FOR SENIOR CITIZENS-TIPS TWENTY FOR HAPPINESS IN PLENTY.

Eyes dont see what the mind doesn't,is a dictum in medical world &is applicable to all walks of life.The following tips are given so that senior citizens can take adeqate precaution towards a peaceful,pleasurable,&painless longivity as they go nearer to the fag end of their life.
1)stair case steps:allways beware. you may fall down if you are careless.many people got their bones broken,or got a heart attack,on the stair case.
2)bath room:This is also a suitable place for fractures, dislocations, heart attaks.take care.
3)road crossing :.extreme caution required as you are old,weak physically,hypertensive diabetic,.transient ischaemic attacks(giddiness due to brain blood vessel blocks)cross road only at pedestrian/zebra crossing/ along with other people.
4)avoid travelling alone.
5)never take the risk of going out at night,specially alone.no help will reach you at night,
6)beware of saterday, sunday, holiday.-Availability of medical fecility is least on these days.Many heart attacks are said to occur on these days.
7)Avoide lifting young kids--you may drop them.
8)No alcohol except in your own room.Keep a calling bell in your room,to call others in the house when you are in need of medical help,like chest pain.
9)Amnesia:forgetfulness..you may repeatedly take same medicine due to forgetfulness.If you take anti diabetic drugs repeatedly your blood sugar can come down &you may become unconscious.your doctor can suggest a good solution.
10)Keep your identity allways in your pocket,including phone numbers.
11)Keep instructions in writing in case of eventuality for others to take appropriate action
12)Keep mouth dissolving monosorbitrates allways in pocket.ONE tablet to be kept under the tongue if you get chest pain,unexplainable sweatings ,sudden left shoulder left arm pain-lightning in nature.IF YOU CAN AFFORD KEEP A DOMESTIC DEFIBRILLATOR.Many rich people succumb to heart attacks within minutes.These people may be the bread winner or their serv ices are required at any cost.the concept of domestic defibrillators in well to do families are not yet in vogue, in India..I am sure many precious lives could be saved if only this machine is available within minutes.When a man gets heart attack ,there is no pulse,& no respiration cadio-pulmonary resucitation,(external cardiac massage will be 100% useless.It is a futile attempt &waste of time.D.C Shock(defibrillation)through defibrillator is one &only choice &many times it was found to be successful,in reviving the man or woman.consult your doctor who may appraise you in great detail.Rotary/Lion's clubs can organise this concept.I am willing to do the spade work,if requested.
13)Wheezing in a non asthmatic may be a sign of heart problem(All that glitters are not gold, all that wheezes are not asthma).call for the ambulance quick.
14)Black out experience,may be an indicator of heart attack,or brain blood vessel block,or low or high blood sugar or low or high blood pressure.Call ambulance.
15)Physical exercise is a must till the last day however less it could be.
16)Avoid self driving at nights,specially after alcohol,tranquillisers.
17)Better to have a dog companion depending on living conditions
18)Try to keep half stomach instead of full stomach at nights(heart attacks more in full stomach)
19)Never enter into emotional encounters.YOU CAN NOT CORRECT THE WORLD. DONT POINT OUT OTHERS MISTAKES.YOUR OWN KITH &KIN MAY BOYCOT YOU.
20)KEEP GOOD BANK BALANCE LEST YOU LOOSE RESPECT FROM OTHERS,,INCLUDING YOUR OWN CHILDREN .





&HIGHLY RELIABLEOST USEFUL
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DIARRHOEA IN ADULTS-OFFICE GOERS.

Alternate tittle -- Irritants that increase gastro intestinal motility

Introduction
Adults defecate once or twice a day.Many prefer to have psychological satisfaction only if they visit toilet twice a day at least.When they visit toilet frequently they often put the blame on INFECTION,though it may also be a contributing factor. Listed below are some of the usual causes that go unnoticed for frequent bowel emptying.Any one single cause though is good enough often combination of causes on the same day may result in this disorder. Though all are important sugar intolerance in adults &milk intolerance,may be a common cause next only to hot green chillies which is an important ingredient in all the homes &hotels (specially in non-vegetarian & road side restaurants)

1. Gastro intestinal irritants:1)chillies green/other varieties.
2. black pepper ,cloves.
3. cow's, bufullows milk/coffee/tea+or - smoke cigarettes.
4. hot food.
5. full stomach.
6. junk food fast food ,food taken in a hurry.
7. sweets.
8. fruits specially mangoes.
9. milk&sweets may have a cumulative effect even when taken on alternate day for two weeks in a susceptible individual.
10. frequent hot coffee,tea,with quick puffs of cigarettes smoking
11. wheat/rye/corn protein
    
12. any pickles.
13. office stress.
14. multiple combinations of above on a single day.

SOLUTION

Peptic ulcer syndrome(stomach ulcer)is said to be due to Hurry-burry, curry, worry.Alcohol aggravates ulcer disease.These people will also have small multiple ulcers in the in the stomach &bowel motility.The treatment has to be individualized &need based.Office goers should take a light break fast & should not resort to full meal.All the above listed causes will have to be controlled.Non spicy diet 1/2 of limited meal of hotel food without milk may offer a comfortable feeling.

A sample diet that can cause DEFINITE PROBLEM.

• 6 am:hot coffee with 250 ml of milk
• 8 am: 4-6 iddlies, with chlly chutney/chilly sambar/chilly powder.
• 1 pm full lunch, sambar, rasam, vegetables fish/mutton/chicken,curd rice +pickles,banana-1
• 5 pm :coffee, 250 ml milk, dosai. mango-1
• 9 pm rice, sambar, rasam vegetables curd rice + pickles + rasa gulla(sweets)

This kind of food if taken even twice a week is to cause problems specially in the retiring age group of people.

USEFUL TIPS IN PREGNANCY

Child birth is like collecting honey from ajungle tree.WE HAVE TO TOLERATE IF BITTEN BY HONEY BEES. Similarly immediately after the delivery of the child,the mother's joy is boundless,but to enjoy the fruit of labour,she has to bear certain pains,discomforts,etc.
1)TO AVOID MORNING SICKNESS:
a)Keep taking food in very small quantities,every 15 mts..Dont take break fast in one stretch.Take 1/4 iddly or 1/4 slice of bread every 15 mts
b)take fried vegetablesas salad(no oil please),mixed withskin of citrous fruits-lime,orange.(AMERICAN JOURNAL OF OBTETRICS &GYNECOLOGY)
C)add ginger 1-2 gms dailyfor 4-5 days only.
2) To avoid stretch marks in pregnancy.
Start applying vit E capsone once daily(umbillicus to hip level) &butter in the evening daily on the same spot,till pregnancy is over.This is for prevention only.NO effect on previous scars.
3)To avoid belly protrusion.(post delivery)
a)Eat 50 % less but nutrtious with more protien
b)avoid all oils/ghee/fats/n.v items excepteggs, fish.
No large quantity of food at a time.
d)dont eat rice in the morning
e)physical excercise:sit on the floor with legs stretched in front.lean forwards &touch grat toes,&backwards with hand support.start 20 times morning evening.This will dissolve abdominal fat&increase abdominal muscle tone.
f)abdominal binder at all times except during sleep.
g)measure abdominal girth in centimters &keep the records daily once.Suppose the binder is placed at 100cm today(length of abdominal circumference.Keep reducing 1 cm of the binder length every week &proceed till you can tolerate without discomfort.
If all the above tips are put into practicemeticulously ,there is no failure.
HYPER EMESIS GRAVIDORUM:
when the vomiting of pregnancy is uncontrollabe despite all measures,peple get depressed. some people will advice powerful anti emeticsor tranquilisers available over the counter (india)It may do more harm to developing embryoDo all permutations &combinations as outlined above.This is not a disease,but the body's reactionto the growth of a foriegn body inside(foetus)

BREAST MILK INSUFFICIENCY-FOR NEW MOMS

Introduction:All women who delivered a child invariably makes a complaint thus:"I have insufficient milk to feed my child" or "my baby is having an aversion to breast.He simply turns his face away"Scientists have proven from time to time that these statements are not true.Many mothers expect that breast milk must flow just like bottle milk.THEY OFTEN FORGET THAT BOTTLE IS LIFELESS &BREASTS ARE FULL OF LIFE involving complex mechanism .Those women who are calm quiet,docile type dont encounter such problem.Though the milk may flow from the breasts the switch board to put it on or off is in the brain(hypothalamus).For the first three days or so there is consentrated milk flow(colostrum)(seempaal in tamil)This is highly nutritious &contains lot of materials(gama globulins) that helps to defend the neonates against any harmful germs,and a substance todefend against neonatal diarrhoea(bifidus facter).Apart from cholostrum there will be lot of mucous in the milk ducts causing obstruction.So milk flow insufficiency is very commonin the first week, besides other causes listed below:
1)lack of nutricious(protien) diet
2)ANATOMICAL ABNORMALITY IN THE BREAST,THE MILK DUCTS,NIPPLES)
3)EMOTIONAL DISTURBANCES(anger, easy excitability
4)lack of calm quiet peacefuldark,plasant atmosphere&environement(leave alone mother-in-law problem!)Breast feeding is a tecknic all nursing mother should learnfroma quqlified lady doctor systamatically.The custom in tamilnadu is to give white shark fish(paal sura)(sura puttu)
for nursing mothers to improve or increase milk production.W heather it is true or not it is good for all non vegitarians as it is a good protiencan help produce milk."If there is a will there is milk allways" is a medical dictum.Baby may develope an aversion under the following circumstances.
1)sweat smell from mother's axilla
2)unchanged blouse
3)wet diaper.
4)lack of slight manual breast compression by mother while nursing
5)illness like fever constipation, or any physical irrtationin baby.
6)developing breast abscess due to milk duct obstruction.
SOLUTION:
MILK PRODUCTION IS GOVERNED BY HORMONES.ONCE MILK IS SECRETED IN THE LACTIFEROUS GLANDS,it should flow throughducts,into the nipple&this is controlled by brain for initiating a "let down"reflex for milk to flow freely when the "key opens the lock"at the brain level.The key will open the lock only if the child sucks,sending message to brain to open the lock.So the initiating nervous reflex to let the milk down takes place thus:child sucks--message transmission to hypothalamus--hypothalamus sends message to breasts to allow the milk to flow.

BREAST MILK INSUFFICIENCY-FOR NEW MOMS

SLEEP PROBLEMS IN CHILDHOOD

Introduction:Many behaviours of children are attributable to the kind of sleep they have,because sleep is a central nervous system phenomenon,that influences on the intellectual capabilities.Though the problem can occur at younger age,it is significant only after age 5 when definite signs symptoms can be assessed by doing an I.Q.test.
Following are manifestations of different types of sleep disturbanses:
1)sleep apnea:cessation of breathing for few seconds during sleep.
2)over sleeping(more than for his age)
3)under sleeping(does not sleep more than an our continuously,but may like to sleep repeatedly in the day.
4)dreams;In quiet refreshing sleep there is no dreams which are burried thoughts deep in the unconscious mind trying to surface to the sub conscious mind.
5)REM sleep-rapid eye movement sleep.
6)SEM sleep -slow eye movement sleep.This is wanted &refreshing.
7)sleep walking-somanabulism.
8)Bed wetting in sleep at night( after age 5 for practical purpose)
9)Teeth grinding in sleep (wrongly believed to be due to worms!
10)Narcolepsy (sleeps more in day time &night time.Gets often comulsive sleep
on a sudden onset
11)EEG recordable abnormalities in sleep
12)jet -lag.
SOLUTION:All these disorders are due to a dis turbance in the flow of electrical transmission in an abnormal way,disrupting the normal BIOLOGICAL CLOCK. For every body function there is a biological clock system in the body.For example in jet lag ,we cross 2-3 time zones in a short period,while flying in an air craft for a long distance.So the condition reflex already functioning is shattered resulting in ,head ache,drowsiness,inattentiveness etc.So only way to set right is to go to an experienced pediatritian,or a psychologist.or a specialist in sleep medicine(available in CHENNAI) Psychological counselling,psycho pharmacological drugs are often prescribed by doctors after finding out the causewhich is the hall mark in ultimate management of any illness.

SCHOOL DROP OUTS IN CHILDHOOD

This occurs in the most affluent to most down trodden in the soceity.
Causes:
1)Lack of patterna/maternal controle over children in the 10-15 yr age group.Most vulnerable around age 11 yrs.
2)Lack of supervision when their academic performance falls below average.
3)ACCESS to free flow of money in their hands,which leads to seek extravagent life.Allowing children to return home after 6 pm,even for a single day if it is unexplainable.
4)Allowing children to go to cinema theaters,visit bars,visit places of gambling in the name of recreation clubs.
5)Allowing children to play cards during study time or any other gambling,smoking /drugs loitering around town without any aim.
6)stealing money at home(Not informing husband if mother knows about it)So the charecter is lost in the already indisciplined child
7)Boys outnumber girls ,because they are given more freedom
8)Beating&scolding children unnecessarily.
9)Matrimonial disharmony in parents,diverting their anger on children(very important)
SOLUTION:
All these are fully correctable,provided parents interfere at the right timewith right steps,or bring it to the notice of an experienced pediatritian or psychiatric consultant.It is a pity that these people dont make use of the doctors for such matters.Early &late adolescence are challenging age to parents who should anticipate &seek the help of doctors whenever they suspect that the path chosen by child is not upto mark of satisfaction.50% of all children are potential drop outs unless carefully supervised.Most of such children become appreciable citizens ONLY because of constant supervision by parents ,teachers who guide them now &then &continuously.