ANTIHISTAMINE POISONING:: The poisoning by antihistamines is almost accidental in nature and seen among the children patients,when the child consumes overdose either in tasteful syrup form or mother gives overdose to get relief or as she is happy with its sedative effect,she gives overdose for relief from crying of the child.I have seen so many such cases of over dose among the children,but rarely in adult when somebody consumes so many tablets just to threaten their family member to maliger the suicide attempt.These drugs are used in allergic disorders such as common cold,motion sickness and Parkinson's disease.Most of the antihistamine drugs have additional sedative effect alongwith anticholenergic,anti-adrenaline and anti-serotonin effects.Overdosage produces complex clinical signs resulting initial depression followed by excitement of the central nervous system.In children the excitement effects are more prominet and hyperpyrexia may occur.There is dryness in mouth,nausea and vomiting.Drowsiness,headache,blurred vision,urinary retention and nervousness are common.In high overdoses fixed dilated pupils,disorientation,ataxia,hallucinations,stuper and coma may occcur.There may be hyperrefelxia,tremors,nystagmus and convulsions and death may result if not treated due to respiratory failure.The fatal dose is ! Gm.Treatment is stomach wash with warm water with sodium bicarbonate that is left in the stomach,IV diazepam if there are convulsions.The majority treatment is symptomatic.Medicolegal importance is the antihistamine poisoning is always accidental and occasionally maligering the suicidal attempt by an adult.
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When our patients talk about Dizziness , What do they mean ? Please note :This is not an exhaustive text on the topic, but only meant to create awareness Most of us might have had a feeling of unsteadiness or a spinning sensation in their heads at some point or other in Our lives. It is also called as Giddiness by a few of them. I always feel giddy and nauseous whenever I am in the amusement parks and if I were to climb those great wheels or those turnarounds , I am definitely going to become sick and debilitated for the rest of the evening. For that matter, I am also a victim of motion sickness, even spinarounds and being driven on up and down hills can make me giddy and sick. You might laugh if I say that I feel dizzy even when I am standing at edge of high heights like from a building or a cliff. Dizziness or Giddiness is a broad term that can mean different things to different people. It's a common complaint, but it can be serious. Dizziness has no specific medical meaning, but there are four common conditions that can be considered types of dizziness: VERTIGO : The feeling of motion when there is no motion, such as one feels spinning or the environment spinning. Spinning yourself round and round, then suddenly stopping, can produce temporary vertigo. But when it happens in the normal course of living, it signals a problem with the vestibular system of the inner ear -- the body's balance system that tells you which way is down and senses the position of your head. About half of all dizziness complaints are vertigo. LIGHTHEADEDNESS : Also called near syncope, lightheadedness is the feeling that you are about to faint. It is commonly felt by standing up too quickly or by breathing deeply enough times to produce the sensation( hyperventilation). I,myself had this problem during my school days, standing in the school assembly for long periods. DISEQUILIBRIUM : A problem with walking. People with disequilibrium feel unsteady on their feet or feel like they are going to fall. ANXIETY: People who are scared, worried, depressed, or afraid of open spaces may use "dizzy" to mean frightened, depressed, or anxious. Frequent dizziness sufferers may complain of more than one type of dizziness. For instance, having vertigo may also make them anxious. Dizziness can be a one-time event, or it can be a chronic, long-lasting problem. Nearly everyone who is dizzy will get better over a period. This is because a person's sense of balance is a complex interaction between the brain, each ear's separate vestibular system, sensors in the muscles, and sense of vision. When one component breaks down, the others usually learn to compensate. What Causes Dizziness? Vertigo can be caused by many things: INFECTIONS, such as the ones that cause the common cold can cause temporary vertigo via an ear infection. This inner ear infection is generally viral, harmless, and usually goes away in one to six weeks, but drugs are available if it is severe. Benign Paroxysmal Positional Vertigo -- Positional Vertigo( BPPV ) is caused by movement of an otolith -- a tiny calcium particle the size of a grain of sand -- from the part of the ear that senses gravity to the part that senses head position. The person feels as if their head is turning when it isn't. A two-minute therapy, Epley maneuver done in the proper way can move the otolith back where it belongs and fix the problem. This therapy cures vertigo 80% of the time. MENIERE's disease is a disorder characterized by long-lasting episodes of severe vertigo. Other symptoms of Meniere's disease are tinnitus (ringing in the ear), hearing loss, and pressure or fullness in the ear. DANDY's syndrome is a feeling of everything bouncing up and down. It can happen to people who take an antibiotic that is toxic to the ear. It usually improves over time.Less common, deadly diseases can also cause vertigo, such as tumors or stroke. Lightheadedness is usually caused by some surrounding circumstances impairing blood flow to the brain when a person is standing up. Blame this problem on our ancestors who learned to walk upright -- putting our brain above our heart. It's a challenge for the heart to keep the brain supplied with blood( auto regulation mechanism) and it's easy for this system to break down. When blood vessels in the brain become dilated, or expand, due to high temperature, excitement, or hyperventilation, alcohol consumption, or prescription medications such asantidepressants, a person can become lightheaded. There can also be more serious causes, such as astroke and heart disease. DISEQUILIBRIUM can be caused by: A kind of arthritis in the neck called Cervical spondylosis, which puts pressure on the spinal cord. Parkinson's disease or related disorders that cause a person to stoop forward. Disorders involving a part of the brain called the cerebellum. The cerebellum is the part of the brain responsible for balance and coordination. Diseases such as diabetes that can lead to loss of sensation in the legs,as in advanced cases of neuropathy. Dizziness in the form of anxiety is often, but not always, caused by depression. It can also be due to an anxiety disorder or phobia or a panic disorder. Various medications can also cause dizziness as a side effect. ref:webmd.
Dr. Chakradhar Nannapaneni13 Likes9 Answers - Login to View the image
Benefits of Ginger Tea thehansindia.com Oct 7, 2017 11:50 AM  benefits of ginger tea Nothing beats cold in the winter like a piping hot cup of ginger tea. With its high levels of Vitamin C, magnesium and other minerals, ginger root is extremely beneficial for health. Once made into tea, you can add peppermint, honey or lemon to mask the taste of the ginger. Here's why you should have this soothing beverage. Relieve nausea Drinking a cup of ginger tea before travelling can help prevent the nausea and vomiting associated with motion sickness. You can also drink a cuppa at the first sign of nausea to relieve the symptom. Improve stomach performance Useful in improving digestion and increasing absorption of food, ginger tea can bloating after eating too much. Reduce inflammation Ginger contains anti-inflammatory properties that make it an ideal home remedy for muscle and joint problems. In addition to drinking ginger tea, you can also use it to soak inflamed joints. Fight respiratory problems Ginger tea can help relieve congestion associated with the common cold. Try a cup of ginger tea for the respiratory symptoms associated with environmental allergies. Improve blood circulation The vitamins, minerals and amino acids in ginger tea can help restore and improve blood circulation that may help decrease the chance of cardiovascular problems. Ginger may prevent fat from depositing in the arteries helping to prevent heart attacks and stroke. Relieve menstrual discomfort This one is for all women suffering from menstrual cramps. Try soaking a towel in warm ginger tea and apply it to your lower abdomen. It may help relieve the pain and relax the muscles. At the same time, drink a cup of ginger tea with honey Stay updated on the go with The Hans India News App. Click for Android / IOS download it for your device.
Dr. Tapan Kumar Sau6 Likes9 Answers - Login to View the image
age 46 fem,c/o 1...vomiting while sitting & walking,and while traveling on motorcycle, also while traveling in bus too.but while lying down no complaints 2...c/o fuel of cars and bikes smells odd to her. 3...headache too with vertigo while sitting and walking,while lying down no complaints. 3...no appetite for 12 days,forceful eats 1 chapati. after eating food she vomits.how to manage.no h/o trauma.
Dr. Arun Kumar Soni0 Like7 Answers - Login to View the image
TORTICOLLIS IN DOG : A Cross bred female dog aged about 14 years (Body weight: 6.5kg) old brought to N.T.R Veterinary Super Speciality Hospital, Vijayawada on 19.11.2019 with clinical symptoms of Circling (Turing in circles), Head Tilt to either side, Abnormal head posture, Strained Neck (One side). Blood Examination: Negative for Haemoprotozoans. Treatment for Torticollis given on above said dog on 19.11.2019 by Dr. K. Srinivasarao M.V.Sc (vety Surgery and Radiology), Assistant Director (AH), N.T.R Veterinary Super Specialty Hospital Vijayawada, Andhra Pradesh, and India. Treatment has given as follows: 1. Both the ears cleaned and dressed on alternative days for 3 times. 2. Ceftriaxone injection @ 20mg per kg B.Wt. per day i/m for 7days. 3. Tribivet injection @ 0.5ml i/m per day for 10days. 4. Melonex injection @ 0.2ml s/c per day for 3days. The dog has been discharged on 10th day after successful recovery.
Dr. Srinivasarao Kamani6 Likes6 Answers - Login to View the image
Today my topic is on #Vertogo #Spinning dizziness #Fall.Most of the peoples are worrying about this I will try to give solutions. Vertigo can be temporary or long-term. It can occur during pregnancy or as a symptom of an ear infection. People with an inner ear disorder, such as Ménière’s disease, sometimes also experience vertigo. What is vertigo? Share on PinterestA person with vertigo may experience balance problems and lightheadedness. Vertigo is a sensation of spinning dizziness, as though the room or surrounding environment is spinning in circles around the person. Many people use the term to describe a fear of heights, but this is not correct. Vertigo can happen when a person looks down from a great height, but it usually refers to any temporary or ongoing spells of dizziness that occur due to problems in the inner ear or brain. It is not an illness but a symptom. Many different conditions can cause vertigo. Symptoms A person with vertigo will feel as though their head or the space around them is moving or spinning. Vertigo is a symptom, but it can lead to or occur alongside other symptoms, too. These may include: • balance problems • lightheadedness • a sense of motion sickness • nausea and vomiting • ringing in the ear, called tinnitus • a feeling of fullness in the ear • headaches • nystagmus, in which the eyes move uncontrollably, usually from side to side • Cocculus: Cocculus is a quite effective homeopathic medicine for vertigo, particularly when the person suffers from it while riding or sitting up in moving a car or train. Also, it is highly beneficial when your vertigo complaints are accompanied by vomiting, nausea, and sense of emptiness in your head. • Conium: If you suffer from vertigo when lying down, turning over the bed and turning your head sidewise, or moving your eyes, then in such conditions Conium is very effective homeopathic medicine. Conium is often recommended to elderly people suffering from vertigo discomfort. It also helps you have relief when vertigo discomfort turns worse with a slight noise or voice of others, climbing or moving down the stairs, and shaking your head to the left. • Gelsemium: Gelsemium is a well-known homeopathic remedy for vertigo. It is known to be one of the best homeopathic medicines to treat dizziness, heavy eyelids and head, and dim vision resulting due to vertigo. Gelsemium is regarded to be a highly effective remedy when the discomfort due to vertigo begins in the back of your head and then spreads from that point. • Pulsatilla: Pulsatilla is basically an effective remedy for women suffering from vertigo. When a vertigo of a woman worsens due to the delayed or suppressed menses, then going for Pulsatilla can be highly beneficial. Pulsatilla is used to treat vertigo with the sensation that objects around you are revolving in a circle. It may also help mitigate your digestive discomfort and nausea resulting due to vertigo. Choose to go in open, fresh air to alleviate the symptoms of vertigo. • Phosphorus: Phosphorus is commonly prescribed homeopathic medicine for vertigo to the aged people. It is the best remedy for treating vertigo that occurs when you get up from your bed in the morning. It is quite effective in alleviating the feeling of whirling, fainting, or floating resulting due to vertigo. Usually, individuals suffering from such vertigo may have a great craving for food and ice-cold drinks, and they may get a relief in the dark. • Bryonia: Bryonia is a highly effective homeopathic remedy to treat gastric vertigo which is accompanied with nausea. It helps you have relief from dizziness that you may suffer when getting up out of your bed in the morning. Brynonia is also known to treat the discomfort resulting due to vertigo that you may suffer when moving or changing the position of your head and opening your eyes. You may also feel better by lying down for a while.
Dr. Rajesh Gupta3 Likes6 Answers
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