25 Oct

Posted at 13:06h in Blog
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Gastroesophageal reflux (GER) is an involuntary retrograde passage of gastric contents into the esophagus with or without regurgitation or vomiting. Most episodes of reflux in healthy individuals last less than 3 minutes, occur in the postprandial period and cause few or no symptoms. Sometimes infants (0 to 12 months) spit up but do not have symptomatic reflux. About 50% of healthy 3- to 4-month-old infants spit up at least once a day, known as “happy spitting.” Most infants with asymptomatic GER grow normally and the condition often peaks at 4 months...

25 Oct

Posted at 12:51h in Blog
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Prostate cancer is the most common cancer among men. It is also one of the leading causes of cancer death among men of all races and Hispanic origin populations.1 For men diagnosed with prostate cancer, the question of what to do next is foremost in their minds. Surgery?Radiation?Wait to see how quickly the tumour grows? But somewhere in the midst of all the soul-searching, many inevitably wonder, ‘‘Is there anything I could have done to prevent prostate cancer in the first place?” Here is where your role as a family physician...

25 Oct

Posted at 12:37h in Blog
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Need for planning diet in Gall Stone Disease: To prevent gallstone formation and To reduce the likelihood of painful attacks if the patient is already suffering from stones, it is important to reduce the intake of foods high in cholesterol and fats. Although diet doesn't directly cause gallbladder problems, and it won't cure them, watching what one eats and keeping a healthy weight might help them prevent gallstones from forming and avoid some discomfort if they do develop gallstones.   Risk factors for getting gallstone disease are: Genetics: If somebody in the family...

25 Oct

Posted at 12:26h in Blog
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The worldwide increase in the number of patients with chronic kidney disease and ultimately end-stage kidney disease requiring kidney replacement therapy is threatening to reach epidemic proportions over the next decade. This has an adverse effect on one’s health and quality of life, and gives rise to high health care expenditure. Caring for your kidneys is important because healthy kidneys filter out toxic waste products from the blood caused by environmental toxins.   Role of the kidneys The kidneys are bean-shaped organs located near the middle of the back, just below the rib cage, one...

25 Oct

Posted at 11:56h in Blog
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Mixed pain phenomenon in chronic pain Chronic pain has been shown to be the result of NEUROPATHIC  as well as NOCICEPTIVE  pain mechanisms and has therefore been classified as a MIXED pain syndrome (Carlo Luca Romanò,et al). Nonspecific nociceptive pain is the result of an inflammatory response to tissue injury Neuropathic pain describes cutaneous projected pain arising from the lumbar spine and/or nerve roots (radicular pain or radiculopathy) (Carlo Luca Romanò,et al)   Corollary Chronic pain = NEUROPATHIC + NOCICEPTIVE  pain mechanisms  The multifactorial nature of chronic pain such as low...

25 Oct

Posted at 11:17h in Blog
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Studies reveal that outpatient office visits for BPH in Canada rose by over 50% in four years. 1 With these rising numbers has been a dramatic shift in the assessment and treatment of LUTS due to BPH. As a consequence, the initial management of BPH has shifted from the urologist to the family practitioner and other primary care physicians.2,3 BPH has been shown to be a progressive disease and BPH-related lower urinary tract symptoms (LUTS) are some of the most common causes for consultation in urologic clinics.4The severity of clinical symptoms, a...

25 Oct

Posted at 09:45h in Blog
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Chronic low back pain is …. Low back pain which has been present for longer than three months.   Chronic low back pain may be due to Injury to structures of the back such as bones, muscles, ligaments, joints, nerves or the spinal cord. Disease of the structures of the back.   Type of pain felt in chronic low back pain Aching, burning, stabbing or tingling, sharp or dull, and well-defined or vague. Chronic low back pain diagnosis Clinical examination X ray of back Specialized investigations ( CT scan or MRI) if required   Various treatment options...

25 Oct

Posted at 08:11h in Blog
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The human bone is as strong as granite in supporting the weight. We are born with 300 bones, but only end up with 206 when we are adults because many of them join to make a single bone. The human hand has 27 bones; the face has 14! The longest bone in the body is the thigh bone, the femur -- it' s about1/4 of your height. The smallest is the stapes bone in the ear which can measure 1/10 of an inch. Did you know that humans and...

24 Oct

Posted at 12:06h in Blog
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An ancient Chinese proverb states "Better to be deprived of food for three days, than tea for one." Did you know!! Green tea originates in China and was first brewed in 2737 B.C. during the reign of Emperor Chen Nung. Green tea is made from the leaves from Camellia sinensis that have undergone minimal oxidation during processing - its leaves are withered and steamed, not fermented like black and oolong teas. Green tea has been used as both a beverage and a medicine to help everything from controlling bleeding and helping...

24 Oct

Posted at 10:57h in Blog
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AMI  risk is  COMPOUNDED by vitamin D deficiency Vitamin D deficiency  is involved in the development of atherosclerosis and coronary heart disease Low levels of 25(OH)D are associated with higher risk of myocardial infarction in a graded manner, even after controlling for factors known to be associated with coronary artery disease. GiovannucciE  et al. Arch Int Med 2008; 168 (11): 1174-1180   Vitamin D + Atorvastatin FDC Enhanced effectiveness of  Atorvastatin with optimum Vitamin D3 level Castrillon JP, et al. International Journal of Endocrinology 2010   Indians: A unique population with vitamin D deficiency 70% of Indians today...