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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!

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‘She has a dream’- Helping a girl child achieve her dreams

Umeed1000k

 

Umeed 1000K : Ride for a Cause

How often do we spend time doing something for others selflessly…..

A wide range of research has linked different forms of generosity to better health, even among the sick and elderly. Giving to others gives an inner happiness to one while also improving health. That is precisely how Jasmeet Singh Gandhi, a cycling enthusiast and a core team member heading sales and enterprise solutions at GOQii has combined his love for adventure with that of doing good in the society and in the process keeps himself healthy.

Passionate about supporting social causes especially in the areas of education and healthcare, Jasmeet started UMEED1000k, a Cyclothon concept to combine his passion for cycling and social cause. Jasmeet explains, “Umeeed means hope and Umeed 1000k is an annual cycling event where a team rides 1000kms to raise awareness and funds for a chosen cause”

The designer, initiator, and custodian of Umeed 1000K has in the last two years raised over Rs 2 crore to support the various cause by organizing and participating in various social events.

In his third year of Umeed1000k, he is going to ride along with three other riders from Mumbai to Hyderabad in a span of 9 days and aims to collect funds to support Udbhav School, in Hyderabad, with 630+ students till class X. The school provides holistic education to underprivileged children coming from urban slums, with a focus on girl children. The school is managed by the IIM-A Alumni Association. The association intends to set up 7 such across the country.

These children come from families whose average income is Rs 6000 per month and their school feels are Rs 100 to Rs 150 per month. Kids from this school are achievers and have been performing very well in sports. For instance Bhargavi, a student won third prize in All India National Junior Athletics (Running) Competition at Delhi. She has been selected for Asian Games and will be representing India in the year 2018. Similarly, Durga Prasad and Gautham secured 11thand 18th rank in India International Regatta out of total 104 participated from different countries –Dubai, Singapore, UAE, Turkraine, England, Ireland, and Thailand along with few other Indians in this competition.

So far Jasmeet has been able to raise close to Rs 2 lakh for helping a girl child achieve her dreams but he has a long way to go yet. For every donation you make RBL Bank will match that donation for this cause. Here is the donation link: https://www.ketto.org/fundraiser/umeed?utm_source=internal&utm_medium=fbpageshare&utm_campaign=umeed

Prior to raising funds for Udbhav School, Jasmeet did his first ride as part of Umeed1000k in November 2014 from Mumbai to Bengaluru in support of Iksha Foundation, Bangalore to provide for free surgeries to kids affected by eye cancer.(Retinoblastoma) and raised 2.5 million INR.

In December 2015 he cycled from Mumbai to Delhi in support of IIMPACT to provide free primary education to girl children in remote villages. He raised 13.7 million INR for this cause.

It’s not just about doing philanthropy but, much more than that. Giving to others has been shown to increase health benefits in people with chronic illness, including cancer and multiple sclerosis. The one reason giving may improve physical health and longevity is that it helps decrease stress, which is associated with a variety of health problems. Giving to others gives an inner happiness to one.

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DECODING DIABETES

Diabetes-Day

Last month, I had 2 patients on the same day diagnosed with Diabetes- one an overweight 34 year old IT professional and the other a 6-year-old girl. The reason, why this incident comes to my mind today is because they were both diabetics but, had different diabetes and even their course of treatments was different.

But, the first question I was asked in both the cases was whether they will need to be put on insulin injections immediately. Well, this is a common question asked by patients. To understand this condition better, let me try and explain a bit about the different types of diabetes on the basis of which the required treatment is normally recommended.

Diabetes is a group of metabolic disorders in which the person has high blood glucose (blood sugar), either because insulin production is inadequate, or because the body’s cells do not respond properly to insulin or both. Common symptoms of either diabetes are unexplained weight loss, excess hunger, and excess thirst and delayed wound healing.

Today, I would like to take you through specifically 3 major types of diabetes namely, Type 1, Type 2 and gestational Diabetes.

Let’s talk about

Type 1 Diabetes: is caused by a loss or malfunction of the insulin-producing cells in the pancreas, called beta cells. Damage to beta cells results in absence or insufficient production of insulin. Most cases of Type 1 Diabetes have an autoimmune basis in which immune system mistakenly attacks and destroys its own beta cells. These cases are detected either in childhood or teenage years. There are many theories about what causes type 1 diabetes like autoimmune disease, viral infection, genetic predisposition and environmental factors may also play a role.

Whatever be the cause, this missing insulin has to be replaced as insulin is necessary to sustain life. It is responsible for entry of glucose into the body cells from where the glucose is further utilized for energy and other activities. This glucose which is not entering the cells is circulating in the blood which gets detected as high blood sugar. The replacement insulin is administered by injection using a syringe or an insulin pump. Thanks to the invention of Insulin clubbed with a healthy lifestyle, a Type 1 diabetic is able to lead a happy good quality life.

Coming to Type 2 diabetes most often than not your tissues will be resistant to insulin, so the insulin is being produced but unfortunately not being utilized properly. It is the most common form of diabetes worldwide and accounts for 90-95% of the cases.

Insulin resistance in type 2 diabetes means the signal insulin gives to a cell is weakened. This results in less glucose uptake by muscle and fat cells and a reduction in insulin mediated activities inside cells.

Risk factors for Type 2 Diabetes include an Unhealthy Lifestyle (being physically inactive or less active, erratic food and sleep habits, stress), being overweight or obese and importantly family history of diabetes in close relatives.

Diabetes-Risk

We have ample medicine combinations for type 2 diabetes like tablets which keep the blood sugar under control. But if sufficient sugar control is not achieved in spite of oral medications and a healthy lifestyle, then insulin might be required for further management.

Another type of Diabetes I would like to talk about is Gestational diabetes which basically refers to diabetes diagnosed during pregnancy.

Pregnancy hormones can interfere with the way insulin works in the mother’s body which can lead to elevated blood glucose levels during pregnancy. Women are typically screened for gestational diabetes at 24-28 weeks of pregnancy, however, women who have risk factors may be screened earlier.

Risk factors for developing gestational diabetes include having a family history of diabetes, being overweight, or over 28 years old. Blood glucose control during pregnancy is critical as elevated maternal glucose levels can lead to pregnancy complications and pose risks to the health of the baby. Gestational diabetes is likely to recur during subsequent pregnancies.

Gestational diabetes requires specialized treatment for the rest of the pregnancy. After the pregnancy is over, most women will have normal blood sugars again; however, up to 20-50 % can develop type 2 diabetes within 10 years. Regular screening is recommended.

A study conducted on people at risk of type 2 diabetes, it was seen that those who lost just 7% of their weight and exercised about 30 minutes a day cut their risk of diabetes by nearly 60%. In a nutshell, irrespective of the type of diabetes the best prevention or diabetes management strategy is to eat healthy, stay active and keep a check on your weight.

Reference: University of California, San Francisco – Diabetes online Education website.

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Pregnancy- Not by Chance!

048-aerobic-exercises

Whether it is shopping for groceries, clothes, perfumes, appliances etc., we are extremely choosy and want to go for the best. There is no doubt in the fact we would not want to compromise for anything that is not up to the mark. But, sadly, I find that same is not the attitude when it comes to our own body. Whether it is taking care of our body to be fit and healthy or whether it is to take care of it prior to planning a family.

It is very important to realize that one of the pre requisites to conceive a healthy baby is that both the father and the mother must be in the best of health and there are no two ways about it.

Holistic preconception is about nurturing the mind/ emotions, body and spirit to create the most ideal environment for creating and cultivating life. While, much attention is placed on the mother’s health, we know that the health of the sperm is equally important as that of the egg and womb. Precisely why both egg and sperm should be addressed with the intention of increasing fertility and minimizing exposure to toxins.

Prior to starting, both the parents should undergo a complete health check-up (e.g. Medical history, Genetic history, Blood tests- to check for thyroid levels, hemoglobin, Vitamin B12 & Vitamin D, folic acid, Blood sugars). If any medical condition is detected prior, it will only help to correct the situation before conception and reduce the risk of complications in pregnancy like gestational diabetes, gestational hypertension, thyroid disorders and anemia.

Start the regime mentioned below, three months prior to your planned conception and continue it till you conceive.

How to prepare for a healthy conception-

  • Diet– Diet should include folic acid rich food. Folic acid plays an important role in the production of red blood cells and helps baby’s neural tube develop into a brain and spinal cord.

e.g. Vegetables-Cluster Beans (Gavarfali), Spinach (Palak), Lady Finger, Tomatoes, Broccoli, Beetroot, French beans.

  • Curds
  • Cereals/pulses
  • Dry fruits- Walnuts (2), Almonds(4)

Eat unrefined, fresh and homemade food as much as possible.

  • Exercises

Exercise is one of the most important aspects of keeping your body healthy. All exercises improve the blood flow to the pelvic organs, including the male and female reproductive organs which is beneficial to conceiving. (http://goqii.com/blog/excercises-pre-pregnancy-a-good-start-is-half-done/).

Remember  “A mother’s health has direct correlation with her baby’s health” , so the earlier you start, the better.

  • Lifestyle

Stop smoking.  Avoid alcohol completely.  Avoid drugs – both pharmaceutical drugs for chronic conditions and recreational drugs.  Avoid caffeine. Avoid exposure to X-rays and Radiations.

  • Stress

Relaxation techniques – Meditation, massage, or Yoga have been known to help people with stress.

Express your thoughts and worries to your spouse, this will eventually strengthen the bond between the couple & always think positive.

  • Hydration

Water is the simplest method of detoxifying and 2-3 liters are recommended daily.

  • Stopping contraception

Stop hormonal pills and remove intrauterine device (IUD) if any, about 3 months before conception is planned. Use a barrier method (like condom) at this time. Allow a minimum of one normal menstrual cycle between stopping contraception and conception.

  • Dental care

If there are any dental problems (e.g. cavity) get it treated before you conceive. Oral infections are associated with premature labor.

A happy healthy mother is equal to happy healthy baby. Martin Luther once said, “Maternity is a glorious thing, since all mankind has been conceived, born, and nourished of women. All human laws should encourage the multiplication of families”.

May this amazing journey of parenthood begin in a holistic healthy way.

From Terminal Illness To Complete Wellness! Ananda Mukherjee Health Story

As we observe World Cancer Day under the powerful theme ‘United by Unique’ (2025-2027)**, we are reminded that every individual’s journey with cancer is distinct, yet united by shared resilience, hope, and the collective fight against this disease. This theme places people at the centre of care and their stories at the heart of the […]