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Experts urge parents to keep children off social media for better mental health

After the tragic death of 19-year-old Shivansh who fell into a water tank and died while making a reel for social media, psychology experts have asked parents to work in coordination with the schools to provide love, recognition and validation that young people seek on social media, even while putting their lives in danger. Clinical psychologist and former head of the psychology department at Lucknow University, Prof Pallavi Bhatnagar said young people want to be noticed, even if it means losing relationships. She explained that in a fast-changing world, relationships often suffer. Youngsters seek recognition, security and belonging, so they turn to the Internet for support. "They think doing unique things will get them attention and make them feel good, like a drug. This makes them constantly crave more attention and try to outdo others," she said. Prof Adarsh Tripathi from the psychiatry department of the King George's Medical University (KGMU) here said that five to six young patients struggling with social media addiction and having suicidal feelings, visit him daily. They make risky or explicit content. When people see it, they want more to be seen, which keeps them hooked. Also Read: Rising cases of child abuse in schools: How to ensure student safety? Social media gives a dopamine rush in the brain, like an addiction, said the experts. To counter this trend, Prof Bhatnagar suggested parents should pay attention and tell them not to take the Internet too seriously. Group discussions should be arranged at school, keeping in mind the risky stuff they might do. Prof Tripathi suggested holding off on giving adolescents smartphones with social media. “Playing outdoor sports can also help in controlling the urge to make reels or view it,” he added. Also Read: Virtual autism: How screen addiction in toddlers can hamper their cognitive development In an interesting observation, it has been seen that all UP Board top scorers have one thing in common, they are ‘inactive’ on social media. The toppers said that board preparation is incomplete without daily revisions and one should be trusting classroom teaching rather than running after knowledge from the Internet and coaching classes. Though born in the times of social media reel popularity, these toppers maintained a safe distance from social media. Almost all the toppers said that they preferred reading books instead of being active on social media. Also Read: Scorching summer in Maharashtra: Mumbai expert shares handy tips to protect children from the heat This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever.

21 April,2024 01:55 PM IST | Lucknow | IANS
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Understanding India's falling fertility: FAQs answered by health expert

In a world where fertility is often taken for granted, the harsh reality of infertility can be a challenging pill to swallow. Seeking to demystify the complex web of factors contributing to infertility in young males and females, we turn to the expertise of Dr. Monica Jani, a distinguished gynaecologist and obstetrician at Bhailal Amin General Hospital. Here's what she had to say: What are the primary factors that can contribute to infertility in men and women? Primary factors contributing to infertility in both men and women include cervical, tubal, uterine and ovarian issues in women and pretesticular, testicular, and post-testicular factors in men. Both sexes can be affected by lifestyle factors such as diet, obesity, smoking, alcoholism and exposure to chemicals. Genetics also play a role, with inherited disorders or chromosomal abnormalities potentially impacting fertility. Advanced age and stress are additional factors affecting fertility. Also Read: India's fertility rate down from 6.2 to under 2 since 1950, will fall to 1.3 in 2050: Study What is the average dip in fertility rate among young adults?  The average dip in fertility rate among young adults is influenced by various factors, but it's essential to note that infertility affects about 10 to 15 per cent of couples. While specific statistics regarding the average dip in fertility rate among young adults may vary, lifestyle choices, environmental factors and delayed childbearing contribute to this decline. How diet, lifestyle and environmental factors influence fertility rate Diet, lifestyle and environmental factors significantly influence fertility rates. Obesity can lead to anovulation in women and decrease sperm quality in men. Compulsive exercise can similarly affect ovulation in women and sperm count in men. Smoking, alcoholism, exposure to chemicals and drug usage impact fertility in both partners. These factors underscore the importance of a healthy lifestyle and minimizing exposure to harmful substances for optimal fertility. Also Read: India's fertility rate plummets, doctors seek solutions Do genetics play a role in fertility, both in terms of male and female? Yes, genetics play a role in fertility for both men and women. Inherited disorders, chromosomal abnormalities, and mutations can impact reproductive health. These genetic factors may affect various aspects of fertility, including hormone regulation, gamete production and embryo development, highlighting the importance of genetic screening and counselling in fertility assessment and treatment. How common are issues with sperm quality among men? Issues with sperm quality are relatively common among men, with various factors contributing to decreased sperm quality. These factors include testicular factors like testicular failure, trauma, and varicocele, as well as lifestyle factors such as smoking, alcoholism, and exposure to environmental toxins. Additionally, genetic factors and advanced age can also affect sperm quality. However, advancements in fertility treatments offer options for addressing issues with sperm quality and improving the chances of conception. Also Read: HK, Singapore food regulators red flag ‘cancer-causing’ ingredient in certain MDH, Everest spices

20 April,2024 06:27 PM IST | Mumbai | mid-day online correspondent
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Stress affecting family planning and pregnancy in predominantly 30-40 yrs of age

Stress is known to take a toll on the couple’s family planning goals and even pregnancy. Being stressed and anxious during pregnancy can be concerning for the mother and the baby. Couples need to consult an expert and overcome stress when considering planning a family or pregnancy. Moreover, eating well, maintaining an optimum weight, exercising daily, relaxation techniques such as yoga and meditation, getting sound sleep at night and going for regular health check-ups and follow-ups are key to remaining calm and composed during the process of family planning or pregnancy. Also Read: How higher cortisol levels impact skin's barrier function The effect of stress on family planning and pregnancy requires timely attention and consideration. According to various studies, high levels of stress disrupt the hormonal balance in both men and women, hurting their fertility. Stress during pregnancy can cause preterm birth, low birth weight and developmental issues in the child. Mothers experiencing chronic stress may be more prone to conditions such as gestational diabetes and preeclampsia, informs Dr Preethika Shetty, consultant, obstetrician and gynaecologist, Motherhood Hospitals, Kharadi. Effects of stress: 1. It leads to feelings of anxiety, depression, and even postpartum depression after giving birth. 2. Stress is known to cause disruptions in menstrual cycles, making it harder for couples to conceive. 3. The emotional toll of stress can strain relationships and communication between partners, affecting the decision-making process when it comes to family planning. 4. Couples experiencing stress will fail to adhere to self-care practices that are essential for a healthy pregnancy, such as maintaining a balanced diet, regular exercise, or getting a sound sleep at night.  "Around 80 per cent of people are affecting family planning and pregnancy predominantly 30 to 40-year-olds due to stress.  By recognizing the role of stress in the family planning journey, individuals can take proactive steps to manage their stress levels and improve their chances of conceiving successfully,” adds Shetty. Also Read: These three tips may help you optimise stress, sleep and immunity Dr Bharati Dhorepatil, consultant infertility expert, NOVA IVF fertility, Pune added, “Couples should de-stress before embarking on the journey of planning parenthood and pregnancy by practicing mindfulness together. Meditation and yoga will lower stress levels and strengthen the bond between couples. Have open communication about your feelings, fears, and expectations surrounding family planning. By creating a safe space for each other, partners can alleviate tensions and foster understanding in their relationship. Engaging in activities that bring joy, relaxation, and rejuvenation can help reduce stress levels and improve overall well-being. Couples need to stay vigilant about their and the baby’s health.” 

19 April,2024 05:56 PM IST | Mumbai | mid-day online correspondent
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NCPCR asks FSSAI to review sugar content in Nestle's baby food products

The National Commission for Protection of Child Rights (NCPCR) on Thursday asked the Food Safety and Standards Authority (FSSAI) to take a "comprehensive review" of the sugar content in Nestle's baby food products, after a report showed violation of health guidelines. The report, by Swiss organisation Public Eye and the International Baby Food Action Network (IBFAN), revealed that baby-food brands sold by global giant Nestle in India contain high levels of added sugar, unlike the same products in the UK, Germany, Switzerland, and other developed nations. "In light of these concerns it is requested that FSSAI undertake a comprehensive review of the sugar content in baby food products manufactured and marketed by Nestle and other companies," said NCPCR Chief Priyank Kanoongo, in the letter to the food regulator, seen by IANS. Outrage in Santacruz’s Khotwadi: Builder denying transit rent for 6 years, erected 50 illegal flats The Commission said it has "taken cognisance" of the report and that the added sugar content could potentially harm the health of infants and young children. "Given the vulnerability of this population group and their unique nutritional needs, it is imperative that baby food meets strict standards for nutritional quality and safety," said the letter addressed to FSSAI Chief G. Kamala Vardhan Rao. Requested the food regulator to check whether Nestle's products are certified by it, it also asked the FSSAI to provide the Commission with "Standard Guidelines for Infant food products" and to share the list of baby food product companies and products registered with the food regulator. The Commission has asked FSSAI to "inquire and furnish information within 7 days". Meanwhile, Nestle has said that it has reduced added sugars by up to 30 per cent in the past five years and that it never compromises on the nutritional quality of its products. This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever

19 April,2024 04:23 PM IST | Mumbai | IANS
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UP SDMA issues heatwave advisory for voters

The Uttar Pradesh State Disaster Management Authority (SDMA) has issued an advisory for voters, especially senior citizens and individuals with special needs, in anticipation of the impending heatwave and high temperatures expected during the polling days. Citing climate change as the cause of the extreme heat, the Authority has recommended that senior citizens, pregnant women, and those with special needs should vote during the morning hours. Voters are advised to wear light-coloured cotton clothing with full sleeves, stay adequately hydrated, and ensure head coverage when leaving their homes. The Authority’s vice-chairperson, Lt Gen (retd) Yogendra Dimri, has appealed to people to take all precautions to protect themselves from the hot weather. Furthermore, the Authority has urged voters to avoid bringing children to polling booths and to prioritise the needs of senior citizens, pregnant women, and individuals with special needs while casting their votes. In the event of any heat-related issues at the polling booth, individuals can seek assistance from the booth level officer for ORS or call 108 for ambulance services. Also Read: Outrage in Santacruz’s Khotwadi: Builder denying transit rent for 6 years, erected 50 illegal flats This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever

19 April,2024 04:03 PM IST | Mumbai | IANS
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'No scientific evidence proving the safety and effectiveness of liver detox'

The liver is a self-sufficient organ capable of filtering toxins without the need for special detox, said doctors on World Liver Day on Friday warning against such prevalent practices that may harm the organ. In recent years, liver detox has gained fame with several influencers and celebrities promoting concoctions of natural herbs and spices like milk thistle and turmeric, as well as some juices of ash gourd, and Indian gooseberry (amla). However, health experts cautioned against their potential harm to the liver. “Detox diet refers to a diet based on liquids, fruits, and vegetables with a period of fasting. There is no scientific evidence that such therapy works and it’s not understood what toxins are cleared,” Dr Piyush Ranjan, Senior consultant, and vice chairman, the Department of Gastroenterology at Sir Ganga Ram Hospital, told IANS “Various herbs used during these therapies may have potential hepatotoxic effects,” which can cause liver injury, he added. It is commonly believed that liver cleanses or detoxification are essential for maintaining daily health and are particularly beneficial after excessive consumption. Recently, actress Samantha Ruth Prabhu in a podcast was heard mentioning the benefits of herbs such as “dandelion” for liver health and detoxification. “In reality, the liver is a self-sufficient organ capable of filtering toxins without the need for special cleanses. Products marketed with claims of detoxifying the liver are not regulated or approved and lack substantial evidence to support their effectiveness,” Dr. Surakshith TK, Consultant - Gastroenterology and Hepatobiliary Sciences, Fortis Escorts, Okhla Road, New Delhi, told IANS. “Detox myths surrounding liver health can be dangerous as they often promote extreme methods that may harm rather than help. From restrictive diets to unproven supplements, these myths can lead to nutrient deficiencies, dehydration, and even liver damage. It's crucial to consult with a healthcare professional before attempting any detox regimen to ensure safety and effectiveness,” added Dr Vikas Jindal, Consultant, Dept of Gastroenterology at the CK Birla Hospital, Delhi. The doctors called for maintaining a healthy lifestyle to boost liver function. True detoxification involves daily actions to support your body's natural detox pathways through diet, exercise, sleep, hydration, and potentially smart supplementation. “For good liver health, one needs to completely stop alcohol. Taking a balanced diet and cutting down on unsaturated fats and processed food is helpful. Dietary changes along with regular exercise help in maintaining ideal body weight,” the health expert said. This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever.

19 April,2024 03:24 PM IST | New Delhi | IANS
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How fatty liver can harm the health of pregnant women and babies

Liver problems are rampant in pregnant women and can give a tough time to the baby as well. Fatty liver disease or hepatic steatosis happens due to fat accumulation in the liver cells. While it is normal to have some fat in the liver, excessive fat buildup causes inflammation and damage to the organ. Hence, one can encounter complications such as liver cirrhosis or even liver failure if left untreated.  On World Liver Day, celebrated annually on April 19, Dr Surabhi Siddhartha, consultant obstetrician and gynaecologist, Motherhood Hospital, Kharghar, highlights the impact of untreated fatty liver on pregnant women and babies. The symptoms of fatty liver disease are fatigue, weakness, and abdominal discomfort. Moreover, pregnant women may also notice swelling in their abdomen or legs due to fluid retention. Fatty liver disease has consequences not just for the mother but also for the developing baby during pregnancy. This is how fatty liver can give a tough time to the mother and her unborn baby If left unchecked, this condition can lead to complications such as gestational diabetes, preeclampsia, and even premature birth and can put the baby's life in danger. The excess fat present in the liver can interfere with its essential functions, affecting nutrient absorption and detoxification processes required for the health of both the mother and the baby. Fatty liver increases the risk of the baby developing obesity and insulin resistance.  Studies have shown that babies born to mothers with fatty liver disease tend to experience developmental issues and long-term health problems that can reduce the quality of life.  Expectant mothers need to prioritise their liver health by paying attention to diet, regular exercise, and medical supervision to safeguard both their well-being and that of their babies. Pregnant women with fatty liver disease need tailor-made management to ensure optimal outcomes for both mother and baby. It is crucial for the experts to closely monitor the pregnant mother and the baby in the womb throughout pregnancy.  Dietary modifications like eating fresh fruits vegetables, whole grains, and pulses, regular physical activity, and close monitoring of liver function tests are essential factors for managing fatty liver disease during pregnancy. Pregnant women should avoid processed, junk, oily, and canned foods that can further add to their agony.  It will be imperative for the pregnant woman to follow the advice given by the doctor only.  Pregnant women detected with fatty liver disease should stay in touch with the doctor regularly to get updates regarding their health status. This will help women to navigate through pregnancy without any challenges. Disclaimer: This information does not replace professional medical advice. Consult a qualified specialist or your physician for personalised guidance.

19 April,2024 02:51 PM IST | Mumbai | mid-day online correspondent
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‘One in every five individuals is affected by fatty liver’

Cases of fatty liver, attributed primarily to sedentary lifestyles and increased social drinking habits, escalated dramatically in recent times, with approximately one in every five individuals now being diagnosed with this condition, say doctors. On the occasion of World Liver Day on Friday, they underscored the pressing need for heightened awareness and proactive measures to combat the burgeoning health crisis. The liver's pivotal role in detoxification, nutrient processing, and metabolism underscores its indispensable function in maintaining overall well-being. However, the rising incidence of fatty liver across diverse age groups, including children, young adults, and middle-aged individuals, highlights the pervasive impact of lifestyle choices on liver health. Also Read: Why excess sugar, oil are as dangerous for liver as alcohol Fatty liver, once dismissed as a benign finding, now emerges as a potent indicator of underlying health risks, including diabetes, cholesterol-related issues, and cardiovascular ailments. Furthermore, the potential progression to more severe complications such as steatohepatitis, cirrhosis, and liver cancer underscores the imperative of proactive intervention and lifestyle modification, the health practitioners said. Addressing the root causes of fatty liver necessitates a multifaceted approach encompassing lifestyle modifications and dietary adjustments. Combatting prolonged sedentary behavior by incorporating regular physical activity, such as short breaks for walking, is paramount in mitigating the risk of fatty liver development. According to doctors, equally crucial is the adoption of a balanced diet rich in vegetables, pulses, lean proteins, and essential fats while minimising the consumption of fried foods and processed sugars. Recommend a daily intake of 400-500 grams of vegetables distributed across meals, supplemented with adequate protein sources such as lentils, beans, or lean meats. Incorporating moderate amounts of ghee and abstaining from fried foods and sugary treats are pivotal in promoting liver health and reducing the risk of fatty liver complications. In essence, the burgeoning prevalence of fatty liver underscores the imperative of proactive lifestyle modifications and dietary interventions to safeguard liver health and mitigate the escalating burden of liver-related diseases. By prioritising preventive measures and adopting healthier lifestyle choices, individuals can significantly reduce their susceptibility to fatty liver and its associated complications. “Intermittent fasting, coupled with daily walking of 12,000 steps, offers exponential weight loss potential. Fasting boosts fat metabolism, curbs caloric intake, enhances insulin sensitivity, and improves heart rate variability and lipid metabolism. It also fosters a healthier gut microbiome, and lowers abdominal fat, blood pressure, and inflammation, alleviating body and joint pains. Also Read: How fatty liver can harm the health of pregnant women and babies “While weight may not drastically change, waist circumference reduces, and cognitive function improves. Importantly, fasting reduces heart vessel blockage risk significantly. Exercising during fasting peaks aids in clearing fat, not only from the body but also from the liver," explained Dr. Sachin Daga Senior Consultant Hepatobiliary Pancreas & Liver Transplant Surgeon (Laparoscopic & Robotic Surgery), KIMS Hospitals, Secunderabad. “Embrace a balanced diet abundant in fruits, veggies, whole grains, and lean proteins, while cutting back on sugary drinks, fried foods, and processed snacks. Moderate or eliminate alcohol to safeguard liver health, as excessive consumption can lead to liver damage and disease. “Regular exercise aids in weight management enhances liver function, and reduces fatty liver risk. Hepatitis B vaccination is key for virus prevention. Routine check-ups and liver function tests with your healthcare provider are vital for early detection and intervention against liver diseases,” advised Dr Raja Prasad. P, Senior Consultant - Surgical Gastroenterology, General and Advanced Laparoscopic Surgery, Amor Hospitals. “Regular screening every six months or annually enables early detection of fatty liver and fibrosis, preventing their progression. Advanced medical technologies like fibroscan facilitate prompt diagnosis and treatment. Lifestyle modifications and dietary adjustments can effectively manage and even reverse these conditions. Individuals with obesity, diabetes, thyroid issues, high cholesterol, and PCOS are particularly susceptible to liver diseases. Prioritize proactive care to mitigate risks and safeguard liver health," advised Dr. Chalapathi Rao Achanta, Clinical Director and Chief of, Department (Gastroenterology), Interventional Endoscopy and Liver Transplantation, KIMS ICON - Vizag. This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever

19 April,2024 02:46 PM IST | Mumbai | IANS
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Mid-Day Premium Why Mumbai experts feel there is insufficient awareness about Haemophilia

Living with a bleeding disorder is not easy. If you are home-bound, it may be easier because you have access to the necessary equipment around you. However, if you are travelling, it can pose a challenge and become difficult to deal with due to lack of immediate facilities. Every year, World Haemophilia Day is observed on April 17 to raise awareness about the genetic blood disorder. It was first observed in 1989 on April 17 to honour Frank Schnabel, who founded the World Federation of Haemophilia (WFH) in 1963, on his birthday. The Canadian businessman, who suffered from severe Haemophilia A, helped many people suffering with the disorder and the day is marked to pay tribute to his efforts.This year, the theme is ‘Equitable access for all: Recognising all bleeding disorders’. According to the WFH, it focuses on the need for access to care for people who have inherited bleeding disorders, regardless of its type, their gender, age or where they live. While the disorder is genetic, Mumbai doctors believe a lot can be done to treat it as well as keep it in check. With the day celebrated earlier this week, mid-day.com spoke to Dr Rituja Ugalmugle, who is the consultant physician at Wockhardt Hospitals Mumbai Central, and Dr Santanu Sen, consultant, to paediatrics, paediatric haematology, oncology and stem cell transplantation at Kokilaben Dhirubhai Ambani Hospital. Ugalmugle and Sen not only dissect the disorder but also help with solutions on how people suffering from it can deal with it, and put the onus on their friends and family, as well as civic authorities to help make their lives easier. What is Haemophilia and how is it caused?Ugalmugle: Haemophilia is a genetic disorder where blood doesn't clot properly, leading to prolonged bleeding. It is caused by a deficiency in clotting factors, usually factor VIII (haemophilia A) or factor IX (haemophilia B). Sen: This deficiency occurs due to mutations in the genes responsible for producing these clotting factors, which are located on the X chromosome. Haemophilia is therefore inherited in an X-linked recessive pattern, meaning it predominantly affects males, as they have only one X chromosome.Females are typically carriers of the mutated gene and may experience mild symptoms, while males with haemophilia exhibit more severe symptoms. Haemophilia can range from mild to severe, depending on the level of clotting factor present in the blood.  Also Read: Greasy and itchy skin in summer? Here is an easy guide for healthy skin during the hot season What is the incidence of Haemophilia in India and the world? What is the age group of people who can suffer from haemophilia? Sen: The incidence of haemophilia varies globally, with estimates suggesting that approximately 1 in 5,000 to 1 in 10,000 males worldwide are born with haemophilia A or B. In India, the prevalence is estimated to be around 1 in 5,000 to 10,000 males. However, due to underreporting and limited access to healthcare, the actual prevalence may be higher. Haemophilia primarily affects males, as it is an X-linked recessive disorder, meaning males have only one X chromosome. Females can be carriers of the gene but typically do not exhibit symptoms. People with haemophilia are often diagnosed at birth or in early childhood, as symptoms typically manifest during infancy or early childhood. However, the severity of the condition can vary, and individuals with milder forms of haemophilia may not be diagnosed until later in life, especially if they experience minor bleeding episodes or injuries. Overall, haemophilia affects individuals of all ages, but the majority of cases are diagnosed during childhood. What are the challenges of a person suffering from Haemophilia?Ugalmugle: The challenges for people with haemophilia include spontaneous bleeding into joints and muscles, which can lead to chronic pain, joint damage, and disability. Additionally, there is a risk of life-threatening bleeding, especially after injury or surgery. Sen: Beyond bleeding, managing bleeding episodes requires access to specialised medical care and clotting factor replacement therapy, which can be costly and inaccessible in some regions. Additionally, people with haemophilia may encounter social stigma and discrimination due to misconceptions about their condition, leading to limited educational and employment opportunities. They may also struggle with mental health issues such as anxiety and depression, stemming from the constant fear of bleeding episodes and the impact on their quality of life. Furthermore, the lifelong nature of Haemophilia requires continuous monitoring and management, which can disrupt daily activities and place a significant burden on individuals and their families. Overall, haemophilia presents multifaceted challenges that require comprehensive support and care to improve outcomes and quality of life for those affected. What are some other bleeding disorders seen in India?Sen: In addition to haemophilia, several other bleeding disorders are commonly seen in India. Von Willebrand Disease (VWD) is one such disorder, characterised by a deficiency or dysfunction of von Willebrand factor, a protein involved in blood clotting. VWD can result in prolonged bleeding, easy bruising, and mucosal bleeding. Another bleeding disorder is thrombocytopenia, which is characterised by a low platelet count in the blood. Platelets play a crucial role in blood clotting, and a low count can lead to excessive bleeding or bruising. In fact, low platelets due to a disease called Idiopathic Thrombocytopenic Perpura(ITP) is one of the common bleeding disorders seen in India. Additionally, disorders of coagulation factors, such as deficiencies in factors II, V, VII, X, XI, and XIII, can also lead to bleeding problems. These disorders may be inherited or acquired and can vary in severity. Overall, these bleeding disorders pose significant health challenges and require specialised diagnosis and management to prevent complications and improve quality of life for affected individuals in India. Also Read: Doctors urge consideration of homoeopathic treatments for chronic and lifestyle diseases, here’s why Do you think there is enough awareness about Haemophilia in India?Ugalmugle: The awareness about haemophilia varies, but generally, it is considered insufficient. Many people may not be aware of the condition, leading to delayed diagnosis and treatment. Sen: While there is lack of awareness, it is particularly pronounced in India. In many parts of the world, including India, Haemophilia is often underdiagnosed and poorly understood, leading to delayed or inadequate treatment for affected individuals. In more developed countries, efforts have been made to increase awareness through public health campaigns, patient advocacy groups, and educational initiatives targeting healthcare professionals and the general public. However, in India, limited access to healthcare, especially in rural areas, as well as cultural taboos surrounding blood disorders, contribute to lack of awareness and understanding about Haemophilia. Moreover, misconceptions and stigma surrounding Haemophilia persist in many societies, further hindering efforts to raise awareness and promote early diagnosis and treatment. Overall, while progress has been made in increasing awareness globally, there remains a significant need for greater awareness and education about Haemophilia, particularly in regions like India. How can family and friends help those suffering from Haemophilia?Ugalmugle: Family and friends can support those with haemophilia by educating themselves about the condition, providing emotional support, helping with practical tasks, and encouraging adherence to treatment plans. Sen: Family and friends serve as crucial sources of support for individuals grappling with haemophilia. Their emotional support, marked by empathy and understanding, offers comfort during challenging times. Practical assistance with daily tasks, such as household chores and transportation, eases the burden on those with haemophilia, enhancing their quality of life. Educating themselves about haemophilia enables family and friends to provide informed support and advocacy within their community. Promoting safety measures and encouraging adherence to treatment plans are vital aspects of supporting individuals with haemophilia. By advocating for protective measures during physical activities and ensuring consistent medication adherence, loved ones contribute to their overall well-being. Creating a supportive environment characterised by love and acceptance is essential. By fostering understanding and empathy, family and friends empower individuals with haemophilia to navigate their condition with confidence and resilience. Ultimately, the unwavering support of loved ones plays a pivotal role in enhancing the lives of those affected by haemophilia, enabling them to live fulfilling and meaningful lives despite the challenges they face. What should a person suffering from Haemophilia always have in their bag?Ugalmugle: A person with haemophilia should always have their treatment supplies, such as clotting factor concentrates, bandages, and emergency contact information, in their bag. Sen: A person suffering from haemophilia should always carry a "bleeding disorder emergency kit" in their bag. This kit typically includes the following items:Factor Replacement Medication: This medication, such as recombinant clotting factor concentrates or plasma-derived clotting factor concentrates, is essential for treating bleeding episodes and preventing complications. Sterile Dressings: Sterile gauze pads or bandages are necessary to apply pressure to wounds and stop bleeding. Adhesive Bandages: These can be used for minor cuts or scrapes to prevent further bleeding and protect the wound. Tourniquet: In case of severe bleeding, a tourniquet can be applied above the wound to restrict blood flow and control bleeding temporarily. Medical Alert Card: A card indicating the individual's diagnosis of haemophilia, along with emergency contact information and specific treatment instructions, can be crucial for medical professionals in case of emergencies. Contact Information: It is essential to have contact information for healthcare providers, haemophilia treatment centres, and emergency services readily available. Pain Relief Medication: Over-the-counter pain relievers such as acetaminophen (paracetamol) can help alleviate pain associated with bleeding episodes. By ensuring they have these items readily available in their bag at all times individuals with haemophilia can be better prepared to manage bleeding episodes and emergencies effectively, improving their safety and well-being. Also Read: Catch autism early: Key steps for early intervention to support autistic people What are the treatment options available for haemophilia?Ugalmugle: Treatment options for haemophilia include regular infusions of clotting factor concentrates to prevent or treat bleeding episodes, as well as medications to manage complications like joint pain and swelling. Sen: Haemophilia, is typically managed through various treatment options aimed at preventing and controlling bleeding episodes. The primary treatment for haemophilia involves replacing the deficient or missing clotting factor in the blood. The two main types of treatment for haemophilia are: Clotting Factor Replacement Therapy: This treatment involves infusing clotting factor concentrates derived from either human plasma or through recombinant technology. These concentrates contain the specific clotting factors deficient in individuals with haemophilia. Factor replacement therapy can be administered on-demand to treat bleeding episodes or as prophylaxis to prevent bleeding. Desmopressin (DDAVP) Therapy: Desmopressin is a synthetic hormone that stimulates the release of von Willebrand factor and factor VIII from storage sites in the body. It is primarily used to treat mild haemophilia A and von Willebrand disease and can be administered through injection or nasal spray. In addition to these primary treatment options, other supportive measures may be utilised to manage haemophilia, including:Gene therapy: Emerging treatments involve gene therapy techniques aimed at correcting the underlying genetic defect responsible for haemophilia. These therapies hold promise for providing long-term relief from the condition. Management of complications: Management of complications associated with haemophilia, such as joint damage and chronic pain, may involve physical therapy, pain management strategies, and orthopaedic interventions. Emergency treatment: In cases of severe bleeding episodes or trauma, immediate medical attention and supportive measures such as administering clotting factor concentrates, applying pressure to the bleeding site, and using tourniquets may be necessary. The choice of treatment depends on various factors, including the severity of haemophilia, the individual's medical history, lifestyle factors, and treatment preferences. A comprehensive treatment plan tailored to the individual's needs is essential for effectively managing haemophilia and optimising quality of life. Why should people be concerned with haemophilia and take it seriously?Ugalmugle: Haemophilia is a serious condition that can have significant impacts on quality of life and life expectancy, if not properly managed. Early diagnosis, appropriate treatment, and support services are essential for improving outcomes and minimising complications. Sen: People should be concerned about haemophilia and take it seriously because it is a potentially life-threatening bleeding disorder that can significantly impact the health and well-being of affected individuals. haemophilia can lead to prolonged bleeding after injuries or surgeries, spontaneous bleeding into joints and muscles, and other serious complications if not properly managed. Without timely treatment, individuals with haemophilia are at risk of developing chronic pain, joint damage, and disability due to recurrent bleeding episodes. Moreover, severe bleeding episodes, particularly into vital organs or the brain, can be fatal. Additionally, haemophilia requires lifelong management and specialised care, including regular monitoring, treatment with clotting factor replacement therapy, and adherence to safety precautions to prevent injuries and bleeding episodes. Raising awareness and taking haemophilia seriously can help ensure timely diagnosis, access to appropriate treatment and support services, and the implementation of preventive measures to improve outcomes and quality of life for individuals with haemophilia. Furthermore, by understanding and addressing the challenges faced by those with haemophilia, society can work towards creating a more inclusive and supportive environment for all individuals living with this condition. Disclaimer: This information does not replace professional medical advice. Consult a qualified specialist or your physician for personalised guidance.

19 April,2024 09:30 AM IST | Mumbai | Nascimento Pinto
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World Liver Day 2024: Why it is important to keep your liver healthy

It is important to keep your liver healthy for the better functioning of the body, and because symptoms often remain hidden until the disease has progressed to an advanced stage, requiring surgery or transplantation, with the unfortunate potential for fatal outcomes, said doctors here on Thursday ahead of World Liver Day. World Liver Day is observed every year on April 19 to raise awareness about the diseases related to the liver. A concerning trend in recent years is the rise of fatty liver disease, which is increasingly affecting individuals as young as early teenagers. According to health experts, sedentary lifestyles, coupled with the consumption of unhealthy, and fatty junk food, have contributed to this alarming phenomenon. "Liver diseases can stem from various factors, including the consumption of unclean or contaminated food, excessive alcohol intake, and unsafe medical practices such as the use of unsterile needles in injections, hospitals, and blood transfusions. Regular liver function tests are essential to monitor the health of the liver and detect any abnormalities early on," Dr Naveen Ganjoo, a consultant hepatologist, at Aster RV Hospital, said. Data from the World Health Organisation shows liver disease ranks as the tenth most common cause of death in India. While early detection and intervention are paramount in combating liver diseases, often the symptoms remain hidden, leading to worse outcomes. Dr Monika Jain, Chief of Gastroenterology & Hepatology, Sri Balaji Action Medical Institute told IANS that jaundice, characterised by a yellowish discoloration of the eyes and skin, serves as a prominent indicator of liver dysfunction. "Additionally, patients may experience itchy skin, abdominal swelling resembling fluid accumulation in the stomach, and swelling of the feet, all indicative of underlying liver issues. Anorexia, or loss of appetite, further underscores the physiological repercussions of fatty liver disease, emphasising the need for comprehensive screening and preventive measures to mitigate its progression." Other signs and symptoms of acute liver failure include pain in the upper right abdomen, often a sign of liver inflammation or enlargement. Nausea and vomiting are common symptoms, accompanied by a general sense of feeling unwell, known as malaise, the doctor said. Further, liver disease also plays a role in infertility and bone health. "Being an immunocompromised state, the doses of medications for liver disease have to be decreased and all the medicines are also not safe to be continued during pregnancy. Patients who have prolonged liver diseases might have problems while they try to get pregnant also," Dr Meenakshi Ahuja, Senior Director, Obstetrics and Gynaecology in Fortis La Femme, told IANS. Dr Ahuja added that in vitro fertilisation (IVF) could be an option in such cases. Bone diseases in chronic liver disease (CLD) patients have also emerged as a serious concern. Various factors such as nutrition, hormones, and genetics contribute, and inflammation remains a persistent trigger for bone diseases in CLD patients. "There is an intricate interplay between chronic liver disease (CLD) and metabolic bone complications. 'Hepatic osteodystrophy' encompassing osteomalacia and osteoporosis, is found in advanced liver disease, leading to heightened bone fragility and reduced mass. Osteoporosis, reminiscent of senile osteoporosis, emerges from an imbalance in bone formation and resorption, notably observed in liver cirrhosis and cholestatic liver diseases, posing a critical concern for liver transplant recipients," said Dr Deep Kamal Soni, Consultant, Gastroenterology at Indian Spinal Injuries Centre. Preventive measures and lifestyle modifications like adopting a balanced and nutritious diet, engaging in regular exercise, and screening for Hepatitis B and C, can be key to maintaining liver health, said the doctors. This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever

18 April,2024 08:43 PM IST | New Delhi | IANS
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World Liver Day: Why excess sugar, oil are as dangerous for liver as alcohol

While alcohol is known to be bad for liver health, consuming foods rich in sugar and oil may be equally dangerous for the organ as well as for overall health, said doctors on Thursday, ahead of World Liver Day. World Liver Day is observed on April 19 every year to highlight the importance of a healthy liver for the normal functioning of the body. The theme this year is 'Be vigilant, get regular liver check-ups, and prevent fatty liver diseases'. The liver acts as the body's warehouse, processing everything one consumes. Eating more calories can accumulate in the liver, leading to fatty liver disease, which can trigger diabetes and other metabolic disorders. “While the dangers of alcohol-related liver disease are well-known, there is a rising concern over non-alcoholic liver disease caused by high-calorie foods, such as sugars and fats. This condition can lead to the same severe complications as alcoholic liver disease, including liver cirrhosis, which might eventually require a liver transplant," Dr Shreevidya, Medical Director, Apollo ProHealth, said. "Excess sugar and oil intake, like alcohol, give rise to fat droplets scattered through the liver tissue leading to a cascade of liver injury due to inflammation leading to liver failure,” explained Dr Pavan Dhoble, Junior Consultant - Gastroenterology, P. D. Hinduja Hospital & MRC, Mahim. Excess sugar and oil intake fuels obesity leading to adverse liver health, including non-alcoholic fatty liver diseases (NAFLD). Data shows nearly one out of every four Indian adults are either overweight or obese (at risk of fatty liver disease) and alcohol use is also on the rise. A study conducted by AIIMS, analysing reports on NAFLD in India, revealed a startling reality: over one-third (38 per cent) of Indians have fatty liver or NAFLD. This phenomenon extends to affect nearly 35 per cent of children as well, as per the Journal of Clinical and Experimental Hepatology and calls for attention to addressing lifestyle-related health issues from an early age. "Liver diseases have emerged as critical public health concerns in India. NAFLD often remains unrecognised in its early stages as it may not manifest symptoms. However, it can progress to severe liver diseases," Dr Rahul Roy, Consultant - Liver Transplant and Hepatopancreatic Biliary Surgery, RN Tagore Hospital and Narayana Hospital, Howrah told IANS. "The westernisation of diets, characterised by increased fast food consumption and a lack of fruits and vegetables, plays a pivotal role in the rise of fatty liver diseases," he added. This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever.

18 April,2024 04:48 PM IST | New Delhi | IANS
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