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Protect yourself and others from getting sick

Protect yourself and others from getting sick

Protect yourself and others from getting sick

COURTESY: GUidenline issuesd by WHO(World Health Organization) for current global pandemic situation

  •                Wash your hands often with soap and water for at least 20 seconds especially after you have been in a public place, or after blowing your nose, coughing, or sneezing

It’s especially important to wash:

Before eating or preparing food

Before touching your face

After using the restroom

After leaving a public place

After blowing your nose, coughing, or sneezing

After handling your mask

After changing a diaper

After caring for someone sick

After touching animals or pets

  • If soap and water are not readily available, use a hand sanitizer that contains at least 60% alcohol. Cover all surfaces of your hands and rub them together until they feel dry.
  • Avoid touching your eyes, nose, and mouth with unwashed hands




Avoid close contact

  • Inside your home: Avoid close contact with people who are sick.
    • If possible, maintain 6 feet between the person who is sick and other household members.
  • Outside your home: Put 6 feet of distance between yourself and people who don’t live in your household.
    • Remember that some people without symptoms may be able to spread virus.
    • Stay at least 6 feet (about 2 arms’ length) from other people.
    • Keeping distance from others is especially important for people who are at higher risk of getting very sick

Cover your mouth and nose with a mask when around others

  • You could spread COVID-19 to others even if you do not feel sick.
  • The mask is meant to protect other people in case you are infected.
  • Everyone should wear a mask in public settings and when around people who don’t live in your household, especially when other social distancing measures are difficult to maintain.
    • Masks should not be placed on young children under age 2, anyone who has trouble breathing, or is unconscious, incapacitated or otherwise unable to remove the mask without assistance.
  • Do NOT use a mask meant for a healthcare worker. Currently, surgical masks and N95 respirators are critical supplies that should be reserved for healthcare workers and other first responders.
  • Continue to keep about 6 feet between yourself and others. The mask is not a substitute for social distancing
What is fibromyalgia?

What is fibromyalgia?


1) What is fibromyalgia?

Fibromyalgia is a long-term (chronic) condition.

It causes:

a.pain in the muscles and bones (musculoskeletal pain)
b.areas of tenderness
c.general fatigue
d.sleep and cognitive disturbances.

This condition can be hard to understand, even for healthcare providers. Its symptoms mimic those of other conditions, and there aren’t any real tests to confirm the diagnosis.

2) Fibromyalgia symptoms

Fibromyalgia causes what’s now referred to as “regions of pain.” Some of these regions overlap with what was previously referred to as areas of tenderness called “trigger points” or “tender points.

The pain in these regions feels like a consistent dull ache. Your healthcare provider will consider a diagnosis of fibromyalgia if you’ve experienced musculoskeletal pain in 4 out of the 5 regions of pain outlined in the 2016
revisions to the fibromyalgia diagnostic criteria.

This diagnostic protocol is referred to as “multisite pain.” It’s in contrast to the 1990 fibromyalgia diagnostic criteria definition for “chronic widespread pain.

Other symptoms of fibromyalgia include:

A. fatigue
B. trouble sleeping
C. headaches
D. depression
E. anxiety

In people with fibromyalgia, the brain and nerves may misinterpret or overreact to normal pain signals. This may be due to a chemical imbalance in the brain or abnormality in the dorsal root ganglionTrusted Source affecting
central pain (brain) sensitization.

Learn which of its symptoms could have the biggest impact on your life.

3) Fibromyalgia fog | Fog

Fibromyalgia fog – also known as “fibro fog” or “brain fog” – is a term some people use to describe the fuzzy feeling they get. Signs of fibro fog include:

A. memory lapses
B. difficulty concentrating
C. trouble staying alert
D. According to a 2015 studyTrusted Source published in Rheumatology International, some people find mental fogginess from fibromyalgia more upsetting than pain.

4) Fibromyalgia trigger points

In the past, people were diagnosed with fibromyalgia if they had widespread pain and tenderness in at least 11 out of 18 specific trigger points around their body.

Common trigger points included the:

A. back of the head
B. tops of the shoulders
C. upper chest
D. hips
E. knees

For the most part, trigger points are no longer a part of the diagnostic process.

Instead, healthcare providers may diagnose fibromyalgia if you’ve had pain in 4 out of the 5 areas of pain as defined by the 2016 revised diagnostic criteria, and you have no other diagnosable medical condition that could
explain the pain.
5) Fibromyalgia pain.

Pain is the hallmark fibromyalgia symptom. You’ll feel it in various muscles and other soft tissues around your body.

The pain can range from a mild achiness to an intense and almost unbearable discomfort.

However, available research still doesn’t pinpoint an exact cause for fibromyalgia. Research continues to evolve in better understanding this condition and its origin.

A) Chest pain
When fibromyalgia pain is in your chest, it can feel frighteningly similar to the pain of a heart attack.

Chest pain in fibromyalgia is actually centered in the cartilage that connects your ribs to your breastbone. The pain may radiate to your shoulders and arms.

B) Fibromyalgia chest pain may feel:

A. sharp
B. stabbing
C. like a burning sensation
D. similar to a heart attack, it can make you struggle to catch your breath.

C) Back pain

Your back is one of the most common places to feel pain. About 80 percent of Americans have low back pain at some point in their lives. If your back hurts, it may not be clear whether fibromyalgia is to blame, or another
condition like arthritis or a pulled muscle.

Other symptoms like brain fog and fatigue can help pinpoint fibromyalgia as the cause. It’s also possible to have a combination of fibromyalgia and arthritis.

The same medications you take to relieve your other fibromyalgia symptoms can also help with back pain. Stretching and strengthening exercises can help provide support to the muscles and other soft tissues of your back.

D) Leg pain

You can also feel fibromyalgia pain in the muscles and soft tissues of your legs. Leg pain can feel similar to the soreness of a pulled muscle or the stiffness of arthritis.

It can be:

A. deep
B. burning
C. throbbing
Sometimes fibromyalgia in the legs feels like numbness or tingling. You may have a creepy crawling sensation.

Fatigue sometimes manifests in the legs. Your limbs can feel heavy, as if they’re held down by weights.

6) Fibromyalgia causes

According to the latest research, the cause appears to be a multiple-hit theory that involves genetic disposition (hereditary characteristics) complemented by a trigger, or a set of triggers, such as infection, trauma, and stress.

Let’s take a closer look at these potential factors and several more that may influence why people develop fibromyalgia.

A. Infections :

A past illness could trigger fibromyalgia or make its symptoms worse. The flu, pneumonia, GI infections, such as those caused by Salmonella and Shigella bacteria, and the Epstein-Barr virus all have possible links to

B. Genes :

Fibromyalgia often runs in families. If you have a family member with this condition, you’re at higher risk for developing it.

Researchers think certain gene mutations may play a role. They’ve identified a few possible genes that affect the transmission of chemical pain signals between nerve cells.

C. Stress

Like trauma, stress can leave long-lasting effects on your body. Stress has been linked to hormonal changes that could contribute to fibromyalgia.

7) ibromyalgia risk factors.

Fibromyalgia flare-ups can be the result of:

A. stress
B. injury
C. an illness, such as the flu

An imbalance in brain chemicals may cause the brain and nervous system to misinterpret or overreact to normal pain signals.

Other factors that increase your risk of developing fibromyalgia include:

A. Gender : Most fibromyalgia cases are currently diagnosed in women, although the reason for this gender disparity isn’t clear.
B. Age : You’re most likely to be diagnosed in middle age, and your risk increases as you get older. However, children can develop fibromyalgia also.
C. Family history : If you have close family members with fibromyalgia, you may be at greater risk for developing it.
d.Disease. Although fibromyalgia isn’t a form of arthritis, having lupus or RA may increase your risk of also having fibromyalgia.
8) Fibromyalgia diagnosis.

Your healthcare provider may diagnose you with fibromyalgia if you’ve had widespread pain for 3 months or longer. “Widespread” means the pain is on both sides of your body, and you feel it above and below your waist.

After a thorough examination, your healthcare provider must conclude that no other condition is causing your pain.

Fibromyalgia can be hard for healthcare providers to distinguish from autoimmune diseases because the symptoms often overlap.

9) Fibromyalgia treatment.

Currently, there isn’t a cure for fibromyalgia.

Instead, treatment focuses on reducing symptoms and improving quality of life with:

b.self-care strategies
c.lifestyle changes

Medications can relieve pain and help you sleep better. Physical and occupational therapy improve your strength and reduce stress on your body. Exercise and stress-reduction techniques can help you feel better, both
mentally and physically.

In addition, you may wish to seek out support and guidance. This may involve seeing a therapist or joining a support group.

10) Fibromyalgia medication

The goal of fibromyalgia treatment is to manage pain and improve quality of life. This is often accomplished through a two-pronged approach of self-care and medication.

Common medications for fibromyalgia include:

a.Pain relievers

Over-the-counter pain relievers such as ibuprofen (Advil) or acetaminophen (Tylenol) can help with mild pain.

Narcotics, such as tramadol (Ultram), which is an opioid, were previously prescribed for pain relief. However, research has shown they’re not effective. Also, the dosage for narcotics is typically increased rapidly, which can
pose a health risk for those prescribed these drugs.

Most healthcare providers recommend avoiding narcotics to treat fibromyalgia.


Antidepressants such as duloxetine (Cymbalta) and milnacipran HCL (Savella) are sometimes used to treat pain and fatigue from fibromyalgia. These medications may also help improve sleep quality and work on rebalancing

c.Antiseizure drugs

Gabapentin (Neurontin) was designed to treat epilepsy, but it may also help reduce symptoms in people with fibromyalgia. Pregabalin (Lyrica), another anti-seizure drug, was the first drug FDA-approved for fibromyalgia. It
blocks nerve cells from sending out pain signals.

A few drugs that aren’t FDA-approved to treat fibromyalgia, including antidepressants and sleep aids, can help with symptoms. Muscle relaxants, which were once used, are no longer recommended.

11) Fibromyalgia natural remedies

If the medications your healthcare provider prescribes don’t entirely relieve your fibromyalgia symptoms, you can look for alternatives. Many natural treatments focus on lowering stress and reducing pain. You can use them
alone or together with traditional medical treatments.

Natural remedies for fibromyalgia include:
A. physical therapy
B. acupuncture
C. 5-hydroxytryptophan (5-HTP)
D. meditation
E. yoga, use with caution if hypermobility is present

Therapy can potentially reduce the stress that triggers fibromyalgia symptoms and depression.

Group therapy may be the most affordable option, and it will give you a chance to meet others who are going through the same issues.

12) Fibromyalgia pain relief.
Fibromyalgia pain can be uncomfortable and consistent enough to interfere with your daily routine. Don’t just settle for pain. Talk to your healthcare provider about ways to manage it.

One option is to take pain relievers such as:

A. aspirin
b. ibuprofen
C. naproxen sodium
D. help with discomfort
E. lower pain levels

These medications bring down inflammation. Though inflammation is not a primary part of fibromyalgia, it may be present as an overlap with RA or another condition. Pain relievers may help you sleep better.

Please note that NSAIDS do have side effects. Caution is advised if NSAIDS are used for an extended period of time as is usually the case in managing a chronic pain condition.

7 Home Remedies for a Dry Cough.

7 Home Remedies for a Dry Cough.

A dry cough is also called an unproductive cough. Unlike productive, wet coughs, dry coughs are unable to remove mucus, phlegm, or irritants from your lungs or nasal passages.

1. Honey

  • For adults and children ages 1 and up, honey can be used to treat day and nighttime dry coughing.
  • Honey has antibacterial properties and can also help to coat the throat, alleviating irritation.
  • To avoid infant botulism, a rare complication which can occur in infants, never give honey to a child under 1 year old.

2. Turmeric

  • Turmeric contains curcumin, a compound which may have anti-inflammatory, antiviral, and antibacterial properties. It may also be beneficial for several conditions, including a dry cough.
  • Turmeric has been usedTrusted Source to treat upper respiratory conditions, bronchitis, and asthma in Ayurvedic medicine for centuries.

3. Ginger

  • Ginger has antibacterial and anti-inflammatory properties. It has also been shownTrusted Source to boost the immune system and relieve pain and discomfort.
  • You can also take ginger in capsule form, or chew on ginger root to alleviate dry cough.

4. Masala chai tea

  • The taste of chai tea has become very popular in the United States in recent years. In India, chai is used to treat conditions such as sore throat and dry cough.
  • Masala chai contains several antioxidant ingredients, including cloves and cardamom. Cloves may also be effective as an expectorant.
  • Chai tea also contains cinnamon, which has anti-inflammatory properties.

5. Capsaicin

  • Capsaicin, a compound found in chili peppers, has been shownTrusted Source to reduce chronic coughing.
  • While capsaicin can be taken as a capsule, you can also make tea from cayenne pepper hot sauce and warm water.
  • Capsaicin-based treatments aren’t recommended for children.

6. Peppermint

  • Peppermint contains menthol, which helps to numb nerve endings in the throat that become irritated by coughing.
  • This may provide pain relief and reduce the urge to cough.
  • Peppermint also helps reduce congestion, plus, it’s been foundTrusted Source to have antibacterial and antiviral qualities.
  • You can also use peppermint essential oil as an aromatherapy treatment.

7. Marshmallow root

  • Marshmallow root is a type of herb. It’s used in cough syrup and in lozenges to soothe dry cough.
  • A survey-based studyTrusted Source found that it’s an effective treatment for soothing the throat and reducing the irritation caused by dry cough.
  • Marshmallow root may also have antibacterial properties.
Heart Disease – Sign and Symptoms

Heart Disease – Sign and Symptoms

Heart disease is not a single disease but it is a group of terms in which blood
vessels supplying blood to the heart gets damaged.

Below some of the common sign and symptoms of cardiac diseases.

1) Shortness of breath

shortness of breath is commonly seen in patients with heart disease. Difficulty in
breathing on physical exertion may indicate a problem in the heart valves or could be due to
inflammation and weakening of the heart muscle.

2) Chest pain

Chest pain is a classic symptom of heart attack and coronary artery disease. Type and
duration of chest pain indicates the underlying heart disease. Pain could be short-term, constant,
stabbing or sharp in nature.

3) Swelling in feet

People with congestive heart failure develop swelling in the feet and ankles due to reduction in the
blood pumping capacity of the heart reduce. This eventually affects the kidneys which respond by
retaining more fluid in the body. The fluid starts getting accumulated in the feet and other parts of
the body.

4) Cold sweat

A person who is likely to get a heart attack may start sweating profusely without any apparent
physical exertion. Heart failure results in over stimulation of the sympathetic nervous system that
leads to sweating.

5) Tiredness

Symptoms of heart disease may vary in men & women. In women common symptoms of heart
failure/heart attack is unexplained overall tiredness and fatigue. Fatigue is also common in the
older people with diabetes who also suffer from heart disease.

6) Irregular pulse rate.

Rapid pulse rate or strong heart beat is a usual complaint made by people visiting a cardiologist.
Palpitations could indicate a heart problem when associated with shortness of breath, weakness
sweating and other symptoms.

7) Pain in the hands
Some people may experience intermittent or constant pain in the shoulder that radiates to the
entire left arm and even the back.

Understanding different types of heart diseases is important and one needs to understand its signs
and symptoms. Precautionary measures are necessary to avoid any hazard.

Crohn’s disease

Crohn’s disease

1)What is Crohn’s disease

Crohn’s disease is a type of inflammatory bowel disease. As many as 780,000 Americans have the condition, according to the Crohn’s & Colitis Foundation (CCF).

More research about Crohn’s disease is necessary. Researchers aren’t sure how it begins, who is most likely to develop it, or how to best manage it. Despite major treatment advances in the last three decades, no cure is
available yet.

Crohn’s disease most commonly occurs in the small intestine and the colon. It can affect any part of your gastrointestinal (GI) tract, from your mouth to your anus. It can involve some parts of the GI tract and skip other parts.

The range of severity for Crohn’s is mild to debilitating. Symptoms vary and can change over time. In severe cases, the disease can lead to life-threatening flares and complications.

2)What causes Crohn’s disease

It isn’t clear what causes Crohn’s disease. However, the following factors may influence whether you get it:

  • your immune system
  • your genes
  • your environment

3)Crohn’s symptoms

The symptoms of Crohn’s disease often develop gradually. Certain symptoms may also become worse over time. Although it’s possible, it’s rare for symptoms to develop suddenly and dramatically. The earliest symptoms
of Crohn’s disease can include:

  • diarrhea
  • abdominal cramps
  • blood in your stool
  • a fever
  • fatigue
  • loss of appetite
  • weight loss
  • feeling as if your bowels aren’t empty after a bowel movement
  • feeling a frequent need for bowel movements

4)Crohn’s diagnosis

No single test result is enough for your doctor to diagnose Crohn’s disease. They will begin by eliminating any other possible causes of your symptoms. Making a Crohn’s disease diagnosis is a process of elimination.

Your doctor may use several types of tests to make a diagnosis:

    1. Blood tests can help your doctor look for certain indicators of potential problems, such as anemia and
    2. A stool test can help your doctor detect blood in your GI tract.
    3. Your doctor may request an endoscopy to get a better image of the inside of your upper gastrointestinal
    4. Your doctor may request a colonoscopy to examine the large bowel.
    5. Imaging tests like CT scans and MRI scans give your doctor more detail than an average X-ray. Both tests
      allow your doctor to see specific areas of your tissues and organs.
    6. Your doctor will likely have a tissue sample, or biopsy, taken during an endoscopy or colonoscopy for a
      closer look at your intestinal tract tissue.

5)Treatment for Crohn’s disease

A cure for Crohn’s disease isn’t currently available, but the disease can be well-managed. A variety of
treatment options exist that can lessen the severity and frequency of your symptoms.

      • Medications

Several types of medications are available to treat Crohn’s. Anti-diarrheal and anti-inflammatory drugs are
commonly used. More advanced options include biologics, which use the body’s immune system to treat the disease.

      • Anti-inflammatory drugs

The two main types of anti-inflammatory drugs doctors use to treat Crohn’s are oral 5-aminosalicylates and
corticosteroids. Anti-inflammatory drugs are often the first drugs you take for Crohn’s disease treatment.

      • Immunomodulators

An overactive immune system causes the inflammation that leads to the symptoms of Crohn’s disease. Drugs that
affect the immune system, called immunomodulators, may reduce the inflammatory response and limit your
immune system’s reaction.

      • Antibiotics

Some doctors believe antibiotics may help reduce some of the symptoms of Crohn’s and some of the possible
triggers for it.

6)Crohn’s disease diet

A diet plan that works for one person with Crohn’s disease may not work for another. This is because the disease can involve different areas of the GI tract in different people.

It’s important to find out what works best for you. This can be done by keeping track of your symptoms as you add or remove certain foods from your diet.

7)Natural treatments for Crohn’s

Many people use complementary and alternative medicine (CAM) for various conditions and diseases, including Crohn’s disease. The U.S. Food and Drug Administration hasn’t approved these medicines for treatment,
but many people use them in addition to mainstream medications.

Popular alternative treatments for Crohn’s disease include the following:

      • Probiotics. These are live bacteria that can help you replace and rebuild the good bacteria in your intestinal
        tract. Probiotics may also help prevent microorganisms from upsetting your gut’s natural balance and causing a
        Crohn’s flare.
      • Prebiotics. These are potentially beneficial materials found in plants, such as asparagus, bananas,
        artichokes, and leeks, that help feed the good bacteria in your gut and increase their numbers. Prebiotics are
        also available
        to buy in supplement form.
      • Fish oil. Fish oil is rich in omega-3s. According to a 2017 study, research is ongoing regarding its possible
        treatment of Crohn’s disease. Oily fish like salmon and mackerel are rich in omega-3s. You can also try fish oil
        supplements, which you can shop for online.
      • Supplements. Many people believe certain herbs, vitamins, and minerals ease the symptoms of a variety of
        diseases, including the inflammation associated with Crohn’s disease. Research is ongoing as to which
        supplements may be beneficial.

8)Crohn’s surgery

Surgery for Crohn’s disease is considered a last-resort treatment, but three-quarters of people with this Crohn’s will ultimately need some type of surgery to relieve symptoms or complications.

      • Strictureplastywidens and shortens the intestines in an attempt to reduce the effects of scarring or damage
        to the tissue.
      • During a bowel resection, portions of damaged intestine are removed. Healthy intestine is stitched together
        to reform the intestines.

9)What are the variations of Crohn’s disease

    • Gastroduodenal Crohn’s disease mainly affects your stomach and the duodenum, which is the first part of your
      small intestine. About 5 percent of people with Crohn’s disease have this type.
    • Jejunoileitis occurs in the second portion of your intestine, called the jejunum. Like gastroduodenal
      Crohn’s, this variation is less common.
    • Ileitis is inflammation in the last part of the small intestine, or ileum. About 30 percent of people with
      Crohn’s disease are affected at this location.
    • Ileocolitis affects the ileum and the colon and is the most common variation of Crohn’s. Approximately 50
      percent of people with Crohn’s disease have this variation.