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December 15, 2016 By Dr Darshana Salve 1 Comment

Do You Really need an Antibiotic??

Pills

It’s December and with the slight nip in the air or with temperatures dropping come to all common illnesses like fever, cold, cough, sore throat, body ache etc. It’s a very common sight to find most people self-medicating with antibiotics. Every second person knows about it from the previous prescription or just by walking into the chemist’s store voicing their symptoms and getting their strip of antibiotics, like Azithromycin, Erythromycin, Amoxicillin, Cefuroxime, Cefixime etc. But, I really doubt if these people even know what antibiotics are and what they are used for!

Most of the people have this notion that it is a magic pill for common ailments like cold, cough, fever.  Also, most are of the belief that with one or two doses of these tabs, they will be immediately cured of their ailment.

Well yes, I would say it is a magic pill but only for BACTERIAL INFECTIONS! Not all cold , cough, fever are due to bacterial infections, many a times its of viral infections which are self-limiting and needs to be controlled with paracetamol, taking rest and antibiotics have no role in treating viral infections.

So what are Antibiotics?
Antibiotics are powerful medicines that fight bacterial infections. When used properly, antibiotics save lives. They either kill bacteria or keep them from reproducing. Your body’s natural defenses can usually take it from there.
Common viral infections that do not benefit from antibiotic treatment include:

  • Cold
  • Flu (influenza)
  • Most coughs
  • Most sore throats
  • Some ear infections
  • Some sinus infections
  • Stomach flu (viral gastroenteritis)

Frequent and irrational use of antibiotics can cause Antibiotic resistance. Antibiotic resistance occurs when an antibiotic has lost its ability to effectively control or kill bacterial growth; in other words, the bacteria are “resistant” and continue to multiply in the presence of therapeutic levels of an antibiotic leading to treatment complications and increased healthcare costs.

In spite of growing awareness of antibiotic resistance in recent years, overuse still occurs for a number of reasons:

  • Doctors may prescribe antibiotics before receiving test results that identify the actual cause of infection.
  • People who want quick relief from symptoms, regardless of the cause of illness, may pressure doctors for antibiotic prescriptions.
  • People may take antibiotics over the counter or via the Internet for self-diagnosed illnesses.
  • People may take antibiotics that are leftover from a previous prescription.

Consequences of Antibiotic resistance

  • More-serious illness or disability
  • More deaths from previously treatable illnesses
  • Prolonged recovery
  • More-frequent or longer hospitalization
  • More doctor visits
  • More-expensive treatments

“Then what do we do to get better”, patients ask??

Antibiotic Stewardship is the answer for this problem which is basically the appropriate use of antibiotics.

Many hospitals and medical associations have implemented new diagnostic and treatment guidelines to ensure effective treatments for bacterial infections and reduce inappropriate use of antibiotics.

The public also plays a role in antibiotic stewardship. You can help reduce the development of antibiotic resistance by taking the following steps:

  • Use antibiotics only as prescribed by your doctor.
  • Take the correct daily dosage and complete the entire course of treatment.
  • If for some reason you have leftover antibiotics, kindly consult your Doctor before self-popping as they might not be the correct antibiotic.
  • Never take antibiotics prescribed for another person.
  • Don’t pressure your doctor to give you an antibiotic prescription. Ask your doctor for advice on how to treat symptoms and look into Lifestyle options for better prevention.
  • Practice good hygiene.

As for viral infections like common flu, we can fight it by building our immunity by modifying our lifestyle for the better. Eat right, exercise often, de-stress and make sure you sleep well to give your body the much needed rest.

So let’s bid adieu to 2016 on a healthy note and a pledge to Stop Antibiotic Resistance!

December 13, 2016 By Urvashi Sareen 19 Comments

10 health care tips for a shift worker

vegi-protein

Shift workers as we know them are people who work through the night. But, ideally, it is not so. Anyone who works outside a steady 9 to 5 schedule is considered a shift worker. Working in shifts has become more prevalent in the last few years thanks to the numerous BPOs that have started across the country. Anyone working in shift goes through serious psychological and physiological changes that give rise to health issues

Working in a shift can have a serious impact both in the short and long term. Short term symptoms are equivalent to symptoms faced by individuals who have had a long flight, or a late night at work these include Gastrointestinal symptoms like upset stomach, nausea, diarrhea, constipation, and heartburn, Increased risk of injuries and accidents, Insomnia, decreased the quality of life and general feeling of being unwell.

Long-term effects are much serious and these include cardiovascular diseases, diabetes and metabolic syndrome. A Japanese study found that shift workers — specifically, those who worked 16-hour shifts — had a 50% higher incidence of diabetes than those who work during the day for normal hours.Metabolic syndrome is a combination of high blood pressure, high blood sugar, obesity, and unhealthy cholesterol levels. These lead to diabetes, heart attacks, and stroke. Apart from these individuals working in shifts are prone to obesity, mood swings and depression and serious gastrointestinal problems. 

Here are 10 healthcare tips for individuals working in shifts:

  • Take an hour or so to relax after work, whether it is day or nighttime. Relaxing music or a warm bath will help.
  • Eat meals at the same time each day seven days a week. This schedule helps maintain the body’s clock.
  • Eat high protein foods (egg whites, peanut butter on crackers, roasted nuts etc) to keep you alert. If you simply must eat some sweets, which tend to make you sleepy, do so at the END of your shift.
  • Avoid drinking alcoholic beverages before bedtime. Although the sedative effect helps you fall asleep, it tends to wear off in 2 – 3 hours and causes disturbed sleep in the latter half of the night.
  • Avoid coffee, tea, colas, and other caffeine drinks, which interfere with sleep. During a coffee break, drink orange juice and walk around. Physical activity promotes wakefulness.
  • Avoid going to bed on an empty stomach. If you don’t feel like eating much, try a glass of milk or dairy products, which promote sleep.Keep the temperature in your bedroom cool, not cold.
  • Darken bedroom or wear comfortable eyeshades. Eyes are sensitive to light even when the lids are closed, preventing you from falling asleep or getting consolidated sleep.
  • Block out daytime noises, which can disturb deep restful sleep. Use comfortable sponge ear plugs or “white noise” electrical devices such as fans, air conditioners, or a quiet tape.
  • Exercise, at least, every other day AFTER sleep. Daytime sleepers should avoid early morning exercise, which can promote wakefulness during the day.
  • Beware of certain medication. Avoid prolonged use of sleeping pills and other sedatives, which interfere with normal sleep patterns. Beware of cold and allergy medications which have sleep-related side effects. Pseudoephedrine (Sudafed) has a stimulating effect and antihistamines (Dristan) can cause drowsiness.

Follow these tips and bring a permanent shift in your lifestyle. Get healthy and fit.

December 8, 2016 By Farzana Chauhan 1 Comment

Health Benefits of the Wonder Spice Cinnamon

Cinnamon sticks and powder on wooden table. Selective focus

Cinnamon, an aromatic spice, is obtained from the inner bark of a tropical evergreen tree belonging to the laurel family. This hot and sweet spice does not only add a special flavour to different cuisines but also helps in combating health conditions such as diabetes, cancer, stomach flu, cold, cough and tooth decay among others.

Let us have a detailed look at the benefits of Cinnamon.

Type 2 Diabetes: It has been proved time and again that cinnamon helps in controlling blood sugar levels and is thus beneficial for Type 2 diabetes patients. Researchers state that cinnamon bark contains potassium, manganese, chromium, copper, calcium, iron iodine, phosphorus, vitamins A, Bi, B2, C and zinc that help in preventing and curing diabetes.

As per a study published in the Journal of Diabetic Medicine, the blood sugar levels of the participants who had cinnamon supplements showed greater improvement as compared to those who had the standard diabetes medicine.

Stomach Flu: Stomach infection can give you sleepless nights. While pain killers may give instant relief however doctors advice against these as they may cause adverse side effects. Cinnamon, known for its strong anti-bacterial properties, is an effective way to cure this condition. The strong anti-bacterial properties of this wonder spice helps in destroying the Salmonella, Campylobacter and Escherichia coli bacteria that cause stomach flu. Cinnamon also works faster as compared to other natural herbs.

Cancer: Cinnamon is also known to prevent cancer. Researchers claim that cinnamon extracts limit the growth of various kinds of cancer including melanoma cancer, colorectal cancer, cervical cancer and lymphoma cancer. It is said that this super spice interferes with a protein that aids the tumors in establishing blood supply which is imperative for their growth.

Weight Loss: Regular consumption of cinnamon helps in thinning your blood and improving blood circulation. Proper circulation of blood in the body boosts your metabolism and thus helps you lose weight. However, studies show that coumarin, the ingredient that mainly helps in thinning the blood is found in large amount in cassia cinnamon and regular and high dose of this particular ingredient is not good for your liver.

Cold and Flu: One of the most common problems, especially during the changing season, cold and flu may also be prevented with the consumption of this aromatic spice. It is the anti-bacterial and warming properties of cinnamon that help in fighting against this ailment.

Besides these, cinnamon also helps in curing arthritis, heart disease, irritable bowel syndrome, depression, Parkinson’s disease and boosts concentration power.

How to Have Cinnamon?

It is best to boil a few cinnamon sticks in water for some time and add some honey to it. You may even add ginger to it to make it more effective. Various brands sell cinnamon tea however it is better not to go for these as they have artificial flavourings and very little anti-bacterial properties.

It is also recommended to go for Ceylon cinnamon and not Cassia cinnamon which is readily available at the retail stores. This is because cassia cinnamon contains high levels of coumarin which may damage the liver.

 

November 22, 2016 By Shimpli Patil 2 Comments

Preparing for a 50 km Trail walk – What you need to remember and do

Marathon walking

Walking is one of the easiest things one can do. We all do it every day. But how does it feel when I say let’s walk 50 km in 18 hours! “Are you kidding me?” That’s exactly how I reacted when I came across the 50 km Trail Challenge. It is indeed a crazy bet!!

I have been into dancing and fitness for years. But, I never wanted to stop at just being fit. There has always been a kind of restlessness within me, an unreasonable desire to try out something new that I would remember for life and proudly tell my grandchildren about. That’s when I decided to push my limits and test my endurance and willpower, and there was ‘No way’ I could say a ‘No’ to this breath-taking Challenge – A 50 km Trail Challenge.

Apart from training, there are 2 most crucial things that we need to pay special heed to.

Nutrition and Hydration

Let’s check out what we need to do before, during and after the trail walk.

  • NUTRITION BEFORE THE TRAIL WALK (3 days prior)-

We need to keep our Glycogen stores ready. Glycogen is nothing but a storage form of Glucose (energy), which disintegrates to release glucose in the bloodstream when body demands energy.

The only way to build up the glycogen stores is to Carbo-load our body 3 days prior to the event (exactly how the marathoners do). Many people consider it as a “golden opportunity”. That’s simply because we have all the liberty to relish the foods which are otherwise considered “fattening”. You might think I am joking, but we need this to blow up our glycogen reserves, which would ensure sustained energy supply during the event.

It’s a complete carb-treat for 3 days! We need to have a mix of complex and simple carbs. We can enjoy Rice, Rotis, Potatoes, Sweet Potatoes, Fruits, Dry Fruits, Breakfast Cereals (Oats, Cornflakes, Wheat flakes, Muesli), whole wheat bread with Peanut Butter, Daliya (broken wheat), Idli, Dosas, Biscuits, Noodles, Whole Wheat Pasta, Spaghetti, Nachos, Tortillas. Go for tomato sauce in pasta/spaghetti/nachos instead of cheese sauce. Foods with cheese is acidic which might just slow down our body.

Acidic body equals to less Oxygen to the cells. Thus, along with carb-loading, we also need to make sure we keep our body alkaline. Oxygen breeds in an alkaline medium, and our cells need maximum Oxygen during this period. Quick ways to ensure alkalinity- Grab a glass of lemon water twice a day or simply sprinkle lemon over your food before you eat or go for a bowl of sliced cucumber during lunch and dinner. Stay off Naans and Tandoori rotis. Most importantly, we need to stay miles away from the road-side food or unhygienic food as we don’t want to fall ill few days before the event or ever.

  • HYDRATION BEFORE THE TRAIL WALK

3 days prior, we need to double our water intake. If you drink 3 litres on a regular basis, you got to drink 6 litres now. This is just to make sure our body cells are well hydrated and well energized.

  • NUTRITION DURING THE TRAIL WALK

Surprisingly, you don’t feel very much hungry during the walk as your primary focus is on walking and completing it. Now that doesn’t mean you should forget to eat. We need the sugar boost, we need the food! Carry dry munchies with you such as dry fruits, nuts, khakras, biscuits, cookies, rice puffs or wheat puffs, roasted chanas, peanuts, fox nuts (makhanas), soya nuts, energy bars, etc. and munch on them at regular intervals not only for energy but to prevent acidity and headache caused due to large meal gaps.

When you halt for breakfast/lunch/dinner, make sure you aren’t loading your body with too much food. It might just make you sluggish and sleepy, making it difficult for you to get going again. Ensure that you effectively follow the ‘Portion Control’ mantra rather than going overboard with eating.

  • HYDRATION DURING THE WALK

Though we don’t feel the hunger, our thirst center is very much active and we need to quench our thirst at regular intervals. It’s important that we don’t GULP down water but patiently SIP it.

Apart from plain water, we also need electrolytes (Sodium-Potassium) to prevent cramps/spasms while walking. Carry a small 250 ml bottle filled with ORS (electoral/ glucon D/ enerzal/ lemon water with salt) and make sure it lasts for the 10 km distance, which means we need not even over consume the electrolytes. Remember, moderation is the key.

NUTRITION AFTER THE TRAIL WALK

Now this feels Wow! It’s time to celebrate! It’s time to rest and recover. Along with carbs, we now need adequate good quality proteins as well.

Look out for a good mix of carb+protein in your meals-

Milkshakes or Fruit Smoothies, Paneer Roll or Paneer toast, Hummus with Pita bread, roasted Chicken or Chicken gravy with bread/rotis, Yogurt sprinkled with crushed nuts/chopped fruits/pumpkin seeds/sunflower seeds, Sprout Chaat with chopped veggies, Egg and Cheese toast, Grilled Fish with Boiled Potatoes and Salad, Bean rice (Rajma-Kidney Beans) with curd.

These are a few ways of ensuring that your muscles are well treated with proteins for recuperation and that your body is fuelled with a good power supply (carbs).

HYDRATION AFTER THE TRAIL WALK-

You can get your water intake back to normal, but make sure it doesn’t go below 3 litres.

12 glasses or 3 litres is what our body needs to stay hydrated even on a regular basis.

So folks, gear up for the Mega event of your life, feel the rush and say it out loud- “BE THE FORCE!”

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