Straining Or Tensemus in the Rectum

Good evening everyone..... Identity the plant & it's uses.

A 34 year male patient came with the complaints of - Constipation on & off since 2-3 years, used to take Kayam Churna for the same - Burning Sensation while defecation since 1 month - Pain at anal area since 1 month - Mucus with the stool on and off since 3 months - Blood stained stool sometimes since 1 month O/E Posterior Anal fissure is seen, Muscle spasm + * Tissue growth is seen at 6-7'o Clock position (Patient also noticed that) That is the main point of pain. Prakriti - Pitta-Vataja Koshtha - Krura Agni - Teevra Mala Pravratti - Twice Routine (Takes more then 15 min.) Mutra Pravratti - Samanya Occupation - Lecturer Nindra - 6-7hours Undisturbed Mano Vaha Sthiti - Vyakul due to present condition. Ahar - Non-vegetarian BP - 130/90 mm of mercury Not having any other systemic disease. *Researched over the Internet about the Diseases and used to take sitz bath, came with self diagnosis of fissure, don't believe in surgical management. Please share your valuable opinion on this case. * What to do with that tissue growth? (Zoom the image you can see that) * Not done proctoscopy/digital examination.

g cramps most commonly affect the calf muscle. • Leg cramps typically only last a few minutes, but the pain can last for 24 hours. • Older people and pregnant women are more prone to leg cramps than others. • Most often, leg cramps are no cause for concern and have no medical significance. • Dehydration , flat feet and alcoholism are potential factors involved in leg cramps. • If stretching does not help, some doctors advise taking quinine. • Supporting your toes when you sleep can help prevent cramps. • When diagnosing leg cramps, a doctor will rule out other more serious conditions first. • Some medications can increase the likelihood of cramps, including diuretics, salbutamol and statins. Fast facts on leg cramps Rate this article Public / Patient 353 total ratings Health Professionals 81 total ratings SPORTS MEDICINE / FITNESS REHABILITATION / PHYSICAL THERAPY PAIN / ANESTHETICS Recommended Related News Additional information Article last updated on Thu 10 December 2015. Visit our Sports Medicine / Fitness category page for the latest news on this subject, or sign up to our newsletter to receive the latest updates on Sports Medicine / Fitness. All references are available in the References tab. References Citations What is Charcot-Marie-Tooth Disease (CMT)? Charcot-Marie-Tooth disease is an inherited condition that affects the peripheral nervous system, causing the arms and legs to become weaker over time. READ MORE Low Bad Cholesterol Tied To Cancer Risk US researchers suggest there is an underlying mechanism that affects both cancer and low LDL (so-called 'bad') cholesterol, because they found low LDL cholesterol in people with no history... READ MORE Leg Pain Can Mean Heart Danger, Expert Says The story of how one man's back problems and leg pain ended up saving his life, as they ended up being signs of peripheral arterial disease. READ MORE Plantar flexion: Function, anatomy, and injuries Plantar flexion is a term that describes the motion of pointing the foot downwards. Learn about the muscles involved in this posture and possible injuries. READ MORE Exercise Improves Mobility And Fitness For Patients With Parkinson's Exercise, including resistance training, stretching, and treadmill use may boost muscle strength, gait speed, and overall fitness for patients with Parkinson's Disease (PD), suggests a new... READ MORE RELATED COVERAGE Comments (23) ADD A COMMENT Harsha NOVEMBER 16, 2011 1:45 AM i'm suffering from severe thigh cramps since 3 months. i'm a diabetic patient. pain killars are not working for me. please someone solve my problem. i very often get pains even if i climb steps or walk for a distance. Reply Keith C JULY 14, 2012 10:15 AM I am awakened perhaps three times during a nite of 5 - 6 Hours of trying to find a restful nite so I am not following asleep the next day at work. Anyone having these same symptoms? Help me please!!!! Reply View all Last updated Thu 10 Dec 2015 Overview | Causes of leg cramps | Tests and diagnosis | Treatment | Prevention Leg cramps , also known as night leg cramps , especially calf-muscle cramps, are fairly common. Some people experience cramps in the muscles of their feet, as well as their thigh muscles. In most cases these types of cramps occur while the individual is sleeping or resting. The following article will investigate the causes, diagnosis, prevention and treatments of leg cramps. What are leg cramps? Cramps are generally not a sign of an underlying condition. Leg cramps are sudden, painful involuntary contractions of a leg muscle. The cramp usually only lasts a few minutes, sometimes a few seconds. Rarely though, they can last up to 10 minutes. Sometimes the pain is so severe that the patient is woken up and has a tender muscle for up to 24 hours afterwards. In most cases the reason for leg cramps is never found, and they are considered harmless. Sometimes, however, they may be linked to an underlying disorder, such as diabetes or peripheral artery disease . As we get older we become more prone to experiencing leg cramps - about 1 in 3 people over the age of 60 years and half of people over 80 has regular leg cramps. Pregnant women tend to have night leg cramps more often than non-pregnant women. Approximately 40% of people who get leg cramps do so at least three times a week; in some cases they occur daily. Causes of leg cramps Unknown causes (idiopathic leg cramps) - in the majority of cases there is no underlying cause and we don't really know why it happens. On theory is that when a muscle tightens for a prolonged period, resulting in the muscle being shortened, it is stimulated to contract, causing it to go into a spasm (cramp) if it contracts further. This occurs more commonly while we are sleeping - our natural sleep position is with the knees slightly bent and the feet pointing downwards (shortening the calf muscle). The fact that stretching helps cure the problem makes the theory more compelling. Secondary causes - sometimes the leg cramps are caused by an underlying disease, situation or activity, including: Exercise - if a muscle is placed under severe stress or used for a long time a leg cramp may occur during the exertion or afterwards. Athletes and sportspeople commonly suffer from leg cramps, especially when having to work for longer than expected, as may happen in a soccer match that goes into extra time. If conditions are warm and the athlete has sweated profusely and lost a lot of sodium (salt), the risk of developing a muscle cramp is greater. Addison's disease Alcoholism or alcohol abuse Cirrhosis Dehydration Diarrhea Diuretics Electrolyte imbalance Flatfeet Gastric bypass surgery Hypothyroidism (underactive thyroid) Kidney failure, chronic Lead poisoning Sarcoidosis - a disease in which granulomatous (small growths or lumps) produces inflammation or swelling of the tissues in any part of the body. Muscle fatigue Motor neuron problems Oral contraceptives Parkinson's disease Peripheral artery disease (PAD) Pregnancy, especially in the later stages Some medications, including diuretics, salbutamol (used for treating asthma ), and statins (used to lower blood lipid levels) Type 2 diabetes Tests and diagnosis A GP (general practitioner, primary care physician) will ask the patient about symptoms, when they occur, as well as examining his/her legs and feet. Questions will be related to how severe the pain is, where the pain is located, how long it lasts, and whether the leg cramps affect their quality of life (sleep, moods, etc). The doctor will also ask about other possible symptoms, such as inflammation, numbness or pins and needles. The aim here is to either rule out or identify any possible underlying cause. Treatment If there is no underlying cause the leg cramps will probably get better without treatment. Stretching exercises - if the cramp is in the calf muscle: Straighten the leg and bend the ankle backwards, thus stretching the calf muscle. Walk on tiptoes for a few minutes. Stand about one meter from a wall with your feet flat on the ground. Lean forward against the wall with your arms outstretched, but don't lift your heels (keep your heels on the ground). Stay like that for about ten seconds and gently return to an upright position. Repeat about 5 to 10 times. Some people find that these stretching exercises not only help them get over a leg cramp episode, but also that help reduce how often they occur. Typically, a patient would do these exercises two or three times a day. Painkillers are normally too slow acting to be useful for leg cramps. Painkillers - although painkillers can be effective in reducing pain, they take time to work. By the time they start working the leg cramp is probably gone. Therefore, they are probably not very useful. If an individual had a severe leg cramp and the muscle is tender afterwards, an OTC (over-the-counter, non prescription required) painkiller may help. Quinine - some preliminary studies have found that a number of people benefit from taking quinine. There is no information yet about quinine's safety and long-term effectiveness. Some doctors may recommend quinine if the stretching has not helped, attacks are frequent, and/or the patient's quality of life is being undermined by the leg cramps. A course of treatment usually lasts from four to six weeks - the patient takes the medication just before going to bed. Pregnant women should not take quinine. Individuals who had a previous reaction to quinine, those with previous hemolytic anemia , optic neuritis, and/or glucose 6-phosphate dehydrogenase deficiency should not take quinine. As the quinine dosage is very low, side effects are rare. In rare cases the patient may develop a blood disorder. Some patients may develop cinchonism after long-term quinine therapy, which may cause vomiting, nausea, vision and/or hearing problems and dizziness. Patients with leg cramps on quinine therapy are usually monitored closely. Prevention Stretching exercises - these may help reduce the number of times leg cramps occur. Supporting your toes when lying down or asleep: Lying on your back - prop up your feet with a pillow/cushion. Lying on your front - let your feet hang over the end of the bed. Bedding - keep blankets and sheets loose. This helps prevent your feet and toes from pointing downwards during sleep. Stay hydrated - as dehydration may increase the risk of leg cramps, drinking plenty of fluids may help prevent them. Exercise - if you embark on an exercise program, make sure it is suitable for you and that your progress is gradual. If you want to prevent leg cramps from occurring, do not over-exert yourself, or train for prolonged periods. Footwear - people with flat feet and other structural problems may be more susceptible to leg cramps. Proper footwear may help.

male pt of age 38yrs , c/o severe itching in anal region since 15 yrs on and off but raised since 2mths watery discharge during evening hrs n after mid night no pain no bleeding p/r after examining came to know he is having vitiligo in anal region done some investigation CBP, rbs thyroid ,hiv,hbsAg ,vdrl, watery discharge also I hv send for c/s all reports are normal other 2anorectal consultant hv diagnosed fistula in ano but I don't think so that's y send all investigations tsh levels are 7.18 kindly suggest dx and rx too given t/t bavachi oil for local application bavachi churna khadirarishta avipattikar churna bed time with like warm water he is hving family h/o of vitiligo first I thought that he has gone for surgical procedure but it seems just like vitiligo only little bit confusing

P A R K I N S O N S D I S E A S E Parkinson’s Disease is a progressive neurological disorder that is caused by a degeneration of cells in the part of the brain that produces the neurotransmitter dopamine (chemical messenger). It is characterised by loss of motor control such as slowness of movement, rigidity, tremor and balance problems as well as non-movement type symptoms including constipation, low mood, fatigue, sleep and memory problems. .Conventional treatment can involve medication which is primarily aimed at increasing dopamine activity. As dopamine is made in the body from amino acids which are the building blocks of protein, diet can play a key part in ensuring that the right nutrients are available to support the body’s ability to produce dopamine. Optimising nutritional status and addressing co-morbidities such as constipation, depression, fatigue, and insomnia is also an area that can benefit through diet. Key dietary factors include reducing toxic load, reducing homocysteine with folic acid, vitamins B12 and B6, zinc and tri-methyl-glycine (TMG) and increasing Omega 3 fats, Vitamin D and Magnesium. DIET AND NUTRITION...KEY FACTORS Optimise your diet, reduce your toxic load While the cause of Parkinson’s is not known, environmental toxins such as pesticides and herbicides are implicated. Researchers have found levels of these chemicals to be higher in the brains of Parkinson’s sufferers and incidence of Parkinson’s is higher in areas with greater use of these chemicals. It makes sense to avoid any environmental toxins that you can. Also, consider your intake of dietary toxins such as alcohol and caffeine – avoiding or reducing these may reduce the load on your body’s detoxification pathways. Homocysteine Homocysteine is an amino acid which is toxic if elevated, and some studies have found that it is elevated in people with Parkinson’s. At this stage it isn’t known whether higher levels of homocysteine contribute to the development of Parkinson’s or whether the Parkinson’s (or Parkinson’s medications) contributes to higher levels of homocysteine, or both. Either way, reducing homocysteine to a healthy level is a good idea. The nutrients needed to reduce homocysteine include folic acid, vitamins B12 and B6, zinc and tri-methyl-glycine (TMG). Some of these nutrients are co-factors for dopamine production too. Increase your omega-3 fats The omega-3’s are anti-inflammatory which may be beneficial as neuro-inflammation is a feature of Parkinson’s. Mood problems are also a common feature and there has been a lot of research into the mood-boosting properties of the omega-3 essential fats. A small placebo-controlled pilot trial reported significantly greater improvement of depression in Parkinson’s patients treated with omega-3 fatty-acid supplementation versus placebo. The richest dietary source is from fish such as salmon, mackerel, herring, sardines, trout, pilchards and anchovies. Vitamin D Vitamin D is a hot topic for research since it was discovered that we have receptors for this vitamin in the brain, and that it enhances brain-derived neurotrophic factor (BDNF – think of this as akin to a growth hormone for neurons), and is anti-inflammatory. This nutrient is mainly provided by the action of sunlight on the skin. Up your magnesium Magnesium is a mineral that acts as a natural relaxant. Some indications of deficiency are: muscle tremors or spasm, muscle weakness, insomnia or nervousness, high blood pressure, irregular heartbeat, constipation, hyperactivity, depression. Magnesium’s role in supporting good sleep may also be quite important here, since many people with Parkinson’s experience poor sleep patterns.