Showing posts with label disorder. Show all posts
Showing posts with label disorder. Show all posts

Thursday, 12 October 2017

Bipolar disorder symptoms can be effectively managed with certain lifestyle changes

Bipolar disorder symptoms can be effectively managed with certain lifestyle changes

About 10 to 20 million people in India are affected by this condition

New Delhi, 11 October 2017: As per a recently published study, patients with bipolar depression treated with adjunctive bright white light showed a significantly higher remission rate as compared with the placebo light group. This corresponds to 68.2% vs 22.2%, respectively, at weeks 4 to 6 and significantly lower depression scores at the end of the study period. In India, about 10 to 20 million people suffer from mental disorders, one of them being bipolar disorders.

Bipolar disorder is a condition associated with episodes of mood swings ranging from depressive lows to manic highs. The cycles of mood swings can often last for days, weeks, or months, with the changes being so intense that they interfere with a person’s ability to function properly. The condition not only affects daily activities of life, but also the person’s relationship with others.

Speaking about this, Padma Shri Awardee Dr K K Aggarwal, National President Indian Medical Association (IMA) and President Heart Care Foundation of India (HCFI) and Dr RN Tandon – Honorary Secretary General IMA in a joint statement, said, “A depressed person feels sad or hopeless and loses interest or pleasure in most activities. When this mood shifts to mania or hypomania, the person can be euphoric, full of energy, unusually irritable or aggressive. These mood swings can affect the person overall in terms of their sleep, energy, activity, judgment, behavior, and the ability to think clearly. Such mood swings may occur rarely or multiple times a year. While most people experience some emotional symptoms between episodes, some may not experience any at all. While the exact cause of bipolar disorder is not known, it could be due to a combination of genetic and environmental factors and altered brain structure and chemistry.”

A person with bipolar disorder may also experience at least three of the following: grandiose ideas or pumped-up self-esteem; far less need for sleep than normal; an urgent desire to talk; racing thoughts and distractibility; increased activity that may be directed to accomplishing a goal or expressed as agitation; and a pleasure-seeking urge that might get funneled into sexual sprees, overspending, or a variety of schemes, often with disastrous consequences.

Adding further, Dr Aggarwal, said, “Bipolar disorder can become worse, if left untreated. However, a good treatment plan including psychotherapy, medications, a healthy lifestyle, a regular schedule, and early identification of symptoms can help people live well even with this condition. There are also certain complementary health approaches like aerobic exercises and meditation, which can support treatment in such people.”

Here are some tips for self-management of symptoms in those with bipolar disorder.
Avoid stress as this is a major trigger. Relieve stress through techniques like yoga and meditation. Talk to your family or friends, if this can help relieve stress.
Stick to a regular schedule as this can help control mood swings to a great extent. People with bipolar disorder are usually affected by too many changes. Have meals, do errands, exercise, and go to bed about the same time every day.
Studies show that regular exercise can help improve mood. Start slowly with walking and get physical activity every day in some form or the other.
Avoid caffeine, alcohol, and drugs. Caffeine is a stimulant and can exacerbate manic episodes by keeping you awake. Alcohol and drugs can affect how your medications work.
Keep a journal in which you make a note of the triggers and schedule. This will help you establish a pattern and prepare yourself accordingly. It will also help your doctor evolve a treatment plan suited to your needs.

Sunday, 9 July 2017

Number of patients needing dialysis in India shows an upward trend

Number of patients needing dialysis in India shows an upward trend Early detection key to treating this disorder, says IMA New Delhi, 08 July 2017: According to statistics, in the past 15 years, the number of Indians suffering from chronic kidney ailments has doubled. It is alarming to note that there has also been a 10% to 15% increase in the number of patients undergoing dialysis in the country and this percentage includes children as well. As per the IMA, kidney disorders still do not receive as much focus in India and that is one reason for under-diagnosis of this condition. Chronic kidney disease is a slow progressive loss of kidney function over a period of several years where the patient eventually has permanent kidney failure. It largely goes undiagnosed and people realize that they have chronic kidney failure only when the kidney function is down to 25%. Speaking about this, Padma Shri Awardee Dr K K Aggarwal, National President Indian Medical Association (IMA) and President Heart Care Foundation of India (HCFI) and Dr RN Tandon – Honorary Secretary General IMA in a joint statement, said, "Chronic kidney failure is a slow and gradually progressive disease. The signs and symptoms become apparent only after the disorder reaches an advanced stage. However, once it reaches a later stage, the damage can't be reversed. In an advanced stage, dangerous levels of waste and fluid can rapidly build up in the body. Those at a risk of developing this disorder should get a kidney function test on a periodic basis as any signs detected at an early stage can help in preventing serious kidney damage. People with end-stage kidney disease cannot keep up with the waste and fluid elimination process on their own. They will thus need dialysis or a kidney transplant to survive." There are various reasons for renal ailments including smoking, liquor intake, unhealthy eating habits, sedentary lifestyle, diabetes mellitus, and high blood pressure. It can also be the result of certain underlying medical conditions or at times medications. Adding further, Dr Aggarwal, said, "Many people are unaware that diabetes and high blood pressure are the two most common causes of kidney disorders. Two simple tests can help in prevention of kidney disorders in a person: one to check the level of protein in urine and the other, a blood test for measuring serum creatinine. Both tests done once a year can help in detecting any abnormality and taking preventive care at the earliest." The following tips by the IMA can help in reducing the risk of developing kidney disorders. • Keep active: Activities like walking, running, and cycling can help in decreasing the chances of kidney disorders. • Keep fasting sugar < 80 mg: Kidney damage from diabetes can be reduced or prevented if detected early. • Keep lower BP < 80 mm Hg: High blood pressure is especially likely to cause kidney damage when associated with other factors like diabetes, high cholesterol and cardiovascular diseases. • Keep your abdominal circumference < 80 cm: Eat healthy and keep your weight in check. This helps in preventing diabetes, heart disease and other conditions associated with chronic kidney disease. • Reduce your salt intake: The recommended sodium intake is 5-6 grams of salt per day (around a teaspoon). Limit the amount of processed and restaurant food and do not add salt to food. • Drink adequate fluids: Drink 1.5 to 2 litres (3 to 4 pints) of water per day. This will help the kidneys clear sodium, urea and toxins from the body. • Do not advocate “aggressive fluid loading”, this can cause side effects. In addition, people who have already had a kidney stone are advised to drink 2 to 3 litres of water daily to lessen the risk of forming a new stone. • Do not smoke: Smoking slows the flow of blood to the kidneys and increases the risk of kidney cancer by about 50%. • Do not take over-the-counter pain killers: Common drugs such non-steroidal anti-inflammatory drugs like ibuprofen are known to cause kidney damage and disease if taken regularly.

Tuesday, 4 April 2017

PTSD is a systemic disorder with comorbidities

PTSD is a systemic disorder with comorbidities Post-traumatic stress disorder (PTSD) has been traditionally regarded as a psychological disorder. However, the findings of a new study suggest that PTSD should be considered a systemic disorder and not just a psychological disorder as it is associated with several comorbidities independent of exposure to trauma. Researchers analysed the health status of 298 Australian veterans aged between 60 and 88 years who had fought in the Vietnam War between February 2014 and July 2015. Of these, 108 had confirmed PTSD, while 106 acted as trauma-exposed controls. Compared to trauma-exposed controls, patients with PTSD had higher frequency (14.1% vs 17.7%, respectively) of comorbid conditions of the gastrointestinal, hepatic, cardiovascular and respiratory systems. It was also associated with sleep disorders. Comorbid depression was found in 22% of subjects with PTSD. These patients also had a higher prevalence of risk factors such as smoking, alcohol dependence and higher BMI. Hence, not just psychological health, but physical health including control of risk factors should also be part of management of patient with PTSD to improve their quality of life and survival. The study is published April 3, 2017 in the Medical Journal of Australia. (Source: Med J Aust. 2017 Apr 3;206(6):251-257) Dr KK Aggarwal National President IMA & HCFI