Fitness Friday: Health Benefits of Regular Cycling

Physical activity is what you required to be fit and healthy. Regular physical activity can help protect you from serious diseases such as obesity, heart disease, cancer, mental illness, diabetes and arthritis. Riding your bicycle regularly is one of the best ways to reduce your risk of health problems associated with a sedentary lifestyle.

The health benefits of regular cycling include:

  • Increased cardiovascular fitness
  • Increased muscle strength and flexibility
  • Improved joint mobility
  • Decreased stress levels
  • Improved posture and coordination
  • Strengthened bones
  • Decreased body fat levels
  • Prevention or management of disease
  • Reduced anxiety and depression.

Watch my Cycling Video:

Cycling in SVIMS Campus_Tirupati from Dr. Rohith Reddy Pathuri on Vimeo.

Source: betterhealth.vic.gov.au/

World Tuberculosis day 2020: It’s TIME..

World Tuberculosis(TB) day is commemorated on 24th March to raise public awareness about devastating health, social and economic consequences of TB, and to step up efforts to end global TB epidemic. In 1882 March 24th, Dr. Robert Koch discovered TB Bacilli, which is responsible for this deadly disease. His discovery was a breakthrough in diagnosing and curing this disease.

Robert Koch

Dr. Robert Koch identified the specific causative agents of tuberculosis, cholera, and anthrax and also gave experimental support for the concept of infectious disease. For his research on tuberculosis, Koch received the Nobel Prize in Physiology or Medicine in 1905.

TB remains the world’s deadliest infectious killer. Each day, over 4000 people lose their lives to TB and close to 30,000 people fall ill with this preventable and curable disease. Global efforts to combat TB have saved an estimated 58 million lives since the year 2000. India is determined to eliminate TB by 2025, we need more participation from the community to spread awareness about the early diagnosis and completion of  TB treatment. So be a leader for a TB-free world.

We made a short film on the awareness of Tuberculosis in 2018. Our small effort to make this short film won us awards in the national and state level given by Indian association of preventive and social medicine (IAPSM). We won 2nd prize in the national level & 1st prize in the state level.

As doctors we do our job by trying to spread awareness in every way possible, be it in the hospital, in family, amongst friends or in the society by making such a video. I hope and intend to keep spreading awareness by means of short films or other modalities possible. kindly LIKE and SHARE the video as much as you can and contribute your part for a TB-free world.

World Tuberculosis day 2019

Testimony of a person who won a war against MDR TB…

Today I am officially a mdr tb survivor.
I am a tb warrior.
I beat TB.
I’m TB free.
Glory be to God.
Glory be to the most high.
I am a living testimony.
But my journey with TB doesnt end here.
I will continue to fight with and for those infected and affected by this deadly bacteria.
We need better and less toxic treatment!!
We need shorter regimens!!
We need better preventive methods against TB!
We need to find all the missing TB cases that are out there spreading this deadly disease.
We have a long way to go but could be easily be fast tracked if more leading figures in the world come together to fight this war against Tuberculosis.


Courtesy: instagram @stop_tuberculosis

World COPD Day 2018: Never too early, never too late

Chronic Obstructive Pulmonary Disease (COPD) is currently the 3rd leading cause of death globally & 250 MILLION people around the world are suffering from COPD.

COPD is not curable, but treatment can relief symptoms, improve quality of life & reduce risk of death. Finding cases early on is very important to prevent disease progression, and this approach may reduce the burden of disease and mortality rates in future.

The main causes of COPD are:

  • Tobacco smoking
  • Indoor air pollution
  • Outdoor air pollution
  • Occupational dusts & chemicals

Some of the Common symptoms of COPD are:

• Shortness of breath.
• A repetitive cough.
• Increased phlegm or mucus production.
• Feeling tired.
• More frequent chest infections.
• Taking longer to recover from a cold or chest infection.

World Chronic Obstructive Pulmonary Disease (#COPD) Day is organized by the Global Initiative for Chronic Obstructive Lung Disease (GOLD) in collaboration with health care professionals and COPD patient groups throughout the world. Its aim is to raise awareness about chronic obstructive pulmonary disease (COPD) and improve COPD care throughout the world

#World_COPD_Day2018

World No Tobacco Day 2018: Impact of Tobacco on Cardiovascular Health

Tobacco is a potentially lethal substance which responsible for more than 1 in 10 fatalities globally, with India featuring among the top four users of tobacco. About 11.2 percent smokers worldwide are Indian.

World No Tobacco day is celebrated each year on 31st May.  Let’s discuss more about this years theme ‘impact of tobacco on cardiovascular health’.

  • Male and female smokers are at greater risk of myocardial infarction, recurrent heart attacks, and sudden death from coronary heart disease than nonsmokers.

  • Several mechanisms contribute to ischemic heart disease among smokers, including atherosclerosis, thrombosis, coronary artery spasm, cardiac arrhythmias, etc.,

  • About one third of all heart attack deaths and 40% of stroke deaths are attributable to tobacco use.

  • Acutely, smoking may cause myocardial ischemia.

  • After one year of smoking cessation, the excess risk of Chronic Heart Disease mortality is reduced by about one-half and continues to decline with time.

Tobacco and its effect on other organs:

  • Around 2500 people are dying each day because of the tobacco use. Both, smoking (cigarette, Bidi) and chewing tobacco (gutkha, pan-masala etc.) leads to mouth, lung, Larynx, oesophagus, stomach cancers, etc.

  • India has the largest number of the oral cancer cases in the world due to tobacco use.

  • Tobacco users are 2 to 3 times more likely to develop heart diseases and paralysis.

  • Tobacco use accounts for more than 90% of lung cancers and other Respiratory diseases. Tobacco use causes impotence in men and reduced fertility in women.

  • Tobacco use increases risk of getting diabetes.World-No-Tobacco-Day-Theme-2018-Tobacco-Breaks-Heart-2

  •  Real Treatment is by:

    • Motivation

    • Commitment

    • Determination and

    • Effort and support in the struggle to quit smoking.

  • People do not quit smoking, INDIVIDUALS do! Just like only you can quit smoking. No one can quit smoking for YOU. Only YOU CAN…..

  • You better Quit smoking before Life quits you..

    Stay Fit & Stay healthy….

Nipah Virus(NiV): Everything about this deadly virus

There has been reports of Nipah Virus outbreak in Calicut Kerala with a death toll of 14. The mortality rate has been quite high – more than 50%. So, Let’s know more about this deadly virus.

1. What is Nipah Virus?

Nipah Virus (NiV) is an emerging infectious disease which first appeared in domestic pigs in Malaysia and Singapore in 1998 and 1999.

There is evidence of Nipah infection among several species of domestic animals including dogs, cats, goats, and horses. Sheep may also be affected. However, since the initial outbreak it has primarily affected humans in different parts of the world.

The disease causes respiratory and occasionally nervous signs in pigs. It has devastating zoonotic potential. The organism which causes Nipah Virus encephalitis is an RNA virus of the family Paramyxoviridae, genus Henipavirus, and is closely related to Hendra virus. Hendra virus, formerly known as equine morbillivirus pneumonia or acute equine respiratory syndrome, is an acute, viral respiratory infection of horses and humans that has been reported in Australia.

Nipah Virus infection, also known as Nipah Virus encephalitis, was first isolated and described in 1999. The name, Nipah, is derived from the village in Malaysia where the person from whom the virus was first isolated succumbed to the disease.nipah

2. Where is the disease found?

There have been Nipah Virus infection outbreaks in pigs Malaysia and Singapore, and human disease in Malaysia, Singapore, India, and Bangladesh. Evidence of the virus without clinical disease has also been found in fruit bats in Cambodia, Thailand and Madagascar.

3. How is Nipah transmitted and spread?

Fruit bats, also known as‘flying foxes,’ of the genus Pteropus are natural reservoir hosts of the Nipah and Hendra viruses. The virus is present in bat urine and potentially, bat feces, saliva, and birthing fluids. Perhaps as a result of deforestation programmes, the Malaysian pig farms where the disease first originated had fruit trees which attracted the bats from the tropical forest, thus exposing domestic pigs to bat urine and feces. It is thought that these excretions and secretions initiated the infection in pigs which was then followed by a rapid spread through intensively reared pigs. Furthermore, transmission between farms may be due to fomites – or carrying the virus on clothing, equipment, boots, vehicles, etc.

4. What is the public health risk associated with this disease?

Nipah Virus is a zoonotic disease. Transmission to humans in Malaysia and Singapore has almost always been from direct, contact with the excretions or secretions of infected pigs. Reports from outbreaks in Bangladesh suggest transmission from bats without an intermediate host by drinking raw palm sap contaminated with bat excrement, or climbing trees coated in bat excrement. In Bangladesh and India, there have been reports of possible human-to-human transmission of the disease so precautions are necessary for hospital workers caring for infected patients.

Precautions should also be taken when submitting and handling laboratory samples, as well as in slaughterhouses. Typically the human infection presents as an encephalitic syndrome marked by fever, headache, drowsiness, disorientation, mental confusion, coma, and potentially death. During the outbreak in Malaysia, up to 50% of clinically apparent human cases died. There is no specific treatment for Nipah Virus. Supportive care is the general treatment for this disease.

5. What are the clinical signs of Nipah Virus?

Nipah Virus in pigs affects the respiratory and nervous systems. It is known as porcine respiratory and neurologic syndrome, porcine respiratory and encephalitic syndrome (PRES), and barking pig syndrome (BPS). It is a highly contagious disease in pigs; however the clinical signs vary depending on the age and the individual animal’s response to the virus. In general, mortality (death due to the disease) is low except in piglets. However, morbidity (illness from the disease) is high in all age groups. Most pigs develop a febrile respiratory disease with a severe cough and difficulty breathing. While the respiratory signs predominate, encephalitis has been described, particularly in sows and boars, with nervous signs including twitching, trembling, muscle fasciculation, spasms, muscle weakness, convulsions, and death. Some animals, however, remain asymptomatic. Natural infection of dogs with NiV causes a distemper like syndrome with a high mortality (death) rate.

6. How is the disease diagnosed?

The disease is difficult to diagnose based on clinical signs alone, however confirmation can be made through prescribed laboratory tests (OIE Manual of Diagnostic Tests and Vaccines for Terrestrial Animals).

7. What is being done to prevent or control this disease?

Prevention and control measures focus on immediate eradication by mass culling of infected and in-contact pigs and on antibody surveillance of high risk farms to prevent future outbreaks. After culling, the burial sites are disinfected with chlorinated lime. It is also recommended to use sodium hypochlorite (bleach) to disinfect the contaminated areas and equipment. Other important control measures have been a ban on transporting pigs within the countries affected, a temporary ban on pig production in the regions affected, as well as improvement of biosecurity practices. Education and use of personal protective equipment (PPE) by persons exposed to potentially infected pigs is highly recommended. Also, improved hygiene at pig operations is suggested.

One of the most important biosecurity measures for affected areas is to decrease the likelihood of the bat reservoir coming into contact with pig product ion facilities. Research into development of vaccines has been ongoing in Australia and France.

Precautions to be taken:

1. Be highly suspicious about any fever with respiratory symptoms of 2 or 3 days suddenly showing signs of encephalitis

2. Ensure you wear a mask during any interaction with patients in OPD / wards. Usual surgical mask is enough, but don’t use it for too long. Change mask!!

3. Proper hand washing and hand hygiene is very important. Ensure there’s no laxity in this…

Stay tuned for more updates…

Source: WHO, Google, NDTV etc.,

World Asthma day 2018: Spreading Awareness..

Today is World Asthma Day and the theme for this year is ‘Never too early, never too late. It’s always the right time to address airways disease.’ First Tuesday of May is commemorated as world asthma day in order to raise awareness about Asthma. IMG-20180501-WA0000.jpg

Why is it celebrated as World Asthma  day?

World Asthma Day makes the people to provide each and every knowledge about the Asthma and to get them every preventive measures for their own health. It makes the people to come together to spread the knowledge about the prevention, causes and control of the Disease. 

It is Organised by Global Initiative for Asthma (GINA), this year marks the 20th annual World Asthma Day in collaboration with the World Health Organisation (WHO). The WHO states that a total of 235 million people are suffering from asthma. As a part of World Asthma Day, We Pulmonology residents from SVS medical college, Mahbubnagar gave an awareness talk in a Multinational Company about asthma and the risk factors related to it. I am going to discuss more about asthma in this post…

What is asthma?

Asthma is a chronic lung disease which causes difficulty in breathing, wheezing, Chest tightness, Coughing and affects sufferers to varying degrees, asthma is caused by swelling and inflammation of the bronchial tubes, sometimes in reaction to allergens, exercise, stress or changes in temperature.

Is it curable?

As a health condition, asthma cannot be cured but can be controlled by bringing in a few lifestyle changes. It is not usually curable but can be controlled to certain extents, depending on how it affects the sufferer. If it is controlled then sufferers can live relatively normal lives, although some triggers may have to be avoided.

What are the causes of asthma?

  • Exposure to Indoor allergens  like Dust mites, pollution and pet dander etc.,

  • Outdoor allergens (such as pollen etc.,)

  • Tobacco smoke

  • Chemical irritants in the workplace

  • Air pollution.

How is controlled?

Asthma is controlled by prevention medications for symptoms and relief medication for flare-ups of asthma symptoms. Education and understanding are keys to effective control of asthma, which can be fatal if not managed properly.

World Asthma Day educates and raises awareness of the condition in the hope of relieving suffering and reducing deaths.

Key facts about Asthma:

  • According to the World Health Organisation (WHO) report, India has estimated 15-20 million asthmatics.

  • Some 235 million people currently suffer from asthma. It is a common disease among children.

  • Most asthma-related deaths occur in low- and lower-middle income countries.

  • According to the latest WHO estimates, released in December 2016, there were     383 000 deaths due to asthma in 2015.

 

Few Tips to prevent Asthma Attacks:

  1. Regular exercise:  Exercise helps by strengthening your breathing muscles, boosting your immune system and helping to keep a healthy body weight. The key to exercising safely is to make sure your asthma is under control before you start. .

  2. Avoid Triggers: If you are allergic to certain foods, you should avoid them. Allergies can trigger Asthma.

  3. Eat plenty of Fruits & Vegetables & foods that are rich in Vitamin-C & E, Beta carotene, Flavinoids, Magnesium, selenium & Omega 3 fatty acids which are found in Fish like salmon, Tuna and sardines and some plant sources, like Flaxseed.

  4. Avoid Trans-fats & Omega 6 fatty acids. There’s some evidence that eating Omega6 fats and Transfats which are found in some Margarines and processed foods, may worsen asthma.

  5. Most important tip is that make sure that you take your asthma medication as prescribed by your doctor. Many people think they can skip their asthma preventing (controller) medications when they don’t feel any symptoms – that’s not true. Asthma is a chronic (long-term) disease. If you have asthma, you have it all the time, even when you don’t feel symptoms. You have to manage your asthma every day, not just on days when you feel symptoms.

  6. Learn how to use your inhaler properly

  7. Quit smoking and avoid second-hand smoke.

Happy Doctors Day: An Inspirational Story

National Doctors day is celebrated on July 1 all across India to honour the legendary physician and the second Chief Minister of West Bengal, Dr Bidhan Chandra Roy as per the info. He was born on July 1, 1882 and died on the same date in 1962, aged 80 years. Dr Roy was honoured with the country’s highest civilian award, Bharat Ratna on February 4, 1961. Happy Doctors day to all the Doctors out there..

A Small Inspirational Story:

A doctor quickly entered the hospital after being called in for an urgent surgery. He changed his clothes and went directly to the surgery block. He saw the boy’s father walking back and forth in the hall waiting for the doctor.
Once seeing the doctor, the dad yelled: “Why did you take all this time to come? Don’t you know that my son’s life is in danger? Don’t you have the sense of responsibility?”
The doctor smiled and said: “I am sorry, I wasn’t in the hospital and I came the fastest I could… now, I wish you’d calm down so that I can do my work.”
“Calm down?! What if your son was in this room right now, would you calm down? If your own son dies now what will you do?” said the father angrily.
The doctor smiled again and replied: “I will say what is said in the Holy Bible ‘From dust we came and to dust we return, blessed be the name of God.’ Doctors cannot prolong lives. Go and intercede for your son, we will do our best by God’s grace.”
“Giving advice when we’re not concerned is so easy” murmured the father.
The surgery took some hours after which the doctor went out happy, “Thank God! Your son is saved!”
And without waiting for the father’s reply he carried on his way running. “If you have any question, ask the nurse.”
“Why is he so arrogant? He couldn’t wait some minutes so that I ask about my son’s state?” commented the father when seeing the nurse minutes after the doctor left.
The nurse answered: “His son died yesterday in a road accident, he was in the burial when we called him for your son’s surgery.”
-Author Unknown

Moral: Stay calm in all situations so you can make decisions the best you can, be it in life or business… and thank you all my dear doctors for the excellent work you do.

Health Tips for Diabetics

1.Drink water as much as you can: It has been shown that people with diabetes who drink water regularly have lower blood glucose levels than those that do not. It may be the fact that drinking a lot of water will help you flush out your system of all of the toxins & excess sugar.

2. Include fresh vegetable salad in every meal. Try to add cucumbers or carrots in your breakfast. Remember that the less they are cooked the better they are for you, since they contain more vitamins.

3.Beware of some fruits & fruit juices: Do not drink fruit juice unless it is all natural and only have one serving. Most juices are from concentrate and contain a lot of added sugar. Mangoes, Sitaphal,  Chikkoo(sapota) etc  to be avoided at any cost.

4.Try to start your day with Oats. Eating oats is a great way to regulate the sugar. The good thing is that it is also a great source of fiber so it will keep you full for a long time. The more full you are, the less likely you will be to fill up on things that will spike your blood sugar levels.

5. Start eating Brown rice, Jowar ki Roti and try to minimize White rice & White breads. This is one of the most important thing to do.

6.Substitute meat with beans. Beans is a good source for Proteins and contains less fat when compared to meats. Try having beans for at least two meals a week.

7. Do atleast 1 hour of exercise daily. Do not eat immediately after a workout.

8. Eat small meals at regular intervals but don’t overeat. Make sure the gaps between your meals are short. If you are on insulin, make sure you have three proper meals with light snacks in between.

9.Fruits that can lower your Blood glucose levels:  Kiwis, Black jamun, Guava, Apples, Papaya, Watermelon, amla, Pomegrenade, peaches, berries and cherries Studies proved that these fruits showed a good results in lowering Blood sugar levels

10. Do not eat fast, masticate and munch your food well before you swallow. Avoid fried foods, Junk and sweetmeats.

Make sure that the food that you eat is healthy and fresh will assure that your body will function exactly as it should. Keeping your insulin levels at a good level will most likely contribute to you losing some excess weight. Also check your blood sugar levels regularly. Hope these tips will help you in maintaining your blood sugar level. And will help you in making your life more happier than before.

World Kidney day

The World Kidney day is Celebrated on the second Thursday in March, the mission of this day is to raise awareness of the importance of our Kidneys to our overall Health and to reduce the frequency and impact of Kidney disease and its associated Health problems worldwide.  And there isn’t a better time to learn more about these vital organs.World kidney day

Kidney and its functions:

The major function of the kidneys is to remove waste products and excess fluid from the body. The kidneys are powerful chemical factories that perform the following functions: remove waste products & Drugs from the Body, balance the Body’s fluids, release Hormones that regulate Blood pressure, produce an active form of Vitamin D that promotes Strong & Healthy bones, control the production of Red Blood Cells.

THE 10 GOLDEN RULES:

Kidney Diseases are silent killers, which will largely affect your quality of life. There are however several easy ways to reduce the risk of developing Kidney Disease.
1.Keep fit and active :Keeping fit helps to reduce your BP and therefore reduces the risk of Chronic Kidney Disease.
2.Monitor your Blood Pressure: Although many people may be aware that high Blood Pressure can lead to a Stroke or Heart attack, few know that it is also the most common cause of Kidney damage. The normal Blood Pressure level is 120/80. Between this level and 129/89, You are considered Prehypertensive and should adopt lifestyle and dietary changes. At 140/90 and above, you should discuss the risks with your doctor and monitor your BP level regularly. High BP is especially likely to cause Kidney damage when associated with other factors like Diabetes, High Cholesterol and Cardio-Vascular Diseases.
3.Eat healthy and keep your weight in check: This can help prevent Diabetes, Heart Disease and other conditions associated with Chronic Kidney Disease.
4.Reduce your Salt intake: The recommended Sodium intake is 5-6 grams of Salt per day (around a teaspoon). Large quantities of Sodium can increase BP. High blood pressure damages the Kidneys over time and is a leading cause of Kidney failure.
5.Reducing Sugar intake: : Your Sugar intake can reduce your risk for Diabetes, Obesity and Kidney Disease. If you cut back on the processed Sugars, you’re also likely to lose calories, chemicals and Sodium. Your Waistline and your Kidneys will thank you.
6.Maintain a healthy fluid intake: We should consume atleast 1.5 to 2 litres of Water per day. Consuming plenty of Water helps the Kidneys clear Sodium, Urea and Toxins from the body which, in turn results in a “significantly lower risk” of developing Chronic Kidney disease. In addition, people who have already had a Kidneystone are advised to drink 2 to 3 litres of Water daily to lessen the risk of forming a new stone.
7.Do not smoke: Smoking slows the flow of Blood to the Kidneys. When less Blood reaches the Kidneys, it impairs their ability to function properly.Smoking also increases the risk of Kidney Cancer.
8.Using painkillers for a long duration: Long-term use of certain pain medications, especially at high doses, has a harmful effect on Kidney tissue and structures. Both over-the-counter and prescription pain medications can damage and reduce Blood flow to the Kidneys. Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) like Ibuprofen are the main culprits.
9.Exposure to contrast dyes commonly used in imaging. It’s important to make sure Your Physicians check Your Kidney function before You undergo any Radiology procedures, such as CT scans, certain X-rays and angiograms. The dyes are injected into your body to complete these tests, can cause serious Kidney problems, including Acute Kidney Injury or AKI (results in an abrupt decrease in Kidney function). Discuss any concerns you may have with your doctor before undergoing a procedure.
10.Reduce Your Alcohol intake: Alcohol creates an ionic imbalance in the body that can negatively affect many metabolic processes.
CKD_DEVIL

There are six warning signs of kidney disease:

1.High blood pressure.
2.Blood and/or protein in the urine.
3.A creatinine and Blood Urea Nitrogen (BUN) blood test, outside the normal range. BUN and creatinine are waste that build up in your blood when your kidney function is reduced.
4.A glomerular filtration rate (GFR) less than 60. GFR is a measure of kidney function.
5.More frequent urination, particularly at night; difficult or painful urination.
Puffiness around eyes, swelling of hands and feet.
6.Your kidneys keep the body healthy by regulating blood pressure and filtering out toxins and extra fluid from your blood. Damage to the kidneys is often irreversible.

I hope this will raise an awareness and encourage prevention of Kidney Diseases. Health is Wealth! Stay healthy and take care of your Kidneys and body.