This is a case of Morbid obesity. You have ruled out Hypothyroidism. R/O DM HTN too. Adv LSM TLC Diet Exercise Reduction in Weight Cessation of Smoking Cessation of Alcohol. Try all these methods sincerely. Last resort is Bariatric Surgery. Adv Lap Sleeve Gastrectomy OR Roux En Y Gastric Bypass. They yield the best results. But LSM is important even after surgery.
This is a case of morbidly obese. First evaluate the cause of obesity. Rule out genetic or familial history of obesity. Enquire about his occupation whether it is sedentary or not. Enquire is this weight gain is from birth or in the middle ? History is most important in evaluation of cause. Rule out using medications causing obesity such as Antidepressants Anticonvulsants Antidiabetic medication Oral contraceptives Anti hypertensive s steroids Antihistamines rule out hypothyroidism r/o PCOS history of eating pattern coming to the treatment aspect ,there is no short cut to reduce weight. First try with LSM and TLC Low calorie diet containing more proteins,less fats and less carbohydrates. Exercise daily for atleast 1 hour. Advise to take small frequent meals with low calories. More fibre diet with plenty of fruits and leafy vegetables. stop alcohol and tobacco products if they are using. Counselling is most important aspect in the treatment. Treat the underlying causes for obesity. If all measures fail, try with antiobese drugs. Last and most valid treatment is bariatric surgery like sleeve gastrectomy Roux En Y gastric bypass Motivation of the patient to reduce weight by explaining the complications with obesity. Unless you donot motivate, bariatric surgeries also fail.
The diagnosis of obesity is usually based on a physical examination and a patient history (i.e., eating and exercise habits). A measurement called the body mass index (BMI) does not directly measure body fat, but it is a useful tool to assess the health risk associated with being overweight or obese. A BMI of 18.5 to 24.9 is considered within the healthy range. The BMI is calculated using kilograms (kg) and metres (m) instead of pounds (lb) and inches/feet. Keep in mind that 1 lb equals 0.45 kg and 1 inch equals 0.0254 m. BMI is calculated as follows: BMI = body weight (kg) height (m) Example: if you weigh 150 lbs (68 kg) and are 5'8" (1.73 m) tall, divide 68 by (1.73 1.73), or 2.99. The result is 22.74, which is right in the middle of the healthy range. classifies BMI according to the associated risk of developing health problems: BMI value Classification* Health risk Less than 18.5 Underweight Increased 18.5 to 24.9 Normal weight Least 25.0 to 29.9 Overweight Increased 30.0 to 34.9 Obese class I High 35.0 to 39.9 Obese class II Very high 40 or higher Obese class III Extremely high *The above classification does not apply to people younger than 18 years of age, pregnant women, or breast-feeding women. For people 65 years and older, the "normal" range is higher, beginning slightly above 18.5 and extending into the "overweight" range. Doctors may also use other measurements, such as waist size, to evaluate health risks associated with excess abdominal fat. When BMI and waist size indicate a high risk for health problems, additional tests may also be performed. Treatment and Prevention Changing your lifestyle Obesity is managed and treated to decrease the health risks caused by obesity and to improve quality of life. An appropriate weight management program usually combines physical activity, healthy diet, and change in daily habits. Other programs may also involve psychological counselling and, in some cases, drug therapy. Losing weight and keeping it off is very challenging because lifestyle and behavioural changes are required. What's important is to eat a healthy, balanced diet. Fad and crash diets don't work and can be dangerous. The body needs a minimum amount of energy from food to function normally. No daily diet with less than 1000 to 1200 calories should be used without medical supervision. "Crash diets" are never successful in the long term because once the diet is stopped, the weight usually comes back. Commercial weight-loss plans and clinics are successful businesses because they have so many return customers. To lose weight successfully, and to maintain a healthy weight, requires lifelong changes in eating and exercise habits as well as an understanding of emotional factors that lead to overeating. It also involves setting and achieving specific and realistic goals. People who are medically obese should consult a doctor or dietitian for a safe and personalized weight-loss program. Behavioural therapy or modification can also help. Seeing a therapist or counsellor can help you understand the emotional and psychological reasons for overeating and can teach you ways to manage your eating triggers. Regular physical activity is an important part of weight management. In addition to managing weight, exercise also improves overall health and can help reduce the risk of diseases such as certain cancers, heart disease, and osteoporosis. Regular physical activity doesn't mean you have to join the nearest gym. It can be as simple as climbing the stairs instead of taking the elevator, walking or cycling to work and leaving the car at home (if at all possible), or going for a walk at lunchtime with coworkers. What's important is to add exercise to your daily routine, and to work towards a higher activity level. Choose activities and exercises you enjoy. Medical intervention Medications may be part of a weight management program. Medications aren't "magic cures" leading to permanent weight loss. They're generally used in combination with a proper diet and exercise program. They are only for people who are classified as obese (i.e., those with a BMI over 30), or people with a BMI of 27 and extra heart disease risk factors such as high cholesterol or diabetes. Some medications are approved for short-term use only. One example of a weight-loss medication available in Canada is orlistat*, which blocks the absorption of fat from the bowel. Talk to your doctor about whether medications are an option for you. Surgery is only considered when other weight management options have not been successful. There are many forms of obesity surgery, but often surgery reduces the size of the stomach so that only a small amount of food can be eaten comfortably. Some of the terms used to describe the surgeries used to treat obesity include: gastric surgery gastric bypass surgery laparoscopic band surgery Roux-en-Y gastric bypass stomach "stapling" When reviewing suitable management options, it's important to consider the risks and benefits of each option. Your doctor and other health care professionals can provide you with the information you need to make an informed choice about what options are best for you.
above reports suggests that thyroid function is normal....It is considered as morbid obesity..... adv 1.cap.zerofat A 2bd for 3 months 2.gomutra arka 25 ml daily internally 3.udvartana with ruksha n medohara drugs 4. tab.navaka guggulu 2bd 5.stop day sleep 6.not to take curd n highly nutritious foods 7.take foods that are less calories n hard to digest 8.brisk walk for 45 min daily
Ask to pt to take more vitaminious ,Fibrous rich food... Avoid fastfood oily food , sweet , Daily walking...exercise...mix.honney wid hot water thn take it daily in Early morning .... Phytolacca Q in dilution form in bd SL 4 pills bd...
Provided there is no any other pathological problem 1) Appropriate diet control 2) Daily 5 kms walking 3) Exercise eg Yoga 4) Medohar vidangadi loh 1 bd Arogyavardhini vati 1 bd pc Kumari asava 1 2tsf bd pc
Patients report is difficult to read.obesity is big problem world wide.. It is a billion dollar industry. Unless she/he has Any medical problems. It is a question of Trial and error what works. Even baba Ramdev has joined the race. But his method is inexpensive.
रोगी स्थुलता एवं यकृतशोथ से पीड़ित है। चिकित्सा संबंधी योग,,,, सप्ताह में दो दिन 18 घंटे तक उपवास रखना चाहिए मेदोहर गुगल 2 वटी सुबह शाम जल से सेवन कराएं कुमारियासव द्राक्षासव दोनों को मिलाकर 25 ग्राम सुबह-शाम खाने के बाद दें। पपीता का नियमित रूप से सेवन कराएं निश्चित रूप से लाभ होगा योग परिक्षित है पिछले 40 वर्ष से प्रयोग कर रहा हूं।
रोगी मेद वृद्धि से पीड़ित है। चिकित्सा संबंधी योग,,,, सप्ताह में दो दिन 18 घंटे तक उपवास रखें। लौह रसायन 5 ग्राम सुबह-शाम सेवन कराएं। अनुलोम-विलोम प्राणायाम कराएं कपालभाती प्राणायाम कराएं भद्रिका प्राणायाम कराएं। निश्चित रूप से लाभ होगा। योग परिक्षित है। पिछले 40 वर्ष से प्रयोग कर रहा हूं।
Wt. reduction is a herculean task. His liver panel and tft is normal. So he will have to be very dedicated in dieting and spend money without any result. If he is serious ballooning or bartriac Surgery certainly works, if pt can afford it.
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Dear Friends, Today's discussion is… impact of OBESITY on ASTHMA Obesity was defined as a body mass index (BMI) greater than 30 Studies show that obesity is a risk factor for asthma. There is a positive correlation between baseline body mass index and the subsequent development of asthma. factors which explain this association… (1)Obesity is capable of reducing pulmonary compliance, lung volumes, and the diameter of peripheral airways. (2)Obesity affects the volume of blood in the lungs and so leads to ventilation-perfusion mismatch. (3)The increase in the adipose tissue in obese subjects leads to a rise in the serum concentrations of several cytokines, the soluble fractions of their receptors, and chemokines. (4)Many of these mediators are synthesized and secreted by cells from adipose tissue and receive the generic name of adipokines, including IL-6, IL-10, eotaxin, tumor necrosis factor-alpha, transforming growth factors-beta1, C-reactive protein, leptin, and adiponectin. (5) Comorbidities associated with Obesity like Diabetes, OSAS and Gastroesophageal reflux aggravates the Asthma further. Most studies point out that obesity is capable of increasing the prevalence and incidence of asthma, The treatment of obese asthmatics must include a weight control program. Studies suggest weight loss improves the course of Asthma I hope this piece of information will be HELPFUL Thanks Dr K N PoddarDr. K N Poddar16 Likes12 Answers
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31 Top Benefits Of Prickly Pear (Nagfani) For Skin, Hair & Health stylecraze.com Oct 18, 2017 12:00 PM ￼ A fruit belonging to the cactus family that possesses a wide range of benefits. That’s what the prickly pear is. Do not be intimidated by its look as the fruit pulp is delicious, more than you’d expect it to be. It is often regarded as an excellent cure for a hangover. Let us look at this fruit in detail to know more about benefits of prickly pear, its nutrition profile and also simple ways to include it in your diet. Let’s get started! Table Of Contents What Is Prickly Pear? Prickly pear is a fruit that grows on the leaves of the Nopales cacti, belong to the genus Opuntia, it’s scientific name is Opuntia ficus-indica. It is also referred to as Nagfani in Hindi, Nagajemudu in Telugu, Kallimullpazham in Malayalam, and Dindla in Gujarati. The younger plants are edible and often part of the Mexican diet. The other edible parts of the prickly pear cactus are the flowers, stems, and the leaves. Widely known as “cactus pear”, prickly pear by different names in different countries and regions like Tuna, Nopal, Nopales, Barberry figs, Indian figs. Prickly pear is a cylindrical fruit that has a firm outer skin with barbs and softer inner flesh, which is edible. It is green initially and turns reddish-pink as it matures in most plants (1). It can be eaten raw, boiled, or grilled. It is also used to make juice and jams. These tasty, oval fruits sprout from the tops of prickly cactus leaves and range in various colors from deep red-green to yellow or purple. It’s taste is similar to watermelon/raspberries and it has cucumber-like fragrance. What Is The History Of Prickly Pear? Being a cactus, the prickly pear plant can survive in dry weather conditions. It is said to have originated in Mexico and the northern countries of South America, which fall under the arid to semi-arid climate categories. In these regions, it has been a diet staple for thousands of years. It was later found to be used in the Middle East and Indian subcontinent as well. With increasing popularity, prickly pear cacti are now cultivated in Europe and Australia too. The fruit is relished not just for its flavor but also for its health benefits. Its anti-inflammatory, antioxidant, and anti-aging properties have made this thorny fruit popular. So, why are these fruits food for you? Why Are Prickly Pears Good For You? Prickly pear is rich in many nutrients, vitamins, minerals, and dietary fiber. These make it a wonderful and healthy addition to your diet for both culinary and medicinal purposes. Their low cholesterol and saturated fat content make them a suitable option for many people across the globe who are suffering from obesity and heart disease. These versatile fruits are not a hassle to cut or prepare. If you have access to them, go ahead and purchase a few. Let us look at this fruit’s nutrition facts now. Prickly Pears Nutrition Facts When we talk about the nutritional value of prickly pear, it contains magnesium, amino acids, antioxidants, vitamins C and B, beta-carotene, iron, calcium, potassium, and many other nutrients. Having one cup of this fruit can be a good source of a considerable part of the daily intake value of many vitamins and minerals. Bear in mind that the calcium found in this traditional desert plant may not be present in its biologically active form. It is present in the form of a non-absorbable complex (calcium oxalate). Nutrition Facts Serving Size 149g Amount Per ServingCalories 61Calories from Fat 6% Daily Value*Total Fat1g1%Saturated Fat 0g0%Trans FatCholesterol 0mg0%Sodium 7mg0mgTotal Carbohydrate 14g5%Dietary Fiber 5g21%SugarsProtien 1gVitamin A1%Vitamin C35%Calcium8%Iron2% Vitamins Amounts Per Selected Serving %DV Vitamin A64.1IU1%Vitamin C20.9mg35%Vitamin D––Vitamin E (Alpha Tocopherol)––Vitamin K––Thiamin0.0mg1%Riboflavin0.1mg5%Niacin0.7mg3%Vitamin B60.1mg4%Folate8.9mcg2%Vitamin B120.0mcg0%Pantothenic Acid––Choline–Betaine–Vitamin C35%MineralsAmounts Per Selected Serving%DVCalcium83.4mg8%Iron0.4mg2%Magnesium127mg32%Phosphorus35.8mg4%Potassium328mg9%Sodium7.5mg0%Zinc0.2mg1%Copper0.1mg6%Manganese––Selenium0.9mcg1%Fluoride––Fats & Fatty AcidsAmounts Per Selected Serving%DVTotal Fat0.8g1%Saturated Fat0.1g0%Monounsaturated Fat0.1gPolyunsaturated Fat0.3gTotal trans fatty acids–Total trans-monoenoic fatty acids–Total trans-polyenoic fatty acids–Total Omega-3 fatty acids34.3mgTotal Omega-6 fatty acids277mg The amount of vitamin C present in one cup of prickly pear constitutes 35% of our daily value intake, whereas magnesium constitutes 32% of the DV. It is also rich in omega-3 and omega-6 fatty acids, which are the healthy forms of fats that possess anti-inflammatory properties. Now that we have a brief understanding of the nutrients found in prickly pear cactus fruit, let us look what the presence of these nutrients implies. The many health benefits of this fruit are discussed below. What Are The Health Benefits Of Prickly Pear Cactus? Some of prickly pear health benefits include its ability to lower cholesterol levels, aid in weight loss, improve the digestive process, fight cancer cells, decrease the risk of diabetes, boost the immune system and reduces the risk of Alzheimer’s. Read on to know more. 1. Potential Role In Weight Control ￼ Image: Shutterstock Obesity is a global epidemic and needs to be managed at the earliest. Instead of resorting to extreme measures like harmful medications or surgery, a simple solution to this problem could be consuming plenty of dietary fiber. Prickly pear fruit contains fiber that will make you feel full for longer and reduce hunger pangs. It also helps in the elimination of dietary fat by binding it and excreting it from the system. As the intestines do not get a chance to absorb the dietary fat, this fruit effectively helps in weight control and even weight loss (2). 2. Helps Lower Cholesterol Continuing on the weight loss tangent, prickly pear can also help reduce the cholesterol levels in the blood. Its fiber (pectin) content can be held responsible for this as it helps eliminate LDL cholesterol from the body. Experiments have shown that prickly pear can reduce both plasma levels and hepatic levels of cholesterol (3, 4). Also, certain phytosterols found in cactus seed oil can alter cholesterol metabolism in a positive way (5). Hyperlipidemia, the condition of high cholesterol levels, can also be brought under control. 3. Source Of Essential Micronutrients The essential micronutrients found in prickly pear are vitamin C, folate, vitamin B6, riboflavin, niacin, iron, magnesium, calcium, and potassium. Of these, the highest % DV is held by vitamin C and magnesium (6). Consumption of one cup of this fruit on a regular basis can provide your body with these micronutrients that are required for various physiological and metabolic processes. 4. Fights Cancer Cells The flavonoid compounds in prickly pear lower the risk of breast, prostate, stomach, pancreatic, ovarian, cervical, and lung cancers. They were shown to inhibit the growth of cancer cells in the lab and mice models. They also caused the death of these cancerous cells at higher concentrations (7). These compounds also have the ability to remove free radicals and improve the activities of pro-oxidant enzymes. 5. Prevents Ulcers Both physical and mental stress can cause changes in the gastrointestinal mucosa and result in gastric ulcers. Inflammation occurs as there is an increase in the pro-inflammatory compounds that damage the gastric wall. Prickly pear exerts a positive effect on the gastric mucosa, and this activity is mainly facilitated by a compound called betanin found in this fruit. The gastric mucus production is regulated, and there is also a reduction in the pro-inflammatory chemicals. As a result of this, the chances of developing ulcers are highly reduced by the consumption of prickly pear (8). 6. Blood Sugar Regulation ￼ Image: Shutterstock Cactus pear is often touted for its hypoglycemic activity. This means that the ingestion of this fruit or its extract can lower high blood glucose levels as well as maintain normal levels. Different experiments on both diabetic and antidiabetic rats have shown a decrease in blood glucose levels. The main mechanism of this reduction is a decrease in the intestinal absorption of glucose (9, 10). Prickly pear cactus fruit’s fiber and pectin content are considered responsible for this activity. Once the blood sugar levels are brought under control, type II diabetes can be managed easily. 7. Nopal Cactus Cleans The Colon The high fiber content of prickly pear not only helps in lowering blood sugar/glucose and cholesterol levels but also helps in regulating the general functioning of the colon. Enough glucose is absorbed, and unhealthy fats and excess bile are eliminated from the body. This keeps the colon in optimum health. The inflammation and oxidative stress that the colon is being subjected to are also alleviated. The antioxidants present in prickly pear eliminate the free radicals and inflammation-inducing compounds, thus cleansing and protecting the colon (11). 8. Soothes The Stomach In Mexico, prickly pear is commonly used as a dietary supplement. People consume prickly pear daily to regularize their bowel movements. This helps to maintain a healthy digestive system and prevents constipation. The anti-inflammatory and antioxidant properties of compounds found in cactus pear are also responsible for aiding stomach health and soothing it (12). 9. Protects The Liver We often consume carcinogens and other compounds that can damage the liver without realizing the damage they can cause. Here’s a solution. Consume prickly pear as a juice or in the form of jams or jellies to prevent liver damage. It contains plenty of antioxidants that can reduce the oxidative stress caused by such compounds on the liver. It exerts hepatoprotective activity that mainly involves eliminating free radicals and increasing the body’s antioxidant activity against these compounds (13). 10. Reduces Hangovers ￼ Image: Shutterstock This fruit has the ability to reduce the effects of a hangover. Prickly pear juice reduces the production of inflammatory mediators that induce the uncomfortable feeling during alcohol hangovers. It also reduces other symptoms like nausea and dry mouth (14). 11. Immune System Booster The vitamin C content of prickly pear is responsible for this particular health benefit. Vitamin C boosts the body’s immune response against various infections. It increases the production of white blood cells that undertake the process of killing and eliminating infectious microorganisms from the body. Vitamin C also acts as an antioxidant and reduces the free radical damage throughout the body. This also gives the immune system a boost (15, 16). 12. Reduces Risk Of Colon Cancer Prickly pear contains various types of antioxidants like flavonoids, quercetins, gallic acid, phenolic compounds, betacyanins, etc. The antioxidant activity of these was tested against colon cancer cell lines, and the viability of these cells was greatly affected by them (17). Quercetin, especially, plays a key role in the disruption of a certain pathway involved in the development of cancer cells (18). 13. Protects Against Heart Disease The fiber content of prickly pear helps reduce cholesterol levels in the body and maintain blood pressure. Hence, hypertension and bad cholesterol are brought under control. These factors are associated with atherosclerosis, coronary heart disease, and other heart diseases. Cactus fruit’s antioxidants also help to enhance cardiovascular health (19, 20). The biologically active flavonoids in prickly pears normalize the blood platelet stickiness, which helps to maintain good cardiovascular health (21). Hence, herbal doctors often recommend consuming prickly pear for alleviating cardiovascular disease. 14. Alleviates Hypertension (High Blood Pressure) Prickly pear is rich in the mineral potassium. When ingested, this mineral can reduce the pressure on the blood vessels and lower the elevated blood pressure levels. Regular intake of prickly pear can maintain normal blood pressure levels and give relief from hypertension. The betalain found in this fruit also strengthens the inner walls of the blood vessels, further aiding in the promotion of cardiovascular health (22). 15. Osteoporosis Protection ￼ Image: Shutterstock This fruit is anti-inflammatory, antiviral, and antihistamine in nature. It also contains flavonoids that prevent the release of the compounds that help in inflammation of the joints and muscles caused due to gout, arthritis, exercise, fibromyalgia, and allergies. Osteoporosis, which is essentially an inflammatory disease, can be prevented and treated with prickly pear supplementation (23). 16. Stroke Prevention A decrease in total body fat and elevated cholesterol, glucose, and blood pressure levels can all impact cardiovascular health in a very positive way. As these levels are reduced in the body, the risk of stroke or heart attack goes down (24, 25). 17. Reduces Frequency Of Migraine Headaches Migraine is a chronic inflammatory condition that is characterized by the presence of a severe headache (usually on one side of the head) with disturbances in digestion and vision. And to alleviate this inflammation, anti-inflammatory compounds are needed. These are found in abundance in the prickly pear fruit, especially the compound indicaxanthin. This is technically a dietary pigment that can reduce various pro-inflammatory factors in the body (26). If consumed frequently, this fruit can help people deal with migraines. It also reduces their intensity and frequency. 18. Alleviates Premenstrual Syndrome (PMS) Cramps, back pain, headaches, and breast tenderness are common symptoms that woman experience during PMS. Most of these symptoms are associated with an increase in the levels of prostaglandins (hormone-like chemicals) in the body. Prickly pear is known to inhibit the synthesis of prostaglandins, thus alleviating PMS symptoms (27). 19. Strengthens Bones And Teeth Our teeth and bones are composed of calcium, and our diet is the only source of this mineral. The body obviously cannot synthesize calcium by itself. One cup of fresh prickly pear fruit contains 83 milligrams of calcium, which constitutes about 8% of the daily intake recommended by the FDA. This calcium intake will strengthen our bones and teeth (28). 20. Promotes Digestive Health ￼ Image: Shutterstock Fiber is an important part of our diet when it comes to digestive health. And prickly pear is loaded with fiber. This aids smooth digestion of various components of the food we eat and enhances the activity of the digestive enzymes. Additionally, the fiber from the fruit can help in the smooth elimination of wastes from the body (29). 21. Makes Your Nails Healthy Prickly pear seed oil can be used to moisturize dry and damaged nails and restore the health of the nails and cuticles. It contains moisturizing fatty acids like linoleic acid, oleic acid, and palmitic acid. Small concentrations of other fatty acids are also found (30). What Are The Benefits Of Prickly Pear For The Skin? The seeds of this fruit are cold pressed to prepare a beauty oil. It possesses many properties that give it the following benefits: 22. Anti-Aging Properties It contains skin-softening vitamins E and K. It also contains a good amount of skin hydrating and nourishing fatty acids. These prevent the formation of wrinkles and fine lines, thus making prickly pear oil a good anti-aging agent (30). 23. Anti-Inflammatory Agent This xerophytic plant’s oil has great inflammation-fighting capabilities because of the presence of anti-inflammatory compounds. The betalains and phenolic compounds exert this effect when the oil is applied topically on the skin. Swelling and irritation due to insect bites, scrapes, or inflammatory skin conditions like psoriasis and dermatitis can be reduced by the application of this oil. 24. Brightens The Skin Tone This oil is also often used for its skin brightening properties. Linoleic acid, which is a fatty acid, not only nourishes the skin but also eliminates dullness. It also protects the skin from UV radiation (31). 25. Helps Achieve Smoother Skin It is super hydrating for dull and dry skin. Linoleic, oleic, and palmitic fatty acids, which are found in major proportions in prickly pear seed oil, supply the skin with the oils it lacks. 26. Heals Cuts, Wounds, And Blemishes Phenolic compounds are also found in good concentrations in prickly pear oil, which exert antioxidant effects on the skin and help repair damaged skin (32). Cut wounds, scars, and other blemishes that may have formed due to various reasons will start healing and fading over time. Apply this oil regularly to reap its healing benefits. 27. Reduces Dark Circles Dark circles under the eyes are formed due to many reasons. Lack of sleep, dehydration, and oxidative stress are the major factors that can cause your under eye area to become dull and get a bluish-purplish tinge. Prickly pear seed oil contains skin nourishing fatty acids that also possess skin brightening properties. In conjunction, these properties can help to lighten your dark circles. All of these properties make prickly pear seed oil an excellent choice for mature, aging, and/or damaged skin. Let us now look at the benefits of prickly pear for your hair. How Does Prickly Pear Benefit Your Hair? Both the fruit and the oil from its seeds can be used to smoothen hair texture, reduce hair fall, increase hair growth, and improve hair health overall. 28. Nourishes Hair We already know that the oil from the seeds of this cactus fruit contains plenty of fatty acids, minerals, and vitamins that can benefit the skin. Similarly, these can also nourish the scalp and hair by providing the healthy oils they may be lacking. A special mention is required for prickly pear’s vitamin E content that can deeply condition the hair. 29. Makes Your Hair Shiny ￼ Image: Shutterstock You can use prickly pear oil to make your hair glossy. This oil can give you double the amount of fatty acids and protein than argan oil, which is a popular oil used for restoring the natural hair shine. 30. Reduces Hair Loss The pulp of this fruit is often added to hair care products as its antioxidants and anti-inflammatory compounds can give relief from many scalp conditions and, in turn, reduce hair loss and stimulate hair growth (33, 34). 31. Natural Hair Conditioner Here’s a simple recipe to concoct your own hair conditioner at home using prickly pear cactus: You Will Need 1-2 large nopal cactus pads1/2 cucumber2-3 tablespoons extra virgin coconut oil1-2 tablespoons coconut milk (optional) What You Have To Do 1. Wash the cactus carefully and peel it to remove all the thorns and barbs. 2. Dice this into small squares and add chopped cucumber to it. 3. Add the olive oil and coconut milk and blend everything. 4. Apply this on the scalp and hair. 5. Let it sit for 20-30 minutes and then rinse it off thoroughly. Make sure no residue remains in your hair. This cactus pear hair mask will make your hair healthy, silky, and soft. It is also useful to protect your hair from the scorching sun and rejuvenate heat-damaged hair. Those were the benefits of the fruit. Now, let’s see where you can buy these delectable fruits. Where To Buy Prickly Pear Cactus Fruit? Prickly pears can be easily found in regular grocery stores. If you cannot find them there, try the Mexican or Middle Eastern vegetable markets. See the next section to know how to make prickly pear a wonderful addition to your diet. How To Incorporate Prickly Pear Into Your Diet? ￼ Image: Shutterstock The prickly pear cactus plant has different parts that are edible. The pad of the cactus, which is often referred to as the nopal, is used as a vegetable in Mexican dishes. Its texture is similar to that of okra when cooked. It is boiled or grilled and is added to soups and salads mostly. Apart from the cactus pad, the fruit or the pear itself can be eaten. Like any other fruit, you can simply rinse it, peel it, and eat it fresh. The flowers of this plant are often used as garnishing or added to salads for extra flavor. Eating the prickly pear fruit is not a difficult process. All you need to do is peel the skin and eat the fleshy pulp present inside. Be careful of the spines when you are handling the fruit initially and the seeds when you are eating it. Many people also prepare jams and jellies from prickly pear fruit. If you do not have access to a store where you can purchase this fruit from, there are extracts available in the market. The dosage of these extracts would depend on the concentration, and it is best if the manufacturer’s recommendation is followed. Prickly pear water is also available in the market these days. This is prepared from the juice of the fruit and filtered water, along with some additional ingredients like lemon juice. Prickly pear is used in various forms to serve various purposes. These uses are given below. Uses Of Prickly Pear Cactus As A Supplement Due to its benefits for lowering blood sugar levels, supplements for type 2 diabetes patients have been designed. The extract is also used to lower cholesterol, target obesity, and lower the risk of heart disease. This supplement is available usually in a powder or a pill form. People also use the supplement before drinking alcohol to reduce the symptoms of an alcoholic hangover. Juice And Pulp The juice or the pulp (without seeds) of the prickly pear fruit is extracted to make jams and jellies. The juice, by itself, can be very tart. It is often added to lemonade or margaritas for that extra zing. To reduce the tartness and still benefit from this amazing xerophyte, jams and jellies are prepared. Medicinal Uses When it comes to usage in medicine, prickly pear is used in medications for: Type 2 diabetesHigh cholesterolObesityAlcohol hangoverHeart diseaseColitisDiarrheaViral infectionsBenign prostatic hypertrophy (BPH) (35) Now that we covered the many uses of this fruit, it is also important to know how to select the best fruit and store it so that you can derive the maximum benefits. Read on to know how. How To Select And Store Cactus Pear Mid-August is considered the best time to harvest prickly pear cactus fruit. Once you have located a plant, follow these steps: Using a pair of tongs, gently pluck the fruit from the cactus pad. It should come off easily. Beware of the spines on the nopales and also the glochids (microscopic spines) on the fruit. Using gardening or leathergloves can help prevent any spines from piercing your skin.Transfer the fruits to a large, clean bowl or bucket. Make sure to leave at least one fruit per cactus pad so that your harvesting does not interfere with the plants’ reproduction process.Pick fruits that are ruby colored (or other colors seen in prickly pear). Do not pick the ones that are still green at the ends.Rinse the fruits with water thoroughly. Swirl them around gently while doing this to get rid of the spines. Cactus pear fruits remain ripe for about a week. They can also be refrigerated for 3-4 days in a plastic bag. Here is how you can cut and prepare prickly pear fruit. How To Eat Prickly Pear Cactus Rinse the fruit thoroughly in a colander using cold water. Keep swirling it around gently while doing this to get rid of the all the spines.Once all the spines have been removed, gently pat the fruit dry using a soft napkin.Take a sharp knife and cut the top and bottom parts of the fruit and discard them.Cut lengthwise to peel off the skin, similar to how you would peel an orange with a knife.Chop or slice the fruit, as per your preference, and eat it. Though the seeds are safe to ingest, many people prefer not to as they are too hard. If you are still confused about how to consume this exotic fruit, we have some simple but delicious recipes for you below. Any Prickly Pear Recipes? 1. Prickly Pear Lemonade ￼ Image: Shutterstock You Will Need 1 prickly pear2 tablespoons lemon juice1 cup water1/2 tablespoon sugar5-6 ice cubesMint leaves for garnishing Recipe Add the sugar and lemon juice to water and mix well.Cut the prickly pear in half and remove the pulp present inside. Add this to the lemonade.Blend all of these for 15-30 seconds.Strain the mixture to remove the seeds.Add ice cubes and drink this refreshing lemonade with a twist. 2. Prickly Pear Puree You Will Need Prickly pear Recipe Rinse and peel the fruit. De-seed it.Squash the flesh thoroughly for a couple of minutes until you get a smooth puree.Store this in an airtight container in the refrigerator. 3. Prickly Pear Ice Cream You Will Need 1 cup prickly pear juice1/8 cup lemon juice1 quart half and half1 teaspoon sea salt2 cups sugar1 teaspoon tangerine zestA pinch of lemon zest Recipe Combine all the ingredients and pour into an ice cream maker.Let it run for about 20 minutes.Freeze the ice cream overnight or for at least six hours. 4. Prickly Pear Cactus Jelly You Will Need 2 1/2 lbs prickly pear fruit3-4 tablespoons lemon juice2 cups sugarPeel of half a lemonWater Recipe Singe off the spines on the fruit and carefully peel them.Cut into inch-long chunks and transfer to a pot. Add enough water to cover the entire fruit.Bring this to a boil and then let it simmer for 10 minutes.Strain this using a cheesecloth to remove all the seeds. Use a wooden spoon to mash the pulp and get all the juice from it.To this prickly pear juice, add the lemon juice, sugar, and lemon peel.Cook this at high heat and keep stirring regularly until you get a jelly consistency.Store in airtight jars in the refrigerator for up to six months. Let me now summarize some key facts about prickly pear for you. What Are The Facts About Prickly Pear I Need To Know? Prickly pear is also known as the nopal cactus and has flat, oval green leaves called pads, which are covered in spines.The fruits arise from the top of the cactus pads and are edible.This fruit, which is also called as the cactus pear, cactus fig or tuna, is usually red.Prickly pear is rich in vitamin C, magnesium, and omega fatty acids. It contains zero cholesterol.Even the pads of this plant are edible. They are commonly used in soups and salads.The fruits can be ingested by themselves or in the form of juice, jams, jellies, and even candy.Cactus fig is beneficial for the treatment of many ailments like high cholesterol, obesity, hypertension, heart disease, and stomach issues. Even though this fruit has plenty of benefits, it can, at times, cause reactions in a few people. Here are the side effects experienced. Side Effects Of Prickly Pear Cactus Upset stomach, diarrhea, bloating, and headache are the most common side effects noticed (36).Nasal inflammation or asthma can be caused due to an allergy to it.Eating broiled nopal stem can have an extreme hypoglycemic effect. This is not seen when raw stems or ripe fruit are eaten.It can interfere with the body’s ability to absorb certain medications due to its diuretic properties.Pregnant or women who are breastfeeding should not intake prickly pear in any form as it can interfere with the fetus’ or child’s development. Let us now look at some of the commonly asked questions by our readers about prickly pear. Expert’s Answers For Readers’ Questions What can reduce the skin irritation caused by prickly pear contact? The spines (glochids) present on prickly pear can come in contact with the skin and at times, cause allergic reactions such as hives. These usually subside within an hour or so. If the spines have pierced the skin, carefully pluck them using tweezers or cellophane tape. To reduce the itching and irritation, you can use over-the-counter steroids or antihistamines. Does prickly pear/tuna increase hemoglobin? Is it safe to consume? Prickly pear has been known to increase hemoglobin. However, there is no clinical proof for this. However, it is absolutely safe to consume. So, go ahead and try it. Does prickly pear cause constipation? Prickly pear is often used to relieve constipation because of its fiber content. Irrespective of this, excessive intake can actually cause constipation because of the high amount of fiber blocking the intestines. Hence, it is best to consume it in moderate amounts. How to prune prickly pear cactus? Pruning is best done in spring or late summer to remove damaged, poorly formed, or excessive cactus pads. Using protective hand gear and clothing, carefully trim the pads at their bases. It might be best to cut off some of the top parts of the pads first to get better access to the base. If you are unsure about pruning the plant yourself or the cactus has grown out too much, get professional help. Are all prickly pear cactus edible? What kind of cactus is edible? The genus Opuntia consists of different species of cacti that are edible. You can identify these plants by their oval, flattened, green, and spine covered pads. The prickly pear cactus (O. Ficus-indica) is the most commonly eaten species. How many calories are in cactus pears? One cup of cactus pear contains around 61 calories. Is a cactus a fruit or a vegetable? The prickly pear cactus is one of those plants that is a vegetable and a fruit. The green pads are the vegetable whereas the red pear is the fruit. Have you ever tried prickly pear fruit? Or have you had a chance to have one of those delicious Mexican dishes with the cactus pads in it? Share your experience with us in the comments section. Stay healthy! Recommended Articles:Dr. Tapan Kumar Sau3 Likes12 Answers
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Friends today I am discussing about Avery disgusting problem said to be obesity. What is obesity? Obesity is an epidemic condition puts people at a higher risk for serious diseases, such as type 2 diabetes, heart disease, and cancer. Obesity is defined as having a body mass index (BMI) of 30 or more. BMI is a calculation that takes a person’s weight and height into account. However, BMI does have some limitations. According to the CDC, “Factors such as age, sex, ethnicity, and muscle mass can influence the relationship between BMI and body fat. Also, BMI doesn’t distinguish between excess fat, muscle, or bone mass, nor does it provide any indication of the distribution of fat among individuals.” What causes obesity? Eating more calories than you burn in daily activity and exercise (on a long-term basis) causes obesity. Over time, these extra calories add up and cause you to gain weight. Common specific causes of obesity include: eating a poor diet of foods high in fats and calories having a sedentary (inactive) lifestyle not sleeping enough, which can lead to hormonal changes that make you feel hungrier and crave certain high-calorie foods genetics, which can affect how your body processes food into energy and how fat is stored growing older, which can lead to less muscle mass and a slower metabolic rate, making it easier to gain weight pregnancy (weight gained during pregnancy can be difficult to lose and may eventually lead to obesity) Certain medical conditions may also lead to weight gain. These include: polycystic ovary syndrome (PCOS): a condition that causes an imbalance of female reproductive hormones Prader-Willi syndrome: a rare condition that an individual is born with which causes excessive hunger Cushing syndrome: a condition caused by having an excessive amount of the hormone cortisol in your system hypothyroidism (underactive thyroid): a condition in which the thyroid gland doesn’t produce enough of certain important hormones osteoarthritis (and other conditions that cause pain that may lead to inactivity) Who is at risk for obesity? A complex mix of genetic, environmental, and psychological factors can increase a person’s risk for obesity. Genetics Some people possess genetic factors that make it difficult for them to lose weight. Environment and community Your environment at home, at school, and in your community, can all influence how and what you eat and how active you are. Maybe you haven’t learned to cook healthy meals or don’t think you can afford healthier foods. If your neighborhood is unsafe, maybe you haven’t found a good place to play, walk, or run. Psychological and other factors Depression can sometimes lead to weight gain, as people turn to food for emotional comfort. Certain antidepressants can also increase risk of weight gain. It’s a good thing to quit smoking, but quitting can also lead to weight gain. For that reason, it’s important to focus on diet and exercise while you’re quitting. Medications such as steroids or birth control pills can also put you at greater risk for weight gain. How is obesity diagnosed? Obesity is defined as having a BMI of 30 or more. Body mass index is a rough calculation of a person’s weight in relation to their height. Other more accurate measures of body fat and body fat distribution include skinfold thickness, waist-to-hip comparisons, and screening tests such as ultrasound, computed tomography (CT), and magnetic resonance imaging (MRI) scans. Your doctor may also order certain tests to help diagnose obesity as well as obesity-related health risks. These may include blood tests to examine cholesterol and glucose levels, liver function tests, diabetes screen, thyroid tests, and heart tests, such as an electrocardiogram. A measurement of the fat around your waist is also a good predictor of risk for obesity-related diseases. What are complications of obesity? Obesity leads to much more than simple weight gain. Having a high ratio of body fat to muscle puts strain on your bones as well as your internal organs. It also increases inflammation in the body, which is thought to be a cause of cancer. Obesity is also a major cause of type 2 diabetes. Obesity has been linked to a number of health complications, some of which are life-threatening: type 2 diabetes heart disease high blood pressure certain cancers (breast, colon, and endometrial) stroke gallbladder disease fatty liver disease high cholesterol sleep apnea and other breathing problems arthritis infertility How is obesity treated? If you’re obese and haven’t been able to lose weight on your own, medical help is available. Start with your family physician who may be able to refer you to a weight specialist in your area. Lifestyle and behavior changes Your healthcare team can educate you on better food choices and help develop a healthy eating plan that works for you. A structured exercise program and increased daily activity — up to 300 minutes a week — will help build up your strength, endurance, and metabolism. Counseling or support groups may also identify unhealthy triggers and help you cope with any anxiety, depression, or emotional eating issues. Medical weight loss Your doctor may also prescribe certain prescription weight loss medications in addition to healthy eating and exercise plans. Medications are usually prescribed only if other methods of weight loss haven’t worked and if you have a BMI of 27 or more in addition to obesity-related health issues. Prescription weight loss medications either prevent the absorption of fat or suppress appetite. These drugs can have unpleasant side effects. For example, the drug orlistat (Xenical) can lead to oily and frequent bowel movements, bowel urgency, and gas. Your doctor will monitor you closely while you’re taking these medications. Weight loss surgery Weight loss surgery (commonly called “bariatric surgery”) requires a commitment from patients that they will change their lifestyle. These types of surgery work by limiting how much food you can comfortably eat or by preventing your body from absorbing food and calories. Sometimes they do both. Weight loss surgery isn’t a quick fix. It’s a major surgery and can have serious risks. After surgery, patients will need to change how they eat and how much they eat or risk getting sick. Candidates for weight loss surgery will have a BMI of 40 or more, or have a BMI of 35 to 39.9 along with serious obesity-related health problems. Patients will often have to lose weight prior to undergoing surgery. Additionally, they will normally undergo counseling to ensure that they’re both emotionally prepared for this surgery and willing to make the necessary lifestyle changes that it will require. There’s been a dramatic increase in obesity and in obesity-related diseases. This is the reason why communities, states, and the federal government are putting an emphasis on healthy food choices and activities to help turn the tide on obesity. How can you prevent obesity? Help prevent weight gain by making good lifestyle choices. Aim for moderate exercise (walking, swimming, biking) for 20 to 30 minutes every day. Eat well by choosing nutritious foods like fruits, vegetables, whole grains, and lean protein. Eat high-fat, high-calorie foods in moderation. Common and effective homeopathic remedies for weight loss Antimonium crudum. Argentum nitricum. Calcarea carbonica. Coffea cruda. Capsicum. Other homoeopathic medicines can also be given on the basis of totality of symptoms.Dr. Rajesh Gupta7 Likes4 Answers
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44 yr old lady ,not a k/c/o DM/HT/Dyslipidemia c/o dyspnoea on exertion for the past 3 yrs along with 10% weight gain. On examination bilateral pitting pedal edema present more so on the right leg (photo attached) vitals are stable and all the systemic examinations normal. Also attaching the photo of her dry,coarse skin,mostly due to hypothyroidism P.s:Can pedal edema be severe enough to cause medial deviation of the toes??(photo attached) If not what are the reasons for it??Dr. Vaibhav Suresh5 Likes26 Answers
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Soft Drink Dangers: 8 Ways Soda Negatively Affects Your Health Soda is one of the most consumed beverages in the world,second only to the water. what’s happening inside the bodies of soda consumers with each sip? As soon as soda's swallowed, the pancreas is notified and rapidly begins to create insulin in response to the sugar. Insulin is a hormone the body uses to move sugar from food or drink into the bloodstream, where cells are then able to use sugar for energy. Within just 20 minutes, blood sugar levels spike and the liver responds to the insulin by turning sugar into fat for storage. Within 45 minutes of gulping down a single 20-ounce glass of soda, caffeine from the drink is fully absorbed, and as a result your pupils dilate and blood pressure rises. The body produces more dopamine, which stimulates the pleasure centers of the brain — just like a low-grade line of cocaine. When the hour chimes, the body begins to experience a blood sugar crash, which is around the same time a person reaches for their second soda, or for another sweet and sugar snack to suffice. Soda’s connection to the obesity epidemic is so intertwined, Harvard researchers have calculated each additional soda consumed increases the risk of obesity 1.6 times. In addition to the threat of reaching obese levels, researchers also found after following 40,000 men for two decades, those who drank a sugary beverage each day had a 20 percent increased risk of having a heart attack. The high fructose corn syrup — a cheap replacement for cane sugar — has been associated with increased risk of metabolic syndrome, which leads to diabetes and heart disease,little children have an 80 percent increased risk of developing type 2 diabetes if they become regular soda drinkers. Their future will be one full of kidney problems, reproductive issues, osteoporosis, asthma, and bad teeth with dissolved tooth enamel.Dr. Rummana Ansari20 Likes18 Answers