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Thursday, March 23, 2017

পুরুষরা ভুলেও উপেক্ষা করবেন না এই ৮টি স্বাস্থ্য-সংকেত। না হলেই সর্বনাশ



পুরুষরা অনেক সময়েই বাইরের জগতের কাজকর্ম নিয়ে ব্যস্ত থাকেন। নিজের শরীরের দিকে সেই কারণে আর তেমন নজর দেওয়ার সময় পান না। সেই অবকাশে শরীরে বেড়ে উঠতে থাকে কোনও এক গুরুতর ব্যাধি। এ হেন অমনোযোগী পুরুষদের সচেতন করতেই সম্প্রতি ‘মেল হেলথ’ নামের স্বাস্থ্য-পত্রিকা জানিয়েছে এমন কিছু শারীরিক লক্ষণের কথা, যেগুলি কোনও কঠিন অসুখের পূর্বাভাস হওয়ার সম্ভাবনা প্রবল। কোন কোন লক্ষণ সেগুলি? আসুন, জেনে নেওয়া যাক—

১. অণ্ডকোষে কোনও দলা অনুভব করা: পুরুষদের নিয়মিত নিজের অণ্ডকোষ হাত দিয়ে ধরে পরীক্ষা করা প্রয়োজন, এবং দেখা দরকার সেখানে কোনও পিণ্ড বা দলা অর্থাৎ লাম্পের অনুভূতি পাওয়া যাচ্ছে কি না। যদি তা যায়, তা হলে অবিলম্বে ডাক্তারের দ্বারস্থ হওয়া দরকার। কেননা এই লক্ষণ টেস্টিক্যুলার ক্যানসার অর্থাৎ অণ্ডকোষের ক্যানসারের পূর্বাভাস হতে পারে।

২. অতিরিক্ত ক্লান্তিভাব: পরিশ্রম কিংবা যথেষ্ট পুষ্টিকর খাবার না খাওয়া ক্লান্তিবোধ হওয়ার একটি কারণ হতে পারে। কিন্তু যদি আপাতদৃষ্টিতে সব কিছু ঠিকঠাক থাকা সত্ত্বেও ক্লান্তি বোধ হয়, তা হলে তা হতে পারে ডায়বেটিজ, লাং ক্যানসার কিংবা হার্টের রোগের লক্ষণ।

৩. প্রস্রাবের সময়ে বেদনা অনুভব করা কিংবা রক্তপাত হওয়া: মূত্র ত্যাগের সময়ে যদি মূত্রনালীতে ব্যথার অনুভূতি হয়, কিংবা প্রস্রাবের সঙ্গে যদি রক্ত বেরোয়, তা হলে তা প্রস্টেট ক্যানসারের লক্ষণ হওয়ার সম্ভাবনা প্রবল।

Wednesday, March 22, 2017

Professional Education


Testing Recommended: High Cholesterol Can Occur in Childhood
MARCH 13, 2014
7 COMMENTS
BY: DR. NICOLAS MADSEN





High cholesterol isn’t a problem limited to adulthood. In fact, it’s becoming more common in children. The Centers for Disease Control and Prevention reports that among youths aged 12-19 years, 14% of kids who are normal weight and 43% of children who are obese have at least one abnormal cholesterol level.

The alarming aspect of those numbers is that typically kids with high cholesterol move on to become adults with high cholesterol, which may eventually lead to heart disease.

That’s why the American Academy of Pediatrics (AAP) recently announced new guidelines for when children should have their cholesterol levels checked, as a part of other updates for well-child visits. Their aim is for early prevention:

All children, regardless of risk or family history, should have their cholesterol checked between ages 9-11.

Previously the AAP did not have formal guidelines associated with the timing of testing for the general pediatric population, choosing instead only to test those children with risk factors, such as obesity, diabetes, or family history. The problem with this initial philosophy for children, and one of the reasons for the change, is that high cholesterol is usually a silent condition. It can happen with or without the presence of obesity, diabetes, or family history.

The young age range for when children should be tested may be surprising for some parents, but studies have shown that the negative effects of high cholesterol in children may occur early in life and without screening the general population, those children at-risk remain undetected.

Even if your child doesn’t have high cholesterol, which is the ideal scenario, it’s helpful for your pediatrician to have a baseline level before your child goes through puberty. The choice of age range 9-11 is based primarily on the potential to intervene more effectively if an abnormality is detected in this age group relative to younger children.

Early testing means early prevention. If we can catch children with high cholesterol early, we have a better chance of helping them to reverse the negative consequences associated with the disease. Too much cholesterol can lead to a buildup of plaque on the walls of the arteries that transport blood to the heart and other organs. When this happens, arteries can become narrowed and blocked.

The good news is that early prevention in children can lead to better chances for reversal of the disease. And relatively speaking it is easier to change the habits of a 10-year-old than that of an adult.

So what do those interventions look like? Typically in our lipid clinic we recommend lifestyle changes such as diet and exercise to help decrease high cholesterol levels.

Here are some general recommendations we give our patients for maintaining a healthy diet and lowering their cholesterol:
Read food labels carefully
Limit dietary fat to less than 25% of total daily calories (in particular, reduced saturated fats to less than 10% of daily calories)
Limit cholesterol to less than 300 mg per day
Choose nonfat or low-fat milk and dairy products
Increase intake of fruits, vegetables, and whole grains
Limit screen time to two hours or less per day (including gaming devices and computers)
Be active for 60 minutes every day

If your pediatrician does not mention cholesterol testing for your child at his next well-child visit, and your child is between the ages of 9-11, I recommend you bring it up. Checking cholesterol levels in this age range is an important step to ensure that children are on the right track for a healthy heart later in life.

Patients & Family

I see this scenario quite frequently in cardiology clinic. Generally speaking, about a quarter of my new patient visits complain of the following set of symptoms at their appointment:  chest pain lasting for several months, maybe 2-4 times a week, for less than 10-20 seconds at a time, at a moderate intensity, sometimes with activity, but more often not. And the child just recently told his or her parents about it.
Understandably, the parents are worried.
But the good news is that while it’s pretty common for children to say that their chest hurts or even that their “heart hurts,” it’s rarely caused by heart disease.
Most kids will complain of chest pain sometime between age 7 and their teenage years, but thankfully, it will be caused by an underlying heart condition in less than 1% of them. More frequently it is related to a viral illness, stress, or most commonly, musculoskeletal pain.
It is my hope that this information will give parents a little peace of mind: the pain manifesting in your child’s chest is rarely caused by heart disease. But I also understand how concerning it can be for parents, and sometimes further investigation may be necessary to narrow down the cause. So where should parents start?
I suggest answering the following questions:
  1. Has my child been sick recently?
    One of the more common causes of chest pain in children is from costochondritis. This is a condition characterized by inflammation in the joint between the breastbone and the ribs, typically caused by a viral illness or frequent coughing. Costochondritis is not concerning, but in some cases it can be long lasting and your child may need a prescription anti-inflammatory to get rid of it.
  2. Was my child injured recently?
    If your child was hit in the chest during a sporting event or even a fall, this could be a more obvious cause of the chest pain. However, even heavy lifting, frequent coughing, or intense aerobic exercise can strain the rib muscles and cause chest pain. You’ll want to contact your pediatrician if the pain is severe, persistent, or associated with difficulty breathing.
  3. Is my child stressed?
    While it might be difficult to imagine a 7-year-old being stressed, school pressures and the loss of a loved one, for example, can all contribute to feelings of stress. What may be even more surprising is that stress can cause chest pain. While chest pain caused by stress is harmless – it’s really no different than a stress-related headache – the duration of the pain is understandably worrisome for parents.
  4. When does it hurt?
    Does it hurt when your child is sitting down, or only when he or she is active? Chest pain from non-cardiac causes usually happens both when a child is at rest and when they are active. My first question is often whether the pain occurs during gym class or while watching TV. Chest pain that only happens with or immediately following moderate to vigorous activity, such as while running and playing competitive sports, is a different matter which does warrant further medical investigation.
  5. How long has it been hurting?
    Has it been going on for months or even years? If yes, then it is almost certainly not caused by heart disease. Chest pain caused by cardiac disease is either so severe that no child could cover it up or ignore it, or it is progressive and associated with other problems such as passing out or worsening fatigue, that it would be highly unusual for the symptoms to continue over several months. However, non-cardiac chest pain is the very opposite; it can often by ignored, is not associated with other concerns, and often just lingers in the background.
  6. How painful is it? Mild-to-moderate or severe?
    Typically mild-to-moderate chest pain is not related to the heart, and isn’t a cause for concern. However, the more concerning chest pain is when the pain is sudden and severe. Typically it will hurt so bad that your child will not want to go to school and will look like he or she is struggling with the pain. This kind of pain is most often caused by pericarditis, which is an inflammatory condition of the heart. Thankfully, pericarditis is very rare. But what’s interesting about it is that it’s the most common reason that a child’s chest pain is related to the heart. If your child has sudden onset of severe chest pain that is continuous and often occurs around the same time of an illness – contact your child’s pediatrician that same day.
The vast majority of the time, chest pain in children is not related to the heart. While there is no single medical history question or medical test that can determine the source of chest pain, hopefully the six questions discussed above can help parents and teens narrow down what’s potentially worrisome and what’s not. If you have any concerns at all, schedule an appointment with your pediatrician, and have your answers to the above questions ready. They will help steer your pediatrician in the right direction.
Editor’s note: For more frequent heart and health-related thoughts, follow Dr. Madsen on twitter: @MadsenNicolas

Monday, March 20, 2017

নাক ডাকার সমস্যা চিরতরে দূর করুন – দেখুন কি ভাবে


নাক ডাকার সমস্যা চিরতরে দূর করুন – দেখুন কি ভাবে



নাক ডাকার সমস্যা যে বেশ বিরক্তিকর ও বিব্রতকর, তা নতুন করে বলে দিতে হয় না।যিনি নাক ডাকেন তিনি না বুঝলেও পাশে থাকা মানুষটির ঘুম হারাম হয়ে যায়।তাই নাক ডাকা সমস্যাকে অবহেলা না করে ঘরোয়া ভাবে খুব সহজে এবং বেশ সুস্বাদু উপায়ে এই সমস্যার সমাধান করুন।


১) গাজর-আপেলের জুস: শুনতে সাধারণ মনে হলেও এই জুসের রয়েছে শ্বাসনালী কিছুটা চওড়া ও শ্বাসনালীর মিউকাস দ্রুত নিঃসরণের ক্ষমতা, যা নাক ডাকা থেকে মুক্তি দিতে বেশ কার্যকর।
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