A Detailed Insight on Symptoms of Piles

This condition is classified into two types which are:

  • Internal Piles: The internal piles occur within the rectum are not painful due to lack of sensing nerves. At times, it collapses and protrudes outside anal sphincter, which appears like moist pads of skin. This prolapsed haemorrhoids and can be treated with laser surgery for piles.
  • External Piles: The external piles are present in the anus and thus can be more uncomfortable. When this prolapses outside (due to the movement of stool) they become visible. Blood clots occur on them, leading to a painful stage known as thrombosis. When the external piles get thromboses it turns from pink to blue and could even bleed.

What Are The Causes of Piles?

An individual at any age can be the victim of piles. It is a common diseases, that affects over 50% of the people at some point or the other. However, they are usually seen during pregnancy or elderly age, when the haemorrhoids become weak. No matter what the cause behind this condition might be, getting the best piles treatment is of utmost importance.

The four situations that increases the chance of developing piles include:

  • Chronic Constipation
  • Ageing
  • Hereditary factors and
  • Pregnancy

In chronic constipation, excess pressure is applied on the rectum making the veins push against the wall of anus, resulting into feeble and weak anus muscles. This ruptures the haemorrhoids which bleeds making stools even tougher to eject. It is often accompanied with pain and sensitivity. In case of ageing, the tissues present across the lining area get less supportive and affect the haemorrhoids veins.

Similarly, in pregnancy the pressure of baby lying in the anus and rectum breaks the veins and causes piles. Other than that, in certain cases people have inherited weakness at the anal region that makes them prone to this condition.

Know More About the Symptoms of Piles

It must be noted that the symptoms of pile do vary and is influenced by the cause and nature of the condition.

Some of the common signs that are often faced by people are:

  • A feeling of hard lump at the anus region. It is usually coagulated blood that is often seen in external piles.
  • Bright red blood comes out after bowel movement
  • Discharge of mucus when bowels pas
  • A feeling of having full bowel, even after going to the toilet
  • Area around the anus turns sore and red and
  • Itchiness and inflammation at the affected area

A good practice is to consult with a doctor immediately when you come across at least two or more signs of piles.

Nail Care for, Men? Of Course!

It is often assumed when people mention nail care, that the recipients of such services would be women. Beautiful day spas continue to spring up all over America. These luxurious retreats offer women an escape from their hectic lives and offer some much deserved pampering. Sure, we may see the occasional advertisement for a “couples” massage or maybe even a “male” day at the spa. But when it comes to feet, many people imagine women with beautiful healthy nails polished in exquisite colors and designs.

So what do we do about the large percentage of men who simply need a safe and comfortable place to have their feet and nails professionally cared for? We can’t ignore the needs of thousands of men who are, in fact, perfect candidates for foot and nail care. Nearly 50% of people over the age of 60 have experienced onychomycosis, or toenail fungus. Once this infection takes hold, it can be very difficult to treat. Nails become yellow, thickened and brittle, often requiring the tools and expertise of a medical professional to treat.

Many men have difficulty maintaining good nail care because they cannot reach their feet. Hip and knee replacements are some common reasons, as are arthritis and back pain. Clipping one’s own nails when vision or balance problems exist could become a safety issue. Safety should always be a priority in cutting one’s nails since the possibility of nicking oneself could result in infection. This is especially important for diabetics, where progressive infection could lead to amputation.

Some men have painful corns and calluses which can interfere with their activity level. Regularly reducing rough areas of the feet, adding cushioning to susceptible areas, and moisturizing the feet daily, will delay the return of calluses. This will enable one to continue enjoying an active lifestyle.

Nail care for men needs to become the norm rather than the exception. Those who maintain healthy feet and nails are able to continue to participate in their favorite activities, and have fewer complaints of foot pain.

Some seniors reach a point where they think it is too late for foot care. Please know it is never too late. If you feel embarrassed by the condition of your feet or nails, please schedule a visit to have them cared for by your health care provider or foot care nurse. It will be the first step in a healthier you!

The Best Health Benefits of Aloe Vera

There are many health benefits of aloe Vera:

  • Treating skin disorders
  • Promoting wound healing
  • Fighting allergies
  • Maintaining healthy hair and scalp
  • Treating teeth and gum disorders
  • Reducing inflammation and pain
  • Promoting healthy immune system

Elaborating further, aloe acts as a deep skin moisturizer, increasing collagen and reducing pigment formation. It cleans the skin by removing bacteria and also nourishes it. By eliminating dead skin cells, scars, wrinkles and blemishes are eliminated.

The aloe plant is very effective for cuts, boils, abscesses, cold sores and skin ulcers. The impurities are drained out and the natural healing process of the skin is sped up.

Because of allergies, pain and itching occur and aloe Vera acts as an anti-allergenic substance, allowing the body to deal the harmful substances.

Deep penetrating actions by aloe allows nutrients to access the scalp. It soothes scalp itching and the dead skin cells are discarded allowing new growth which combats dandruff and seborrhea infections.

The active aloe ingredients reduces inflammation of the gum and rids the mouth of pain. Mouth sores and surgical wounds heal better with the application of aloe gel.

Pure aloe also reduces body inflammation and pain by externally and internally attaching the symptom. As a juice it treats symptoms of IBS, indigestion colitis, peptic ulcers and even excessive stomach acid.

Because of its wide range of vitamins and minerals, aloe Vera is the best immune system stimulant. It creates in the body a better defense against viruses and bacteria and allows the body’s own healing abilities to tackle foreign substances.

A word of caution, Aloe Vera is not to be used as a substitute for genuine medical emergencies. A doctor should always be consulted prior to using aloe Vera especially if you are pregnant or have been diagnosed with diabetes or gall bladder problems.

Electronic Medical Record (EMR) Pros and Cons

Within the last few years there as been an aggressive push on the part of government, professional organizations, and other authorities to institute a uniform EMR system. This includes generous subsidies allocated by recent legislation and mandatory legal requirements to occur in the next few years. As a practicing and academic physician with a masters degree in public health, I would like to briefly note some observations.

Intuitively, a uniform, easily accessible EMR seems like a very good idea. In fact, one of my major difficulties in practice occurs when a new patient arrives without copies of previous diagnostic studies or lists of medications. This is compounded in an incapacitated or elderly individual with many medical conditions and medications, and when there is a language barrier. Such patients may have great difficulty, or be incapable of, relaying this information to the new physician. To go online and immediately retrieve it would be very helpful indeed.

However, in these days of lower reimbursement and higher practice volumes, time spent imputing information may be time spent away from patient care. You may have experienced a visit where your doctor, using an EMR, has his eyes and hands on the computer much more than on you. I personally have accompanied relatives to physicians and emergency rooms where the doctor spent almost no time talking to, or examining the patient but instead sat in front of the computer, recording or retrieving information.

Also, these electronic records include templates where “check off” of existing information, rather than recording of original information is involved. This helps improve physician reimbursement by conforming with insurance company guidelines for level of service. It does little, however, to record the doctor’s thought processes or enhance the necessary medical information provided by this specific physician.

Don’t get me wrong. Good information is a good thing. But, it must be good for the patient and not just there to satisfy an insurance company. Also, it must contribute to, not detract from, the overall quality of care.

Why the Earth Your Home is Built on May Be Sick

Many of us spend our hard earned money and our valuable time with alternative health care in hopes of improving our health, mentally, physically, emotionally, and spiritually. However, in our pursuit of good health, we often overlook the important role our home plays in supporting that health.

If we are living in an unhealthy home, then all of our good work is negated and the improvement in our health remains elusive.

The earth your home is built upon may have energetic influences that are sick. That sick energy emitting from the ground may affect your own body’s energetic system by lowering your immune system.

We know through science, that everything is energy and we know that emotions have an energetic charge or signal. If there has been war, death, illness, sadness, divorce, or any other emotional or physical trauma occurring on your home’s property, then the energetic of those experiences may have left an energetic imprint that could be affecting your own body’s ability to heal.

The earth’s energy system of ley lines, geopathic stress – which is the electrical charge created as water moves along earth lines, and electro magnetic pollution emitting from all the electricity we are exposed to, may also contribute in creating an unhealthy home.

Think of it this way: Your body has a meridian system an acupuncturist might balance to help you regain or maintain health.

The earth has a similar system of meridian lines (ley lines, geopathic stress,) running in all directions and your home can act as an acupuncture point on the earth’s energy system.

Sometimes geopathic stress, (the earth’s meridian system) will run through a cemetery, landfill, toxic waste site, or underground water. When this happens the ley line or geopathic stress becomes toxic. Because ley lines and geopathic areas of stress are energy, they can affect everything they come in contact with. These toxic lines can radiate up from the earth and into your home.

This means, if your home is built on unhealthy toxic areas of geopathic stress, it can become an unhealthy environment for you to live in. Just like your body’s meridian system, the earth’s meridian system can be cleared and balanced bringing your home back to a state of health which can then support your pursuit of health and well being.

What Are Centers of Excellence at Hospitals?

When I first began researching information on various hospitals across the United States, I came across many hospitals that offered a variety of Centers of Excellence. I was curious as to what constituted a Center of Excellence as opposed to just listing a program as a specialty service, so I decided to research this as well.

What I found out was that a Center of Excellence essentially means that a hospital specializes in the treatment of a certain illness or specializes in particular treatments. Centers of excellence can be anything from heart or cancer care to neurosurgery or organ transplants. Some hospitals offer a variety of Centers of Excellence whereas other hospitals might just offer one or two.

It was more difficult to find out how a hospital was able to claim the distinction of having a Center of Excellence. From what I could gather, each individual program and treatment has particular criteria that needs to be met in order for the hospital to state that their program is a Center of Excellence. They might require that the treatments be performed by a certain type of doctor or that a certain amount of treatments are performed annually.

I also found that different health care programs and health insurance programs will also designate a program of a hospital as a Center of Excellence based on their own criteria. This might mean that they are more likely to recommend this hospital as opposed to another hospital. They do this as a service to the patients who have their insurance to help them make an informed decision about which program is right for them. If you have a question about a particular hospitals Center of Excellence designation, you should ask them about how they received the designation and who gave it to them.

Regenerative Medicine and the Thymus Gland

In the field of modern medicine, debilitating musculoskeletal injuries are becoming less of a threat to long-term vitality thanks to advancements in knowledge of the body’s own intrinsic recuperative mechanisms. Now, increasing awareness about the body’s own healing processes has revealed a vital but still poorly understood regenerative mechanism initiated by the thymus gland. While still undergoing extensive study, clinical research has revealed its function in physiological protection and regeneration. Proteins produced by the thymus gland play key roles in rehabilitation and recuperation from all types of musculoskeletal injury.

Thymus proteins are produced naturally by the thymus gland early in life, with most production ceasing before the onset of puberty. Also referred to as Tβ4, they exhibit a myriad of cellular functions that assist the repair and recovery of wounded tissue. These include the enhancement of new blood vessel formation (angiogenesis), cell migration, stem cell differentiation, and gene expression. When the body suffers a physical injury (for example, a torn quadriceps), these proteins are found in greater concentrations near the wounded area, where they facilitate healing through the aforementioned mechanisms. Clinical studies have shown them to consistently facilitate the healing and recovery of damaged bodily tissue.

For instance, a 1999 study published in the Journal of Investigative Dermatology found that the thymus gland accelerates wound healing through the process of angiogenesis. Researchers observed that treated subjects’ wounds contracted by a minimum of 11% more than control subjects’ wounds by the one week mark. Though the study was conducted on rats, the researchers concluded that the thymus gland was a wound healing factor with multiple activities.

Further, a 2014 study in the Journal of Orthopaedic Research showed that the thymus gland was able to enhance bone fracture healing in mice test subjects. The study found that treated mice had a 41% increase in peak force to failure and had up to 26% more new mineralized tissue than the control group. Importantly, researchers noted that the findings of their study indicated that thymus proteins played a key role in the healing of bone fractures.

Moreover, additional studies have demonstrated that thymus proteins have potent anti-inflammatory effects as well. A 1999 study published in Nature Medicine sought to explore the action mechanisms of Tβ4 as anti-inflammatory agents. After the study’s conclusion, researchers noted that the thymus may have far-reaching effects on the body’s inflammatory processes.

Certainly, research on the thymus gland’s healing mechanisms may have a beneficial impact on our knowledge of the body’s regenerative processes. Again, though still in the early phases, clinical study to this point has shown the thymus gland to be a key part of the body’s natural recuperative mechanisms. Currently, several research centers are invested in further clinical study to yield greater knowledge of the thymus gland.

Is Your Health Portfolio Balanced?

We are all aware of the need to balance our financial portfolio so that in times of hardship or when disaster strikes — stock market drops, pink slips, etc — we will be affected by financial challenges as little as possible. Having a substantial bank account allows us many opportunities that people with lesser financial savvy and preparation must for ego.

Perhaps you are at a “comfortable” financial level, able to pay off bills and credit cards timely, and have enough disposable income to enjoy a good quality of life. Perhaps you enjoy an “extremely high” financial level, with unending “toys”, travel when and where you want, and other opportunities for the “good life”. Either way you are able to handle sudden financial challenges and able to take advantage of financial opportunities as they come your way. Feels good, doesn’t it?

But what about your health portfolio? When faced with challenges such as a cold, flu season, children’s ear infections, etc. do you just accept them as part of life? What about when disaster strikes in the form of a serious health challenge to you or a family member. Is your health bank account equipped to fight back?

In the United States, the average age of disability (when quality of life becomes so poor that you need help for daily activities of living) is 65 years old. Modern medicine is providing miracles in keeping us alive longer — increasing our “lifespan”. But what about the quality of our lives? If we want to continue our “health span” along with our “lifespan”, it is imperative to raise the level of our health bank account as well as balance our health portfolio.

If you think the cost of health care has gone through the roof now, wait until the majority of baby boomers reach the “age of disability”. Now is the time to take a serious look at your own health bank account and ask “Do I have all the energy I need each day?”, “What is my ‘cushion’ in case of serious illness?” and “Does my health portfolio need balancing?”

Ethical Dilemmas Doctors Have to Confront

The ethics and professionalism in medicine are of core importance when it comes to the role of the physician in his code of conduct.

With the great prestige and nobility in this profession comes the great responsibility in doctor’s hand, as they have to go through quandary in situations when it comes to cases like euthanasia, abortion, making a decision of who even makes it onto a waiting list for organ transplant, quick and life-changing decisions, psychological pressure from the loved ones of the patient, the patients family blame the doctors if the patient is unable to make during surgery, they should understand that death is imminent and the doctors do, whatever they can to save a life.

The doctor must explain the procedure to the patient and give him full information about the benefits, risks, positive and negative effects, leaving up to the patient to make the choice about undergoing the surgical procedure. The doctor should not perform the surgical intervention, only taking into consideration his personal gains and benefits. His first priority always has to be the patients’ health and to act in the best interest to protect the patient from any kind of harm. The doctor should be impartial when it comes to the selection of deserving cases and their needs, and on the basis of their degree of sickness.

The one of the most important and foremost ethical concern is taking an informed consent. Informed Consent is taken in advance from the patient, it is an agreement or a gesture to permit the doctor to have his medical history, undergo examination procedure, diagnosis, treatment, and intervention. The patient should be competent, well aware; mentally and emotionally stable. In some cases, the patient in spite, of his serious condition, refuse to agree with the intervention or surgical procedure, where then doctors have to make a decision for the welfare of the patient.

The information of the patient can only be breached if:

  1. himself asks the physician.
  2. In the case of children, the information is conveyed to the parents; as they are very
    young to handle their condition.
  3. There is a need of the help of the healthcare team in solving the case. Whether, the disclosure is for the criminal investigation of crime or harm to others, assault case, protecting the vulnerable; such as in child abuse case.
  4. For research purposes but only as anonymous and after taking consent from the patient.
  5. When it comes to public interests it may be breached when a patient has a highly contagious disease such as tuberculosis; the doctor has to inform the patients family so that precautionary measures can be taken. If the patient has a sexually transmitted disease, let’s say HIV which is a communicable disease, the doctor may disclose his disease to his partner in order to protect from the risk of getting the disease.
  6. State registries where officials keep track of cases like diabetes, cancer, HIV/AIDS, Alzheimer disease, Amyotrophic lateral sclerosis, and many other diseases.

It is the duty of the doctor to act in his best interest while dealing with a case, abide by the principles in common clinical situations, and work in the beneficence of the patient and do no harm in the treatment procedure.
The common ethical conundrums that doctors’ have to face in their course of profession:-

1- Euthanasia:

Euthanasia or physician-assisted suicide is considered as one of the supreme problems when it comes to ethics of patients treatment. The decision of euthanasia by the patient or his family is made in order to reduce the suffering of the patient in his terminal sickness. It can be voluntary or involuntary. When the patient makes a decision, it is voluntary. When the physician makes a decision it is involuntary. However, may it be voluntary or involuntary, it is unethical.

The World Medical Association issued the following declaration on euthanasia:-

“Euthanasia, that is the act of deliberately ending the life of a patient, even at his own request or at the request of his close relatives, is unethical. This does not prevent the physician from respecting the will of a patient to allow the natural process of death to follow its course in the terminal phase of sickness.”

2- Staying within their boundaries:

Doctors have to work long hours, off work, and even operate in odd hours in hospital settings and have to treat patients irrespective of their age, gender, and other attributes. They have to work in coordination with other staff members, the nurses, anesthesiologist, interns, assistants and many related members. Personal relationship or intimate relationship between the doctor and any other member like, his fellow, intern, other staff member is unethical and is prohibited. Patients often offer gifts to the doctors when their treatment intervention has been successful, or when the surgery goes well. It is quite fine, to accept those gifts as long as they are in the form of sweets or bouquet. The patient who brings gifts during the intervention may cause trouble, it may be the sign the patient needs more of the doctors’ attention. The physician should simply show reluctance to such presents and should not accept them by justifying that its’ against the ethics of their respective field.

3- Organ transplant:

Unfortunately, the availability of the transplant organs is far less, than their demand. Doctors have to make a tough decision here, that who will receive the next available organ and who will not, keeping in view the whole scenario, and what criteria is used for determining the donor. The surgeon should opt to give the transplant organ to the deserving patient on the list, on the basis of his health condition.

The physician should be approachable, equitable, able to communicate effectively and compassionately respecting the dignity of the patient regardless of his race, ethnicity, cast, choice of lifestyle. He should be dedicated to his profession, attenuate the pain of the patient by all means, preserving the health and enhancing the quality of life.

Talking To Your Doctor Tips

When you are sick, taking an active role in your health care will get you the best services. You can start by improving your personal relationship with your doctor. Furthermore, you should let your doctor know about your current and past health care. Especially, if you are allergic to some medications, your doctor should know about it. If you have any medicines you are currently taking, you should bring them with you. Don’t forget to bring vitamins, x-rays, medical records, test results with you to the appointment.

Sometimes your doctor may ask embarrassing questions. It is important that you tell your doctor the truth, even if you are embarrassed. Lying to your doctor can lead to serious potential health risks.

If you don’t understand something, you should ask. Some people are afraid to speak up. You doctor will assume that you understand everything, if you do not ask questions. You should write down the questions in a piece of paper, if you have questions before the appointment. If you need more time to talk to your doctor, you need to let them know. If your doctor is busy, a nurse or a physician assistant may be able to help you. If everyone is busy, you should schedule another appointment to answer your questions.

If you can not remember all instructions from your doctor, you should write down your instructions. Some people use a tape recorder. Your doctor may even have brochures or other education materials for you. Ask you doctor for his/her contact’s information.