Categories
Health Problems & Solutions

Some Health Quaries & Answers

Bundle Of Joy:-

Q: My grandmother wraps up children in a bed sheet all the time so that they cannot move. She says it makes them sleep better.

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A: She is following an ancient practice called “swaddling”. This involves wrapping the baby so that its hands and legs are inside the sheet. Newborn babies sleep better when they are swaddled as it makes them feel they are still in the womb. But this should be discontinued after 10-14 days as the baby needs to move its arms and legs freely to grow and develop normally.

By-pass surgery :-
Q: I am a 58-year-old woman. I underwent hysterectomy at 40. Of late, I’ve been developing a vague chest pain while climbing stairs. I consulted a cardiologist. He did an angiogram and said I had triple vessel block and advised immediate by-pass surgery. A second surgeon, however, said that since I had well-developed collaterals, there was no need for surgery now. He advised revaluation with a stress test every year.

A: I would go with the more conservative approach and not of the knife-happy surgical team. If your collaterals are well developed, you can probably continue indefinitely without a problem. You need to make sure the collaterals stay patent by walking an hour a day on level ground and maintaining your ideal body weight.

Vitamin deficiency :-
Q: I feel very tired all the time. My muscles pain and I cannot eat any spicy food. I went to a physician who prescribed a battery of tests. Finally, he said I had vitamin D deficiency, anaemia and vitamin B12 deficiency. I am only 37.

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A: Vitamin D deficiency is common in India and much of the time it goes unrecognised. It may occur because of our lifestyle (remaining indoors) or it may be a genetic problem. A lot of research is being carried out. The deficiency makes the bones weak and this is reflected as muscle pain.

The stomach contains some cells that are essential for the body to bind and absorb vitamin B12. If those cells are damaged or wasted away, you will not only develop intolerance to spicy food but also adequate amounts of vitamin B12 will not be absorbed. Vitamin B12 is essential for red blood cell formation. That is why you are anaemic.

Your doctor will be able to treat all of this with medical supplements. Once your body responds, your symptoms will disappear.

TV and chips :-
Q: My niece is 10 years old. She is 150 cm tall and weighs 50 kg. I think she is fat. She watches cartoons all day and eats potato chips. Please advise.

A: Being fat or thin is a perception which may be incorrect. You need to find her ideal body weight using the calculation 23 x 1.5 x 1.5 = 51.75 (height in metre squared multiplied by 23). As per the calculation, if you have measured her height correctly, she is not overweight. On the other hand she may have no muscle mass, poor posture and a general round appearance. She does, however, need to curtail her television viewing, stop snacking and become physically more active.

This often involves a change of lifestyle for the whole family. Children learn a great deal by watching their parents and other family members.

Anti-obesity pill :-
Q: I want some tablets to lose weight. All this advice about diet and exercise really depresses me. Exercise makes my body ache and diets make me hungry.

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A: Weight gain and loss are usually gradual processes. When we gain weight, we are probably unaware of it until our clothes become tight and people make unkind remarks. Very rarely do people weigh themselves regularly. For many, maintaining the ideal body weight involves a lifetime of concentrated effort.

Try to control your total calorie intake. Say no to second helpings and avoid fat-filled snacks. Jog, walk or run for an hour every day. That way your body will utilise the food you consume more efficiently.

There are no “weight control” tablets. There are appetite suppressants but they have been banned in India as well as abroad as they were found to cause dangerous, non-reversible, life threatening side effects.

Taking thyroid hormones to increase your basal metabolic rate or steroids to “bulk up” is equally dangerous. Some advertised commercially available weight loss supplements contain these.

Pregnancy puff :-
Q: I have wheezing. I think it’s asthma. I am now pregnant and my doctor switched me from tablets to inhalers. Are they safe for the baby?

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A: Inhalers deliver the medicine direct to your lungs which will help you stop the wheezing. Tablets, on the other hand, enter the bloodstream and go all over the body, including the lungs. Many also cross the placenta and reach the baby. Your doctor is right — inhalers are better.

All answers are given by Dr Gita Mathai , a paediatrician with a family practice at Vellore. Questions on health issues may be emailed to her at yourhealthgm@yahoo.co.in

Source : The Telegraph ( Kolkata, India)

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Featured

Five for Fitness

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Most of us are born healthy and usually remain so with minimal effort till around 20. After that, our body starts to fall apart — like an old, unserviced machine — unless some effort is made to maintain the inherent fitness levels.

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The recommendations vary from walking an hour daily (ideal) to 30 minutes three days a week (just about enough to scrape along). Despite doing this, people develop stress, bad posture, arthritis, diabetes, abnormal lipid profiles, hypertension and heart attacks. That’s because they are unaware of the other components of an ideal fitness regimen, the need to simultaneously develop “core strength”, flexibility, strength training and balance.

People are bombarded by adverts of gyms and expensive exercise equipment. The latter may target specific muscle groups to produce a six-pack abdomen and bulging biceps. Most people do not, however, have the time to go to a gym regularly. As for fancy equipment, it usually starts to gather dust after a short period of activity.

Corporate gurus talk about maintaining core strength, and employees take to meditation, religion and prayer as they try to maintain their inner fortitude. Actually, in fitness terms, strengthening the “core” means exercising the muscles deep within the torso, the abdominal muscles, those of the back and pelvic floor. The core is a group of muscles, so a balanced approach is needed to work them all. All body movement is powered by these muscles. A strong back and fit abdominal muscles are needed, or else it results in poor posture and back problems. These muscles work together to support the spine when we sit, stand, bend over, pick up things and exercise. In sum, they are the body’s epicentre of power and balance.

Dancers and yoga practitioners do exercises that give them strong core muscles. They are thus fitter, have better postures and more energy than their peers in old age.

Core training can be done at home. It requires just 20 minutes thrice a week. The exercises are regularly taught as part of yoga and Pilates. CDs and books are also available. Proper demonstration will enable you to do them correctly.

A simple, effective core workout routine which covers all the basic muscles includes the plank exercise (balancing on the toes and forearms), the side plank (where you balance on one arm and leg), push-ups, squats, cycling in the air and lunges. All movements need to be held for 20 seconds at a time. Repeat five or six times.

Strength training does not involve heavy weight lifting. The muscles of the arms legs and lower back can be effectively trained using 1kg weights. This can be done with an iron or aluminum baby dumbbell (available at sports shops). You could even fabricate one by filling a 1-litre plastic bottle with water. The movements are similar to those in a school PT drill. Doing this regularly will slowly and surely build up muscle power.

People often do not give enough importance to flexion training of the muscles. If you don’t do anything more stressful than slow walking, your calf muscles may contract and eventually become tight. They can then restrict the range of motion at the knee and ankle resulting in eventual injury. All the groups of muscles in the body need to be stretched to their limit but there should not be any pain. Stretching is taught in yoga. The exercises are also demonstrated on the Doordarshan sports channel. If you discontinue the activity, benefits are lost in three or four days.

Balance becomes more and more important with age. Training for balance involves standing on one leg at a time with the arms stretched out. Once you are able to do this with ease, try doing it with your eyes closed.

A common misconception is that exercise tires you out. On the contrary, it improves stamina and the ability to perform day-to-day activities. Several studies have shown that it reduces cortisol levels and therefore improves mental strength and reduces stress.

To be effective, exercise training needs to balance the five elements of good health. The routine should include aerobic activity, muscular fitness, stretching, core exercise and balance training.

Sometimes fitting in an exercise schedule with all these components becomes difficult. Try getting up half an hour earlier in the morning to complete the routine. Regular exercise will improve balance and posture and reduce the risk of injury, lifestyle diseases and arthritis, leading to a long, healthy and happy life.

Source : The Telegraph ( Kolkata, India)

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Categories
Exercise

A Little Plank Movement Does a Lot of Work

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If you are familiar with performing a traditional elbow plank, try this new variation for an extra challenge to your core muscles. Just remember to make your movements very small in order to keep it safe and effective.

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Begin on all fours. Position your elbows directly below your shoulders and place your hands and forearms flat on the floor, shoulder-width apart. Straighten your legs behind you. Balance on your toes and forearms as you bring your hips down to shoulder level. Keep you knees straight and press your heels back. Pause for two breaths.

On an exhalation, contract your abdominals and use your core muscles to raise your pelvis a few inches higher. Pause, continuing to hold your abs firm to support the weight of your pelvis. Slowly lower your hips back down to shoulder level and pause. Repeat this small movement three to six times. Release by bending your knees and sit back on your heels to rest. Repeat the entire exercise one more time.

Source : Los Angeles Times

 

Categories
Exercise

Going to the Wall

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The wall can be an excellent prop when practicing yoga poses or other stretches that require balance and strength as well as flexibility. It helps you feel stable so you can get in the proper position to gain maximum benefit from the exercise.

Stand approximately 3 feet away from a stable wall with your back toward the wall and your feet together. Bend forward at the hips and place your fingertips on the floor directly below your shoulders. (Place your hands on two yoga blocks if you cannot reach the floor.) Place your left foot flat on the wall at hip height, with your knee and toes facing the floor. You may have to adjust to make sure your right ankle is below your right hip. Inhale and look forward, sliding your shoulders down and away from your ears.

Exhale and focus on keeping your hips and legs stationary. On the next inhalation, rotate your ribs, chest and shoulders to the right. Reach your right arm upward, with fingers pointing to the ceiling. Look toward your right thumb. Pause for three to six breaths in this position, feeling a deep stretch in your back. Return your right hand to the floor, change legs and repeat on the other side.

Source :Los Angeles Times

 
Categories
Pediatric

Breast Milk Storing

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As a general rule milk can be stored at room temperature for 4-6 hours, in a refrigerator for up to 8 days, in a refrigerator freezer for up to 3 months and in a deep chest freezer for up to 6 mon or  12 months in a deep freezer. If you are using breast milk storage bags, be sure to get all the air out of the bag before sealing it to prevent freezer burn. Thawed breast milk must be used within 24 hours and must be refrigerated until use. Never refreeze breast milk.
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It’s very important to remember to chill your breastmilk before freezing it. Do NOT stick it directly into the freezer before it’s spent a few hours in the refrigerator.

The kind of storage you use for your milk comes down to how you plan to use it. If it’s stored for occasional use, meaning your baby is almost always getting nourishment straight from the breast, then using the plastic storage bags designed for breastmilk storage is fine. If your baby is generally being nursed from a bottle of expressed milk, as in a daycare situation, you may want to use glass bottles, as the live antibodies in breastmilk tend to stick less to the sides of glass then they do to plastic.

If you pump more in a single day you can add to your supply. If you already have milk from the same day in the freezer you can chill freshly expressed milk and add it directly to the bag that you’ve already frozen – this can only be done for same day expressions.

When warming frozen milk there is one major rule – NEVER put in on the stove or in the microwave! Microwaving destroys the antibodies in human milk and that’s one of the major reasons for breastfeeding in the first place. First thing is to remember to defrost the oldest milk first. Milk in glass bottles is best thawed in a bottle warmer. For milk stored in storage bags take it out of the second storage bag with the written information on it and either run it under warm tap water or place it in a bottle warmer.

Once your milk is warmed to the proper temperature you can pour it into the feeding bottle. Human milk is not homogenized so the fat does separate. NEVER shake human milk – always gently swirl it to mix it.

Milk thawed from the freezer can be stored in the refrigerator for up to 24 hours but remember to NEVER reuse milk that has already been in a bottle your baby has sipped off of. If you thaw 6 ounces of milk and pour 4 ounces into a bottle for baby, you can save the other 2 ounces in the refrigerator. But once the bottle has touched your baby’s lips you can only keep that milk for about an hour, due to the bacteria.

Freezing breastmilk kills some of the beneficial antibodies but is still better then formula feeding. Fresh breastmilk, either milk directly from the breast, freshly expressed or refrigerated is best, but frozen breastmmilk is still a safe and better choice for baby.


Resources:

http://www.ehow.com/how-does_5188825_long-breast-milk-stored-fridge_.html
http://www.helium.com/items/620559-how-long-breastmilk-can-last-in-the-freezer

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