Bleeding During Catheterization of Male Urethra I was called at 10.30 PM to attend a case of bleeding from urethra following urethral catheterization in a semiconscious male, admitted to the medicine ward. I went and saw a healthy male in sixties bleeding from urethra. The foley's catheter, a narrow silicon tube used for draining the retained urine was […]
A Common Blood Pressure Lowering Drug Verapamil may Slow Or Reverse Diabetes A common medication for high-blood-pressure and angina, verapamil, a calcium channel blocker has been seen to protect or reverse diabetes-related death of pancreatic beta cells, those responsible for secretion of insulin; according to a University of Alabama at Birmingham study publ […]
Initial Study Links White Rice Consumption to Type II Diabetes Mellitus In a recent study in Asian countries , a possible association between white rice consumption and diabetes has been suspected. The researchers suspect that white rice contributes to diabetes risk because of its high glycemic index (64) when compared with brown rice (55), whole wheat (41), […]
Bleeding During Catheterization of Male Urethra I was called at 10.30 PM to attend a case of bleeding from urethra following urethral catheterization in a semiconscious male, admitted to the medicine ward. I went and saw a healthy male in sixties bleeding from urethra. The foley's catheter, a narrow silicon tube used for draining the retained urine was […]
A Common Blood Pressure Lowering Drug Verapamil may Slow Or Reverse Diabetes A common medication for high-blood-pressure and angina, verapamil, a calcium channel blocker has been seen to protect or reverse diabetes-related death of pancreatic beta cells, those responsible for secretion of insulin; according to a University of Alabama at Birmingham study publ […]
A common medication for high-blood-pressure and angina, verapamil, a calcium channel blocker has been seen to protect or reverse diabetes-related death of pancreatic beta cells, those responsible for... [[ This is a content summary only. Visit my website for full links, other content, and more! ]] […]
My friend in PeerPower.com has sent this message to me requesting for wide circulation.I would like to add a few things a few here.As regards the mask and precautions he is right.But using a mask is better to no use.What I called something is better than nothing.Moreover it will obstruct other secondary bacterial invasion to cause a pneumonia in the already immune compromised patient.It may be helpful to the patient if not to the contacts.Tamiflu is a virostatic drug which will prevent rapid proliferation.I can conclude that confining the less sever cases to home with usual precautions is a good strategy.And sever cases be treated at hospital.
Message:
Dear All
A very logical and constructive solution to prevent you from getting infected with H1N1..Plz share it to all friends and relatives.
The hype in media about the utility of face masks and N95 respirators as a tool for general protection against H1N1 can’t be deplored enough. Please realize that this is not an official advice, especially the one about face masks or N95.
·Most N95 respirators are designed to filter 95% particulates of 0.3µ, while the size of H1N1 virus is about 0.1µ. Hence, dependence on N95 to protect against H1N1 is like protecting against rain with an umbrella made of mosquito net.
·Tamiflu does not kill but prevents H1N1 from further proliferation till the virus limits itself in about 1-2 weeks (its natural cycle).
about 1-2 weeks (its natural cycle).
H1N1, like other Influenza Aviruses, only infects the upper respiratory tract and proliferates (only) there. The only portals of entry are the nostrils and mouth/ throat. In a global epidemic of this nature, it’s almost impossible not coming into contact with H1N1 in spite of all precautions. Contact with H1N1 is not so much of a problem as proliferation is.
While you are still healthy and not showing any symptoms of H1N1 infection, in order to prevent proliferation, aggravation of symptoms and development of secondary infections, some very simple steps – can be practiced:
1. Frequent hand-washing (well highlighted in all official communications)..
2. “Hands-off-the-face” approach. Resist all temptations to touch any part of face (unless you want to eat, bathe or slap).
3. Gargle twice a day with warm salt water (use Listerine if you don’t trust salt). H1N1 takes 2-3 days after initial infection in the throat/ nasal cavity to proliferate and show characteristic symptoms.
Simple gargling prevents proliferation. In a way, gargling with salt water has the same effect on a healthy individual that Tamiflu has on an infected one. Don’t underestimate this simple, inexpensive and powerful preventative method.
4. Similar to 3 above, clean your nostrils at least once every day with warm salt water. Not everybody may be good at Jala Neti or Sutra Neti (very good Yoga asanas to clean nasal cavities), but blowing the nose hard once a day and swabbing both nostrils with cotton buds dipped in warm salt water is very effective in bringing down viral population.
5. Boost your natural immunity with foods that are rich in Vitamin C (Amla and other citrus fruits). If you have to supplement with Vitamin C tablets, make sure that it also has Zinc to boost absorption.
6. Drink as much of warm liquids as you can. Drinking warm liquids has the same effect as gargling, but in the reverse direction. They wash off proliferating viruses from the throat into the stomach where they cannot survive, proliferate or do any harm.
Happy breathing!
Urine Culture Showing E.Coli a common bacteria causing urinary infection.
The burning sensation and severe urge for urination is very much distressing for of a patients of urinary tract infection.Urinary tract stretches right from the kidneys to the urethra.Any part of it may get infected.It is mostly bacterial in origin.But may be due to TB,Sexually transmitted agents and other systemic diseases.Infection may come from local surroundings or from systemic infection. The proximity of urethra to the anus makes it vulnerable to contact infection from the bacterias present in faeces.It affects females more as the urethra is short i.e. only four centimeters in comparison to males where the length of urethra is nearly twenty centimeters. Once infection sets in there is fever,burning urination ,scanty frequent urination and painful urge for urination.Infection may complicate an already existing urinary stone disease.Or may set in an anomalous urinary passage.It may also set in a disease condition causing stagnation or obstruction to urine flow i.e. enlarged prostate or stricture of urethra.
Diagnosis is not that difficult if proper history is taken.Mainstay of investigations rest on a routine and microscopic urine examination,a culture and sensitivity test to know the type of infection and appropriate antibacterial agents required .Investigation like ultrasonography is done to rule out any other associated or facilitating diseases.Other blood tests to know diabetic and kidney status are also performed. In ladies a little prolonged antibacterial treatment is needed as compared to the males where eradication of microbe is a little bit difficult. Diseases complicating urinary infection or as a result of it need to be treated in it own merit.
Measles a communicable disease spreading in air from the patient, usually affects children below 5 ears of age.Begins as symptoms of common cold or flu without a clue to the disease in particular.Around 5th day of fever patient develops rashes first behind the ear ,inside the mouth on on cheek mucosa and gradually spreads to chest and trunk.Patient feels great prostration due to high fever.The characteristic rashes are diagnostic.It may subside without much problem but may become dangerous.The main complications are bleeding from the conjunctiva,respiratory infection,diarrhea ,pancreatitis and much dreaded encephalitis.Here patient has to be hospitalised and treated in isolation.Outcome may become fatal sometimes. Good vaccine coverages is available in single or in combination and should be given around the age of 9 to 11 months.In India measles vaccine is a part of Universal Immunization Programme and provided free. Sometimes some adverse reaction do occur after the immunization and baby should be observed at least for two hours after immunization for immediate reaction. Sometimes measles may affect the immunized but in that case it is in much of it’s minor form called abortive measles. Maintainance of cold chain is the key to successful immunization.But in India measles do occur may be for non immunization of babies for various reasons. So prevention is better than cure.
Typhoid an infection by Salmonella Typhi/Paratyphi of intestinal lymphoid collection also called Enteric fever is transmitted through contaminated food and drink .There are also human carriers of the disease.The disease is characterized by fever of long duration with rigors,cough and great prostration usually fatal if untreated. Diagnosis is based on clinical and Widal test .If treated adequately it is cured .Whether treated or untreated usually in pediatric age group patient may land up in perforation of intestine towards the end of second week or beginning of third week. It is invariably fatal. I have seen patients not doing well many years back.But not seen cases in the recent past perhaps due to advent of newer drugs. Another community problem is healthy carrier status.This occurs due to inadequate treatment of the disease, the bacteria houses in the gall bladder and infects that.Here the asymptomatic patient distributes disease as makes own hands infected . That is why it should be treated adequately.It also remains viable long time in the ice/icecreams made using contaminated water.
A very painful reddish swelling in front and below the ear either unilateral or bilateral with fever and malaise ushers the disease called Mumps.Usually occurs in the childhood but no age is exempt.It is a viral (Mumps Virus) disease affecting the parotid salivary gland, commonly subsides without much sequel. Complications do occur . Most importants being parotid abscess and next is mumps orchitis affecting the testes.The first one can be tackled with drainage and that will invariable cure.But mumps orchitis is to be dealt with urgently by a surgeon starting from support , analgesia to splitting of scrotal skin and outer layer of testes to relieve the tension in testicular tissue.Unless dealt with promptly, if bilateral disease patient may land up in infertility in the later life. Very good vaccines are available to prevent it if given at right time.
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Dr.Prahallad Panda