HEALTH & FITNESS

Getting annoyed on trivial issues indicates mental sickness
Dr Divay Mangla

Everybody passed through the phases of irritability of mood in daily life at one or the other occasion. Getting annoyed on trivial issues, losing temper easily, hot argumentation, abusive behaviour and becoming physically aggressive are the common manifestations of irritable mood.

New treatment for better vision
Dr Mahipal Sachdev

Laser correction for the removal of glass power has been known to us for the past 15-20 years. The results of laser surgery are improving day by day because of better understanding of body response and tissue healing. Continuous research on the software and the quest to achieve perfect vision is still on.

Health Notes
Folic acid boosts brains of the elderly

LONDON:
Folic acid supplements can improve the memory and brainpower of ageing people, according to a new research. Men and women aged 50 to 70 who took daily supplements had similar mental abilities to contemporaries almost five years younger, The Lancet study found.

Anal fistula patients can smile now
Dr Pankaj Garg

Anal Fistula is an abnormal passage (communication) between the interior of the anal canal or rectum and the skin surface. Rarer forms may communicate with the vagina or other pelvic structures, including the bowel.

 

 

 

 

 

 

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Getting annoyed on trivial issues indicates mental sickness
Dr Divay Mangla

Everybody passed through the phases of irritability of mood in daily life at one or the other occasion. Getting annoyed on trivial issues, losing temper easily, hot argumentation, abusive behaviour and becoming physically aggressive are the common manifestations of irritable mood.

In psychological terms, it is a state of the mind in which man’s capacity to tolerate frustration, declines. In this state, one becomes very much ill-tempered if things do not go as per one’s wish.

The individual who suffers from this problem usually fails to recognise the disorder and blames others for his or her irritable behaviour — “it is only because of your attitude that I get out of control”.

Frequent losses in the business at one end and increasing family expenditure at another make a businessman mentally stressed. Over a period of time he becomes short-tempered and starts behaving in an argumentative way with his clients and family members. All this leads to a further decline in his business, as people start avoiding him because of his persistent irritable behaviour. This vicious cycle goes on and ultimately he lands into depression.

Like this businessman, a number of people, including children, become victims of irritable mood because of various stressful situations.

In a healthy mental state, one is able to cope with the irritability of mood and does not allow it to dominate over oneself. But once irritability becomes a persistent feature and starts affecting one’s life adversely, it points to some psychological illness like neurasthenia, depression, anxiety, mania, psychosis (Schizophrenia) and personality disorder.

Contacting a psychiatrist or a clinical psychologist should be the initial step for the management of these psychological problems. Mild or occasional irritability of mood, which does disturb one’s personal or social life, usually does not require specific treatment. Suggestions given below can help a person come out of a mild state of irritable mood:

  •  Try to acknowledge this problem and accept it.
  •  Make it a habit to share your emotions and feelings with some faithful person like a family member, friend or relative.
  • Choose relaxation exercises like abdominal breathing, muscle relaxation and meditation according to your taste and do that on a regular basis. (Take help of some expert)
  •  Make an effort to reduce your level of mental stress by decreasing the work-load and lowering your expectations from the self.
  •  Avoid consuming excess of tea or coffee. Don’t use alcohol to fight mind-related problems.
  •  Even then if you fail to control your irritable mood, then seek guidance from a psychiatrist.

The writer, a practising psychiatrist, was earlier associated with Government Medical College and Hospital, Sector 32, Chandigarh.



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New treatment for better vision
Dr Mahipal Sachdev

Laser correction for the removal of glass power has been known to us for the past 15-20 years. The results of laser surgery are improving day by day because of better understanding of body response and tissue healing. Continuous research on the software and the quest to achieve perfect vision is still on. This has resulted in the latest version of laser treatment in the form of Zyoptix-Aspheric available today.

Laser treatment to get rid of glasses has evolved from LASIK to wavefront-guided Lasik or Zyoptix. Zyoptix corrects the aberrations or imperfections in the cornea in addition to the removal of glass power.

Zyoptix is a more personalised treatment because of this. It has also safer because of the IRIS recognition technology available with the machine. Safety is enhanced due to the multidimensional eye-tracker. This eye-tracker will detect any movement of the eye and stop the laser beam if any gross movement is detected. These advances had made laser treatment more personalised, safer and accurate.

In all these refractive procedures, a thin corneal flap is raised and then laser is applied to the base. Only the laser pattern varies in all these procedures. The corneal flap is deposited back in place after the application of laser. This flap adheres fast and the visual recovery is about 90 per cent within a day.

The latest in laser treatment today is Zyoptix-Aspheric. The added advantage of this procedure is that one gets a better quality of night vision. The asphericity refers to the natural shape of the cornea, maintained with this laser treatment. It is the first customised treatment that incorporates both corneal aspherity and curvature.

The human cornea is naturally aspheric (or elliptical) in shape. It is Nature’s gift to allow us to have contrast and clarity, especially in dim light conditions. Zyoptix-Aspheric can preserve better the aspheric shape of our cornea, resulting in better visual performance, reducing visual aberrations such as glare and halos to the minimum, especially during night.

The laser treatment for getting rid of glasses has changed the life of many patients. They are free from the daily hassles of wearing glasses or contact lenses. They can even participate in games without the inconvenience of glasses.

Zyoptix-Aspheric takes laser treatment to a new dimension in terms of  quality of vision.

The writer is Chairman and Medical Director, Centre for Sight, New Delhi. Email: msachdev@bol.net.in



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Health Notes
Folic acid boosts brains of the elderly

LONDON: Folic acid supplements can improve the memory and brainpower of ageing people, according to a new research. Men and women aged 50 to 70 who took daily supplements had similar mental abilities to contemporaries almost five years younger, The Lancet study found.

But experts said this benefit must be balanced against other risks — an increase in folic acid can mask a vitamin B12 deficiency in older people. This type of anaemia can cause serious health problems like nerve damage. — ANI

Common cold remedy raises stroke risk

NEW YORK: Taking small doses of cold remedies containing phenylpropanolamine (PPA) appears to increase the risk of haemorrhagic stroke in women, Korean researchers report.

Co-author Dr Byung-Woo Yoon of Seoul National University Hospital and colleagues point out there have been previous reports that appetite suppressants containing PPA increase the risk of haemorrhagic stroke in young and middle-age women. — Reuters

Vitamin D pill to treat prostate cancer

LONDON: Boffins have developed a vitamin D pill to treat advanced prostate cancer. US drug company Novacea has produced a pill which delivers a concentrated dose of the vitamin without running the risk of side-effects from an overdose.

The drug would be given to patients in the advanced stages of the disease along with chemotherapy drugs.

Professor Nick James, a cancer expertat the University of Birmingham, said the drug had produced impressive results in preliminary phase two trials. — ANI

Researchers unravel mystery behind tears

WASHINGTON: It’s no secret why we shed tears. But exactly what our tears are made of has remained a mystery to scientists. A new study sheds some light on the complex design of tears. What we think of as tears, scientists call tear film, which is made up of three distinct, microscopic layers.

The middle, watery layer — what we normally think of as tears when we cry — is sandwiched between a layer of mucus and an outer layer of fatty, oily substances collectively called meibum. — ANI

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Anal fistula patients can smile now
Dr Pankaj Garg

Anal Fistula is an abnormal passage (communication) between the interior of the anal canal or rectum and the skin surface. Rarer forms may communicate with the vagina or other pelvic structures, including the bowel.

How is anal fistula caused?
Most fistulas begin as anorectal abscesses. When the abscess opens spontaneously into the anal canal (or has been opened surgically), a fistula may occur. Other causes of fistulas include tuberculosis, cancer and inflammatory bowel disease. Fistulas may occur singly or in multiples.

The symptoms
Symptoms are usually a purulent discharge and drainage of pus and/or stool near the anus, which can irritate the outer tissues causing itching and discomfort. Pain occurs when fistulas become blocked and abscesses recur. Flatus (gas) may also escape from the fistulous tract. A fistula-in-ano is diagnosed when a probe has been passed between the opening on the skin’s surface and the interior opening.

How is anal fistula treated?
An anal fistula usually lasts until it is surgically removed. The following methods are available to treat anal fistula:

  •  Fistulotomy/fistulectomy
  •  Endorectal/anal sliding flaps
  •  Seton
  •  Fibrin glue
  •  Anal fistula plug (the latest treatment)

A new method, known as Anal Fistula Plug (AFP), has been perfected. It has dramatically changed the way we can treat this complex disease. This treatment requires placement and fixing of the plug in anal fistula by a special technique. The plug is made of highly sophisticated absorbable material which provides the scaffold over which the body’s collagen gets deposited and closes the fistula.

Comparative studies have shown this method to be very effective. The best aspect of this method is that it involves no cutting at all. So, there is little post-operative wound and pain. Moreover, the patient can go back to work the same day or the next day. In many patients, the AFP plug can also be inserted under local anesthesia, making it a wonderful day-care procedure for treating anal fistula. Most important, this method can be used successfully to treat high fistula. There is no need for any colostomy. The risk of bowel incontinence is also not there at all.

The writer is a senior consultant surgeon, Fortis, Mohali.



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