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Sleep Series: Sound NOT OK Please! Everything You Need To Know About Sleep Apnea

Sleep Apnea

Good sleep is ironically referred to as Sound Sleep. While “sound sleep” is Ok, sleep with “Sound NOT OK please!” Snoring is the “Lead Indicator” for sleep apnea. 30% of Males and 15% of females snore. Most of the male snorers beyond age 40 have a high chance of Sleep Apnea. 

During sleep, the body parts relax and for few of us, the muscles around the air passage – throat and tongue – collapses (relaxes) and obstructs the airway. This: 

  • Stops flow of air to lungs 
  • Breathing stops
  • Oxygen level in the blood goes down – less than 90%, Co2 rises
  • Brain detects the low level and URGENTLY REACTS! 

The brain sends signals to wake up, but to the collapsed parts only (normally the person still continues to sleep – hence he just does not know the issue) and then the cycle continues. 

During Apnea, there are complex harmful hormonal reactions in the body: https://www.hopkinsmedicine.org/news/media/releases/more_evidence_untreated_sleep_apnea_shown_to_raise_metabolic_and_cardiovascular_stress 

Sleep Apnea kills slowly! Sleep Apnea unleashes Diabetes and Hypertension and lethargy of course, among a myriad of other diseases. I first noticed that I may have apnea since I felt very sleepy in office meetings. That they were boring is another reason, but I felt sleepy in ALL meetings! I was tired and lethargic.

How I Tackled Sleep Apnea 

My “sound sleep” was like a Lion’s Roar! I heard my recordings – first it was my wife who talked about it, then even my sons, who sleep in the adjacent room. That’s the time, coincidentally, GOQii folks were discussing sleep apnea, CPAP machines, etc. There was a free polysomnography (sleep test) going on offer and I grabbed one. The results confirmed a mild version of apnea and I promptly purchased a Philips APAP (more advanced than CPAP) machine.

I struggled to get used to sleeping with a face mask but as I got used, the benefits were telling! I invariably woke up fresher, singing a song and ready to Carpe Diem. I was more attentive in meetings (asking even tougher questions) and then the health benefits began pouring in – my hypertension plummeted, and the quantum of medicines dropped – my overall quality of life improved

The reason why I shared my personal story bit more elaborately:
I had a sleep problem that resulted in 

  • Low productivity
  • Stress and strain as I worked hard to compensate for the low productivity
  • Irritability due to poor sleep – bad 360 degree feedback
  • I was taking more coffee to stay awake – resulting in further loss of sleep – caught in a vicious cycle (read caffeine and sleep here)
  • Suffered from an avoidable hypertension issue for at least 15 years and took all kinds of beta blockers resulting in even deadlier side effects
  • I HAD NO CLUE and sadly NOT EVEN MY DOCTORS
  • NO doctor EVER asked me ANY questions about my snoring or sleep quality – NOT a comment on the Doctors, but on the system, treat for the “symptoms” that we narrate.

Therefore, YOU ARE ACCOUNTABLE for your HEALTH!  

  • Talk to your body, understand the signals (language of body) it is sending – even better, measure it regularly
  • In Mumbai, I found just two sleep doctors on Google – I consulted with one of them.  (Just 2 for Maximum City? No wonder Mumbai is a city that does not sleep)
  • I read Matthew Walker’s book on Sleep, read many blogs and watched many Videos
  • Used CPAP Machine, understood its readings, correlated with GOQii Smart Vital readings and made corrections to lifestyle
  • Invested in upgrading my bedroom
  • Experimented with a few foods (next/last blog) and adapted what was suiting me
  • Then, finally decided to share it on LinkedIn, because that is my community 

Summary

  • Sleep Apnea is MORE common than what gets detected and treated
  • Sleep Apnea is not just a health problem, it is the biggest killer of productivity – HR Folks, note this!
  • Low productivity results in even more hard work for knowledge workers 
  • Responsible for ALL MAJOR lifestyle chronic illnesses like Diabetes and Hypertension
  • If you feel sleepy in the office before lunch, then watch out, you may have sleep apnea whether or not you snore ( feeling a bit sleepy during the second half is ok)
  • If you are over 40, then I strongly advise you to consult a sleep doctor and take a polysomnography test. Make it part of the Master Check Up
  • If you snore, then do not wait, get yourself tested for apnea

Modern CPAP and APAP machines are fantastic. They are as comfortable as they can get and they give you a comprehensive MIS on your sleep the next day. More importantly, they have high quality air filters, which filters pollutants and smaller dust particles – that’s an added benefit! 

We hope this article on Sleep Apnea helps you! Watch out for the next and final article on the Sleep Series by Srini. For more on sleep, tune in to LIVE sessions by experts on GOQii Play. 

To get your GOQii subscription, download the app or click here: https://goqiiapp.page.link/wssu

#BeTheForce 

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How to Disinfect Your Home To Stay Safe During The Pandemic

disinfect your homeWith the coronavirus pandemic showing no signs of abating, it’s up to us to do everything we can to slow its spread. This means protecting ourselves, our families, and those around us, especially the most vulnerable. While social distancing is the most important thing that you can do in this regard it is also important to pay more heed to hygiene. Sanitization and disinfection of your home and surroundings is something that you can actively do to lower the risk of contagion. Although contact with contaminated surfaces is not the primary mode of transmission of COVID-19, it can increase your risk. According to the US Centers for Disease Control and Prevention (CDC), contact with contaminated surfaces is a likely secondary mode of infection. Before you attempt to clean and disinfect your home in panic, take a breath and calm down. To effectively disinfect your home and lower the risk of coronavirus infection, find out which products work, how you should use them, and which areas of your house require your attention.

Disinfectants and Cleansers to Sanitize Your Home

Not every cleanser is effective at killing microorganisms like the coronavirus and some are only effective for bacteria or weaker viral strains. Here are the different categories of cleansers.

  • Bleach: If you’re looking to thoroughly disinfect and kill any pathogen in your house, nothing’s more effective than sodium hypochlorite – the active ingredient in bleach. Bleach is so effective as it destroys the protein and RNA, which is the defining feature of any virus. When cleaning with bleach, make sure to follow package directions and leave it on the surface for at least 10-15 minutes before mopping or wiping down.
  • Surgical Spirit or Ethanol: is one of the most powerful disinfectants you can find. It is therefore a common ingredient in many of the best disinfectants and sanitizers. From research, we know that ethanol can kill most types of coronavirus in about half a minute of exposure. It works in the same manner as bleach, destroying the virus’ RNA. When using surgical spirit or any ethanol-based cleanser, you simply need to moisten a cloth with the solution and rub it over the surface area. The point is to apply the solution over the area, not to rub it or wipe it off, as such liquids evaporate rapidly.
  • Surface Wipes: Depending on the type and quality of surface wipes, efficacy of such products can vary. Many contain antiseptics like benzalkonium chloride, which can kill germs, while some may also have natural antiseptics. The main benefit of such products is that they can help physically remove pathogens from surfaces, but they are unlikely to kill the virus itself.
  • Hand Sanitizers: are extremely useful for disinfection, especially for personal hygiene when you are forced to step outdoors and come in contact with surfaces. Hand sanitizers can also be used to clean household surfaces if needed. They are so effective because of the same primary ingredient in surgical spirit – ethanol. If you are looking for natural or herbal sanitizers, these should also contain alcohol to have any efficacy. An Ayurvedic herbal sanitizer would probably list the alcohol as prasanna or madya.
  • Soap and Water: As stated by health care authorities across the world, soap and water is your first defense against the virus. This is true with hand washing, but there’s a caveat. Almost all soaps and detergents will simply help to remove the virus and allow it be flushed away with water. However, these products will not kill the virus. This means that soaps and detergents, although helpful for hand washing, are not of much use when disinfecting household surfaces.

CAUTION

When using chemical-based disinfectants and cleansers like bleach, you need to exercise great caution. Bleach and other chemicals can be toxic if ingested or inhaled and can also cause severe skin and eye irritation. Make sure to use gloves and ensure good ventilation when using these products. If you’re using herbal Ayurvedic cleansers with ingredients like neem and aloe, this isn’t a concern at all.

When using bleach, make sure to dilute it precisely as directed and avoid mixing it with any other products as this can be deadly. Also keep in mind that bleach isn’t suitable for cleansing all surfaces as it can damage or discolor some surfaces.

Areas of Focus When You Disinfect Your Home

1. Household Surfaces
Because of the relative novelty of the COVID-19 virus, there is a lack of extensive research, but we are learning more each day. Studies show that the coronavirus has different survival times on different surfaces. Plastic and stainless steel surfaces deserve the most attention when you disinfect your home, as the virus could survive on such surfaces for up to nine days. On the other hand, paper and cardboard surfaces were found to be most inhospitable to the virus, with survival times of no more than a day.

Keeping this in mind and the efficacy of the various disinfectants that we have already discussed, you should focus on cleansing the following areas in your house.

  •       Kitchen and cabinet counters
  •       Door knobs, door handles, door bells, and all switches
  •       Remote controls, keyboards, joysticks, and other frequently used devices
  •       Laptops, tablets, and phones
  •       The outside of your wallet or bottom and handle of your purse
  •       Mattresses, cushions, and other upholstery that cannot be washed frequently may be cleansed with disinfectant sprays

2. Things You Bring into Your Home
Despite the lockdown and social distancing measures, trips to the ATM, grocery store, or pharmacist can be unavoidable. When you return with groceries and other supplies, you need to be aware of the risk of surface contamination. Every item that you purchase and bring into your home, from the packaging to the individual items, is handled by a chain of people – the employee who stocks the shelves, the cashier, and other customers who may have handled the product before.

This makes the cleansing and sanitizing of all things you bring into the house more important than other household cleansing. Wipe the surfaces of all bottles, cans, plastic bags or boxes, and other containers with disinfectants like sanitizer before you put them in your cabinet or fridge. For the same reason, it would also be a good idea to put your clothes to wash with detergent each time you enter your home. Similarly, it would be a good idea to cleanse your car’s steering wheel, dashboard, and door handles each time you return home.

We hope this article helps you disinfect your home and stay safe during the COVID-19 pandemic. For more useful information, you can check out Healthy Reads or tune in to experts on GOQii Play. 

Ayurvedic cleansers are available on the GOQii Health Store within the GOQii app as well. 

#BeTheForce 

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All You Need To Know About Irritable Bowel Syndrome (IBS)

irritable bowel syndrome

Irritable Bowel Syndrome (IBS) is an umbrella term for a long standing functional (relating to the function of) gut disorder that affects around 1 in 10 people worldwide. It is more common than you may think. It has now been recognized as the most common debilitating gastrointestinal disorder in the general population globally.

Classically, IBS manifests as abdominal pain or discomfort, that is relieved by passing stools or is associated at its onset. With an alteration in the stool frequency (either an increase or decrease) or a change in the appearance of the stool (to either loose or hard). There is still a lot that is being researched about this disorder, and although there is currently no cure, we can still manage the symptoms and live a quality full life!

What Causes Irritable Bowel Syndrome? 

While the main causative factors of this disorder are uncertain, it is considered to be caused by a play of numerous physical as well as emotional factors. Physical factors being lack of physical activity, improper dietary habits and poor sleep quality, coupled with a number of emotional stressors and impaired mental health. Research has shown that those who endure extended periods of stress, anxiety and depression, are more prone to experience IBS related symptoms & vice versa. However, people who consume high doses of antibiotics or antidepressants, are more likely to experience this symptom complex.

What Are Its Symptoms? 

The symptoms of this disorder vary individually. They can range from constipation, diarrhoea, bowel movements that are alternating between constipation and diarrhoea, bloating and abdominal pain/discomfort. Symptoms can be exacerbated on intake of certain foods and drinks, called ‘triggers’ or on days that the individual is experiencing poor sleep or excess mental pressure.

Note: If you are experiencing any other symptoms such as unexplained weight loss, blood in the stools, a prolonged change in bowel movements for 6+ weeks or have a family history of bowel cancer, consider consulting your General Practitioner.

How Can It Be Managed? 

Diet and Lifestyle

  1. Keep a Symptom diary to help identify potential trigger foods
  2. Practice Mindful eating: Eat slowly without any distractions like television or mobile phones
  3. Yoga and Physical Exercise can help reduce stress and some symptoms. It also aids in maintaining a healthy weight status.
  4. A varied diet is the key to microbial diversity. Having a balanced meal with foods from different food groups helps maintain gut microbiota
  5. Limit fruits to 3 portions/80g a day. This is because of the fiber profile of fruits that may interact with gut mobility
  6. Probiotics may improve symptoms, yet an individualised approach is needed

Food and Drinks

  1. Avoid long gaps between eating. Regular meal timings and controlled portion sizes prevent symptoms from exacerbating
  2. Consume lots of fluids, approx 6-8 glasses a day. However, limit fizzy drinks
  3. Spicy foods can irritate the gut lining, especially if used with highly flavoured ingredients such as too much onion and garlic. Limit them! 
  4. Caffeine should be reduced to less than 3 cups a day (tea/coffee)
  5. Reduce Alcohol intake to 30-60ml or even lesser per week
  6. Resistant Starch is seen to exacerbate symptoms. Reduce the intake of cooked and cooled carbs like frozen pizza/cold pasta, day old boiled potatoes, etc. or refined wheat flour products like bakery products 

We hope this article helps you manage Irritable Bowel Syndrome. Do leave your thoughts in the comments below and share this article with someone who needs to read it! For more on living a healthy lifestyle, check out Healthy Reads or tune in to LIVE sessions by experts on GOQii Play. 

To get the right guidance for lifestyle issues such as IBS, Subscribe or Renew your GOQii subscription now: https://goqiiapp.page.link/wssu

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How To Survive The Heat With A Mask On

survive the heat with a mask onWith the pandemic gripping the whole world, every small step we take towards prevention is an essential one. Wearing a mask is one such effective way of halting the pandemic. When a healthy person wears a mask, it acts as a wall of defence against the virus that is floating in the air. On the other hand, it’s not very comfortable and gives some people rashes too. In the hot summer weather, due to wearing a mask, moisture gets built up under a mask, which irritates the skin. However, it may be less common for people who are wearing cloth masks compared to healthcare workers wearing less-breathable surgical or N95 masks. Just to help in this extreme weather, I am sharing some ways to survive the heat with a mask on. 

Surviving the Heat With a Mask On 

  1. Choose the right fabric: Masks are made out of using a lot of different material, so If you want to be comfortable wearing a mask during summer, make sure it’s something that feels soft against your skin. Always go for lighter, soft, breathable cotton material, which can help you to avoid chafing, heat rashes, keep your face cooler and absorb sweat when you wear them.
  2. Try a mask made with Bamboo material: As it absorbs 3 times the amount of water as cotton, ideal for people who sweat often on the face. Secondly, while engaging in physical activity, a face-covering made of bamboo fabric may be a smart choice. Although, they are slightly more costly as compared to cotton masks. 
  3. Masking up without makeup: Makeup is very irritating under some kind of covering. It clogs the pores and contributes to acne breakouts and rashes on the face. As per skin experts, a bit of moisturizer is fine (preferably with some SPF), if you plan to go out in the daytime.
  4. Keep a spare mask: On increasingly hot and humid days, pack multiple masks because when you’re outside with the mask on, that mask has a limited lifespan. Changing masks is the better remedy if you feel your mask is getting icky and sticky. Just make sure that you follow all safety guidelines when changing outside, avoid the crowded areas, prefer changing inside and sanitize the hands before swapping your mask.
  5. Time management: It’s better to avoid going out during the hottest parts of the day. Try to stay at home if possible but If you feel it’s necessary to go out for some important errand then stay well hydrated, carry an umbrella to safeguard your face from the heat and direct sunlight, take frequent breaks in the shade.
  6. Check the fit always: Your mask should be somewhat snug on your face but shouldn’t be so tight that it’s uncomfortable or difficult to breathe through. So, use the mask which always has adjustable ties, which would be probably much better as every face shape is different. Adjustable ties have the potential for a more comfortable fit.
  7. Avoid dark colour masks: To avoid overheating in the hot sun, lighter coloured masks are also a better choice. This is because ultraviolet rays from the sun are easily absorbed by materials made using darker colours, which will cause them to heat up faster.
  8. Use clean masks: The best way to prevent germs from lingering between uses is to wash the mask after each use in hot water and dry it on high heat. If needed, masks can also be ironed as an additional way to kill germs.

We hope this article helps you survive this ungodly heatwave with a mask on. Let us know your thoughts in the comments below! Ensure that you stay safe. Your best bet to beat the pandemic is to follow the WHO guidelines. 

For more summer health tips and tricks, check out Healthy Reads or tune in to LIVE sessions by experts on GOQii Play. 

#BeTheForce 

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