasses of water and other liquids daily to prevent complications such as dehydration.

3.As your symptoms improve or your stools become formed, start to eat low-fiber foods. Do not eat greasy or fatty foods for few days; for example, avoid milk, cream, or soft cheese.

WHEN TO GO TO DOCTOR:

You should report to your doctor any persistent changes in your bowel habits. If you are already under treatment for inflammatory bowel disease or irritable bowel syndrome, contact your doctor if you experience any prolonged changes or pass blood in your stools. Also see your doctor if you have any of these conditions:

1.Diarrhea lasting more than 3 days

2.Severe abdominal or rectal pain

3.Signs of dehydration such as dry mouth, anxiety or restlessness, excessive thirst, little or no urination
Frequent loose bowel movements during pregnancy

4.More than 1 other person who shared food with you who has symptoms like yours, for example abdominal pain, fever, and diarrhea

5.Blood or mucus in your stool
Progressively looser bowel movements and appearance of other symptoms fever and diarrhea.

6.Fever with diarrhea

7.Pain moving from the area around your belly to your right lower abdomen.

Disclaimer: This information is not meant to be a substitute for professional medical advise or help. It is always best to consult with a Physician about serious health concerns. This information is in no way intended to diagnose or prescribe remedies.

Source:www.emedicine.com and www.allayurveda.com

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Categories
Pediatric

‘Good’ Bacteria Help Kids with Diarrhea

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Supplements containing two different strains of lactobacillus, a bacteria commonly found in yogurt, can help ease bouts of severe diarrhea in children and reduce their hospital stays.

Such treatments, with so-called good bacteria,” are commonly referred to as probiotics. They are thought to work by altering the microbial ecology in the gut of the person who ingests them.

The probiotic treatment cut the amount of time children with diarrhea spent in the hospital. Probiotic-treated children spent 1.6 days in the hospital, on average, versus 2.6 days for the patients given placebo.

And children who received treatment within 60 hours of when their diarrhea began spent an average of 1.7 days in the hospital, versus 3.5 days for kids who received placebo within this time.

The research team also found that children given lactobacillus were less likely to show signs of infection with rotavirus, the leading cause of diarrhea in infants, than youngsters who did not receive the bacteria treatment.

From:The Pediatric Infectious Disease Journal.

Dr. Mercola‘s Comment:

Although one less hospital day may not seem very significant, there clearly was a difference between the two groups. These are the types of studies that traditional doctors require before they adopt these simple measures more broadly.

It is likely that even more impressive results would have been achieved had the babies been put on the eating plan and eliminated wheat and dairy during their infection.

I have seen these probiotics work in many intractable diarrheas in a matter of hours. The trick is to use HIGH doses (which were not used in this study), which likely explains the small difference between the two groups.

Probiotics are the only supplement I advise nearly every patient to start. Once their food choices are cleaned up they can stop taking it. While it is not necessary to take them forever, I do believe it is wise to use one bottle of a good probiotic a year, as most of us are less than perfect with our food choices.

There are probably many other good brands in your local health food store. However, be careful because some brands do not contain what the label claims. A good probiotic will work very well most types of acute diarrhea. I recommend one capsule, or ¼ tsp of the powders, every 30-60 minutes until the diarrhea is gone. It usually resolves in about four hours. These products are quite impressive.

Source:www.mercola.com

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