SUN STROKE OR HEAT STROKE AND HOMEOPATHIC MANAGEMENT

                                                     SUN STROKE OR HEAT STROKE

Other names:- sun stroke, heat stroke and  heat hyperpyrexia.

DEFINITION:-

                Heat stroke or sun stroke is a state of hyperpyrexia, convulsions, delirium or coma following exposure to excessive atmospheric temperature (shade temperature above 110 F). the body temperature suddenly shoots to 42 – 43 C (107 – 110 F).

AETIOLOGY OR CAUSES:-

-          Heat stroke or sun stroke is caused by a derangement of the heat controlling mechanism.

-          It’s a commonest condition in India and other tropical countries.

-          In this country, it occurs during hot summer months (especially during spells of hot wave) due to direct exposure to the sun while working outdoors.

-          White peoples or persons unaccustomed to such a situation are specially prone to have such an attack.

-          Debilitating conditions, alcoholism, febril conditions and factors that interfere with sweating (e.g improper clothing) are pre disposing factors.

-          Some cases of heat exhaustion may develop heat stroke (secondary heat hyperpyrexia).

-          The brain is primarily affected. There is congestion and increased in intracranial tension. Degenerative changes occurs in brain cells, particularly in the hypothalamic region and base of the brain (including the cerebellum).

-          Due to renal shutdown, glomerular and tubular degeneration occurs in the kidneys. Necrosis also occurs in the liver. There is haemmorrhagic tendency due to intravascular coagulation.

      SYMPTOMS:-

-          The onset is sudden.

-          There is a history of exposure to the sun for some time.

-          Headache.

-          Vomiting.

-          Dizziness.

-          Mental confusion and in-coordination.

-          Convulsions may occur in children.

-          The patient soon becomes delirious and finally, unconscious.

-          On examination, the face is flushed and the skin is hot and dry.

-          The temperature is raised to 42C (107F) or above. There is complete absence of sweating.

-          The pulse is rapid and the respiration is hurried. The pupils are dilated.

-          Towards the terminal stage, convulsions occur, breathing is irregular and pupils are constricted.

-          There is either Oliguria or complete anuria, transient cardiac arrhythmias may occur.

-          Right sided cardiac failure or peripheral circulatory failure may occur.

DIAGNOSIS:-

The diagnosis can be made on the basis of the following.

-          History of long exposure to heat.

-          Hyperpyrexia (temperature shooting above 106F).

-          Absence of sweating.

-          Exclusion from other causes of hyperpyrexia such as malaria, pontine haemorrhage, meningitis, over whelming sepsis and terminal stage of liver failure.

TREATMENT:-

-          The aim of therapy is to bring down the elevated or raised temperature to a safe level or normal level as rapidly as possible.

-          This may be achieved by continuous sponging with ice-cold water or ice bath together with ice water enema. Evaporation should be encouraged by means of fans.

-          The patient usually regains consciousness and the body temperature falls unless brain is irreparably damaged.

-          If coma persists lumbar puncture is indicated to relive the raised intracranial pressure.

-          Chlorpromazine is indicated and repeated after ½ hour if the patient is delirious and restless.

-          Lytic cocktail (chlorpromazine phenargan and pethidine 50 mg each) may be given for reducing raised temperature.

-          When heat stroke is secondary to heat exhaustion, adequate water and salt replacement is essential. Danger of pulmonary oedema due to administration of intravenous fluids must be remembered.

HOMEOPATHIC TREATMENT:-

                Some of the medicines for sun stroke or heat stroke are given below.

1.       ACONITE.

2.       AMYLAMINUM.

3.       ANTIMONIUM CRUDUM.

4.       ARNICA MONTONA.

5.       ARSENICUM ALBUM.

6.       BELLADONNA.

7.       CACTUS.

8.       CAMPHORA.

9.       CARBO VEG.

10.   GELSEMIUM.

11.   GLONINE.

12.   NATRUM CARB.

13.   NATRUM MUR.

14.   OPIUM.

15.   THERIDION.

16.   VERATRUM ALBUM.

17.   VERATRUM VIRIDAE.

18.   ARGENTUM METALICUM.

19.   LACHESIS.

20.   THUJA.

HOMOEOPATHIC REMEDIES FOR LOW BLOOD PRESSURE OR HYPOTENSION

Low blood pressure (hypotension) would seem to be something to strive for. However, for many people, low blood pressure can cause symptoms of dizziness and fainting. In severe cases, low blood pressure can be life-threatening.

Although blood pressure varies from person to person, a blood pressure reading of 90 millimeters of mercury (mm Hg) or less systolic blood pressure (the top number in a blood pressure reading) or 60 mm Hg or less diastolic blood pressure (the bottom number) is generally considered low blood pressure.

The causes of low blood pressure can range from dehydration to serious medical or surgical disorders. Low blood pressure is treatable, but it's important to find out what's causing your condition so that it can be properly treated.

Causes--Blood pressure is a measurement of the pressure in your arteries during the active and resting phases of each heartbeat. Here's what the numbers mean:

Systolic pressure. The first (top) number in a blood pressure reading, this is the amount of pressure your heart generates when pumping blood through your arteries to the rest of your body.

Diastolic pressure. The second (bottom) number in a blood pressure reading, this refers to the amount of pressure in your arteries when your heart is at rest between beats.

Current guidelines identify normal blood pressure as lower than 120/80 mm Hg.

Although you can get an accurate blood pressure reading at any given time, blood pressure isn't always the same. It can vary considerably in a short amount of time — sometimes from one heartbeat to the next, depending on body position, breathing rhythm, stress level, physical condition, medications you take, what you eat and drink, and even time of day. Blood pressure is usually lowest at night and rises sharply on waking.

Blood pressure: How low can you go?

What's considered low blood pressure for you may be normal for someone else. Most doctors consider chronically low blood pressure too low only if it causes noticeable symptoms.

Some experts define low blood pressure as readings lower than 90 mm Hg systolic or 60 mm Hg diastolic — you need to have only one number in the low range for your blood pressure to be considered lower than normal. In other words, if your systolic pressure is a perfect 115, but your diastolic pressure is 50, you're considered to have lower than normal pressure.

A sudden fall in blood pressure also can be dangerous. A change of just 20 mm Hg — a drop from 110 systolic to 90 mm Hg systolic, for example — can cause dizziness and fainting when the brain fails to receive an adequate supply of blood.

And big plunges, especially those caused by uncontrolled bleeding, severe infections or allergic reactions, can be life-threatening.

Athletes and people who exercise regularly tend to have lower blood pressure and a slower heart rate than do people who aren't as fit. So, in general, do nonsmokers and people who eat a healthy diet and maintain a normal weight.

But in some rare instances, low blood pressure can be a sign of serious, even life-threatening disorders

Conditions that can cause low blood pressure

Some medical conditions can cause low blood pressure. These include:

Pregnancy. Because a woman's circulatory system expands rapidly during pregnancy, blood pressure is likely to drop. This is normal, and blood pressure usually returns to your pre-pregnancy level after you've given birth.

Heart problems. Some heart conditions that can lead to low blood pressure include extremely low heart rate (bradycardia), heart valve problems, heart attack and heart failure.

These conditions may cause low blood pressure because they prevent your body from being able to circulate enough blood.

Endocrine problems. Thyroid conditions — such as parathyroid disease — adrenal insufficiency (Addison's disease), low blood sugar (hypoglycemia) and, in some cases, diabetes can trigger low blood pressure.

Dehydration. When you become dehydrated, your body loses more water than it takes in. Even mild dehydration can cause weakness, dizziness and fatigue. Fever, vomiting, severe diarrhea, overuse of diuretics and strenuous exercise can all lead to dehydration

Far more serious is hypovolemic shock, a life-threatening complication of dehydration. It occurs when low blood volume causes a sudden drop in blood pressure and a reduction in the amount of oxygen reaching your tissues. If untreated, severe hypovolemic shock can cause death within a few minutes or hours.

Blood loss. Losing a lot of blood from a major injury or internal bleeding reduces the amount of blood in your body, leading to a severe drop in blood pressure.

Severe infection (septicemia). Septicemia can happen when an infection in the body enters the bloodstream. This condition can lead to a life-threatening drop in blood pressure called septic shock.

Severe allergic reaction (anaphylaxis). Anaphylaxis is a severe and potentially life-threatening allergic reaction. Common triggers of anaphylaxis include foods, certain medications, insect venoms and latex. Anaphylaxis can cause breathing problems, hives, itching, a swollen throat and a drop in blood pressure.

Lack of nutrients in your diet. A lack of the vitamins B-12 and folate can cause a condition in which your body doesn't produce enough red blood cells (anemia), causing low blood pressure.

Medications that can cause low blood pressure

Some medications you may take can also cause low blood pressure, including:

·         Diuretics (water pills), such as furosemide (Lasix) and hydrochlorothiazide (Microzide, Oretic)

·         Alpha blockers, such as prazosin (Minipress) and labetalol

·         Beta blockers, such as atenolol (Tenormin), propranolol (Inderal, Innopran XL, others) and timolol

·         Drugs for Parkinson's disease, such as pramipexole (Mirapex) or those containing levodopa

·         Certain types of antidepressants (tricyclic antidepressants), including doxepin (Silenor), imipramine (Tofranil), protriptyline (Vivactil) and trimipramine (Surmontil)

·         Sildenafil (Viagra) or tadalafil (Cialis), particularly in combination with the heart medication nitroglycerin

Types of low blood pressure

Doctors often break down low blood pressure (hypotension) into different categories, depending on the causes and other factors. Some types of low blood pressure include:

Low blood pressure on standing up (orthostatic, or postural, hypotension). This is a sudden drop in blood pressure when you stand up from a sitting position or if you stand up after lying down.

Ordinarily, gravity causes blood to pool in your legs whenever you stand. Your body compensates for this by increasing your heart rate and constricting blood vessels, thereby ensuring that enough blood returns to your brain.

But in people with orthostatic hypotension, this compensating mechanism fails and blood pressure falls, leading to symptoms of dizziness, lightheadedness, blurred vision and even fainting.

Orthostatic hypotension can occur for a variety of reasons, including dehydration, prolonged bed rest, pregnancy, diabetes, heart problems, burns, excessive heat, large varicose veins and certain neurological disorders.

A number of medications also can cause orthostatic hypotension, particularly drugs used to treat high blood pressure — diuretics, beta blockers, calcium channel blockers and angiotensin-converting enzyme (ACE) inhibitors — as well as antidepressants and drugs used to treat Parkinson's disease and erectile dysfunction.

Orthostatic hypotension is especially common in older adults, with as many as 20 percent of those older than age 65 experiencing orthostatic hypotension.

But orthostatic hypotension can also affect young, otherwise healthy people who stand up suddenly after sitting with their legs crossed for long periods or after working for a time in a squatting position.

Low blood pressure after eating (postprandial hypotension). Postprandial hypotension is a sudden drop in blood pressure after eating. It affects mostly older adults.

Just as gravity pulls blood to your feet when you stand, a large amount of blood flows to your digestive tract after you eat.

Ordinarily, your body counteracts this by increasing your heart rate and constricting certain blood vessels to help maintain normal blood pressure. But in some people these mechanisms fail, leading to dizziness, faintness and falls.

Postprandial hypotension is more likely to affect people with high blood pressure or autonomic nervous system disorders such as Parkinson's disease.

Lowering the dose of blood pressure drugs and eating small, low-carbohydrate meals may help reduce symptoms.

Low blood pressure from faulty brain signals (neurally mediated hypotension). This disorder causes blood pressure to drop after standing for long periods, leading to signs and symptoms such as dizziness, nausea and fainting.

Neurally mediated hypotension mostly affects young people, and it seems to occur because of a miscommunication between the heart and the brain.

When you stand for extended periods, your blood pressure falls as blood pools in your legs. Normally, your body then makes adjustments to normalize your blood pressure.

But in people with neurally mediated hypotension, nerves in the heart's left ventricle actually signal the brain that blood pressure is too high, rather than too low.

As a result, the brain lessens the heart rate, decreasing blood pressure even further. This causes more blood to pool in the legs and less blood to reach the brain, leading to lightheadedness and fainting.

Low blood pressure due to nervous system damage (multiple system atrophy with orthostatic hypotension). Also called Shy-Drager syndrome, this rare disorder causes progressive damage to the autonomic nervous system, which controls involuntary functions such as blood pressure, heart rate, breathing and digestion.

Although this condition can be associated with muscle tremors, slowed movement, problems with coordination and speech, and incontinence, its main characteristic is severe orthostatic hypotension in combination with very high blood pressure when lying down.

Symptoms--For some people, low blood pressure can signal an underlying problem, especially when it drops suddenly or is accompanied by signs and symptoms such as:

·         Dizziness or lightheadedness

·         Fainting (syncope)

·         Lack of concentration

·         Blurred vision

·         Nausea

·         Cold, clammy, pale skin

·         Rapid, shallow breathing

·         Fatigue

·         Depression

·         Thirst

Risk factors--Low blood pressure (hypotension) can occur in anyone, though certain types of low blood pressure are more common depending on your age or other factors:

Age. Drops in blood pressure on standing or after eating occur primarily in adults older than 65. Orthostatic, or postural, hypotension happens after standing up, while postprandial hypotension happens after eating a meal.

Neurally mediated hypotension happens as a result of a miscommunication between the brain and heart. It primarily affects children and younger adults.

Medications. People who take certain medications, such as high blood pressure medications like alpha blockers, have a greater risk of low blood pressure.

Certain diseases. Parkinson's disease, diabetes and some heart conditions put you at a greater risk of developing low blood pressure.

Complications--Even moderate forms of low blood pressure can cause not only dizziness and weakness but also fainting and a risk of injury from falls.

And severely low blood pressure from any cause can deprive your body of enough oxygen to carry out its normal functions, leading to damage to your heart and brain.

HOMOEOPATHIC REMEDIES

Homoeopathic remedies are effective for the treatment of  low blood pressure .Some of the important remedies are given below-

GELSEMIUM 30- Gelsemium is an excellent medicine  when dizziness, vertigo and dullness are marked. Drowsiness and a feeling of tiredness accompany the condition. Heaviness of head and eyelids is also present. Pulse is also slow. Gelsemium is also effective when blood pressure drops suddenly from emotional excitement. The emotional excitement may be triggered by any bad news, fright, sudden grief and other causes.

VISCUM ALBUM 30- Viscum Album is prescribed  when persistent vertigo from low blood pressure is present. Pulse is small and weak. Aching and dull pain in the head also appears. These medicines improve the sluggish circulation and ensure complete recovery.

GLONOINE 30- Glonoine is very effective  for low blood pressure after sun exposure. It is indicated when head heaviness, vertigo and fainting spells appear after sun exposure. Vertigo is marked in an upright position.

NATRUM MURIATICUM 30-- Natrum Mur is effective  when headache, exhaustion with nausea and vomiting appear after being exposed to the sun for long hours. Blood pressure is lowered with a slow, weak pulse.

CACTUS GRANDIFLORUS 200- Cactus grandiflorus is an effective medicine for low blood pressure due to heart disease . Characteristic constriction as if an iron band around the heart is the guiding symptom for the  selection  of this remedy. Temperature is usually subnormal.

 CARBO VEG AND CHINA 30—Carbo Veg and China are used for low blood pressure from dehydration.  These  medicines for low blood pressure are effective when severe diarrhea with dehydration is the cause. There is marked exhaustion with episodes of fainting. Blood pressure is low. The pulse is slow, weak and often imperceptible. The body is cold to touch with sweating. The person presents a picture of collapse

CHINA AND FERRUM METALLIUCUM 30-- China and Ferrum Met are effective for low blood pressure following blood loss. These are medicines that help in complete recovery from low blood pressure resulting from blood loss. The persons needing these medicines have low blood pressure with marked debility and exhaustion. Dizziness and vertigo are also complained of. Pulse is feeble, soft, weak, small and irregular. Marked anaemia is present in such persons.

CRATAEGUS OXY- Q- It is a great heart tonic and helps for maintain normal blood pressure.

BARYTA MUR 30--Baryta Mur is one of the effective  medicines for low blood pressure when specifically diastolic pressure is lowered. Head heaviness and lassitude in the morning time are marked.  Baryta Mur is of profound help in elderly people suffering from low blood pressure. Along with head heaviness, weakness in the legs is also complained of. Pulse is also slow and in a few persons is imperceptible when Baryta Mur is indicated.

KALI PHOS 200-Kali phos is used when low blood pressure occurs due to nervousness.

LYCOPODIUM CLAVATUM 200-Lycopodium is best for treating low blood pressure, especially in irritable persons possessing uric acid diathesis, with brownish patches on the skin. The patient have flatulent complaints, rumbling in abdomen which is more between 4 to 8 pm or early morning. Better from motion. The patient have a special craving for sweets and prefer warm drinks and food.

NAJA AND VISCUM ALBUM-- Naja and Viscum Album are used for low blood pressure when valve problems in heart are present. They are indicated for low blood pressure when the pulse is small, weak, irregular. Weight and oppression in the heart region is also complained of. Palpitations may also accompany.

SEPIA 200-Sepia is prescribed for hypotension when there is the presence of yellowish tint with dark circles under the eyes , liver spots etc are present. There is an empty all gone sensation in the epigastrium after lunch. The patient prefers sour things. There is pulsation through out the body. Mentally the patient is indifference to life and to loved ones.

TUBERCULINUM 200-Tuberculinum is used as an intercurrent remedy in persons who are wasting in health.

Why Do Our Hands And Or Feet Tingle

Today's post from webmd.com (see link below) is a thorough answer to the question why our hands and feet tingle. Many people ask this question long before having heard the word neuropathy and for many people, the symptoms are temporary but equally, for millions across the world, the symptoms never go away and become progressively worse. They then have a form of neuropathy or nerve damage. This article will set you on the right path as regards opening information; after that, you need to discuss your problem with your doctor and do as much further research of your own until you have built up sufficient knowledge to be best able to live with the disease.

Tingling in Hands and Feet
WebMD Medical Reference View Article Sources
Reviewed by Varnada Karriem-Norwood, MD on September 26, 2014

Tingling hands, feet, or both is an extremely common and bothersome symptom. Such tingling can sometimes be benign and temporary. For example, it could result from pressure on nerves when your arm is crooked under your head as you fall asleep. Or it could be from pressure on nerves when you cross your legs too long. In either case, the "pins and needles" effect -- which is usually painless -- is soon relieved by removing the pressure that caused it.

In many cases, however, tingling in the hands, feet, or both can be severe, episodic, or chronic. It also can accompany other symptoms. such as pain, itching, numbness, and muscle wasting. In such cases, tingling may be a sign of nerve damage, which can result from causes as varied as traumatic injuries or repetitive stress injuries, bacterial or viral infections, toxic exposures, and systemic diseases such as diabetes.

Such nerve damage is known as peripheral neuropathy because it affects nerves distant from the brain and spinal cord, often in the hands and feet. There are more than 100 different types of peripheral neuropathy. Over time, peripheral neuropathy can worsen, resulting in decreased mobility and even disability. More than 20 million Americans, most of them older adults, are estimated to have peripheral neuropathy.

It's important to seek prompt medical evaluation for any persistent tingling in your hands, feet, or both. The earlier the underlying cause of your tingling is identified and brought under control, the less likely you are to suffer potentially lifelong consequences.

Causes of Tingling in the Hands and Feet

Diabetes is one of the most common causes of peripheral neuropathy, accounting for about 30% of cases. In diabetic neuropathy, tingling and other symptoms often first develop in both feet and go up the legs, followed by tingling and other symptoms that affect both hands and go up the arms. About two-thirds of people with diabetes have mild to severe forms of nerve damage. In many cases, these symptoms are the first signs of diabetes.

In another 30% of peripheral neuropathy cases, the cause is unknown or "idiopathic."

The remaining 40% of cases have a variety of causes such as:

Nerve entrapment syndromes. These include carpal tunnel syndrome, ulnar nerve palsy, peroneal nerve palsy, and radial nerve palsy.

Systemic diseases. These include kidney disorders, liver disease, vascular damage and blood diseases, amyloidosis, connective tissue disorders and chronic inflammation, hormonal imbalances (including hypothyroidism), and cancers and benign tumors that impinge on nerves.

Vitamin deficiencies. Vitamins E, B1, B6, B12, and niacin are essential for healthy nerve function. A B12 deficiency, for example, can lead to pernicious anemia, an important cause of peripheral neuropathy. But too much B6 also can cause tingling in the hands and feet.

Alcoholism. Alcoholics are more likely to have a thiamine or other important vitamin deficiencies because of poor dietary habits, a common cause of peripheral neuropathy. It's also possible that alcoholism itself can cause nerve damage, a condition that some researchers call alcoholic neuropathy.

Toxins. These include heavy metals such as lead, arsenic, mercury, and thallium, and some industrial and environmental chemicals. They also include certain medications -- especially chemotherapy drugs used for lung cancer -- but also some antiviral and antibiotic drugs.

Infections. These include Lyme disease, shingles (varicella-zoster), cytomegalovirus, Epstein-Barr, herpes simplex, and HIV/AIDS.

Autoimmune diseases. These include Guillain-Barre syndrome, lupus, and rheumatoid arthritis.

Inherited disorders. These include a group of disorders collectively known as Charcot-Marie-Tooth disease.

Injury. Often related to trauma, nerves can be compressed, crushed, or damaged, resulting in nerve pain. Examples include nerve compression caused by a herniated disc or dislocated bone.

Diagnosis of Tingling Hands and Feet

If you seek care for your tingling hands or feet, your health care provider will do a physical exam and take an extensive medical history addressing your symptoms, work environment, social habits (including alcohol use), toxic exposure, risk of HIV or other infectious diseases, and family history of neurological disease.

He or she also may perform additional tests such as:
Blood tests. These can include tests to detect diabetes, vitamin deficiencies, liver or kidney dysfunction, other metabolic disorders, and signs of abnormal immune system activity.
An examination of cerebrospinal fluid. This can identify antibodies associated with peripheral neuropathy.
An electromyogram (EMG), a test of the electrical activity of muscle
Nerve conduction velocity (NCV)

Other tests may include:
Computed tomography (CT)
Magnetic resonance imaging (MRI)
Nerve biopsy
Skin biopsy to look at nerve fiber endings

Treatments for Tingling Hands and Feet

Successful treatment depends on an accurate diagnosis and treatment of the underlying cause of the tingling. As long as the peripheral nerve cells have not been killed, they have the ability to regenerate.

Although no treatments are available for inherited types of peripheral neuropathy, many of the acquired types can be improved with treatment. For example, good blood sugar control in diabetes can slow the progression of diabetic neuropathy; vitamin supplementation can correct peripheral neuropathy in people with vitamin deficiencies.

General lifestyle recommendations include maintaining an optimal weight, avoiding exposure to toxins, following a doctor-supervised exercise program, eating a balanced diet, and avoiding or limiting alcohol consumption. Recommendations also include quitting smoking, which constricts blood supply to blood vessels supplying nutrients to peripheral nerves.

In some cases, tingling and other symptoms of peripheral neuropathy may be reduced with prescriptions originally developed for treating seizures and depression.

http://www.webmd.com/brain/tingling-in-hands-and-feet

Who Suffers Pain Best Men or Women

Today's short post from sciencedaily.com (see link below) somewhat dispels the myth that women are better bearers of pain than men. Of course, logically, this is nonsense because nobody suffers the same pain for the same reasons - it all depends on the severity of your condition. This especially applies to neuropathy patients. However, scientifically these findings suggest that there is very little difference between the sexes.

Pain tolerance levels between men, women are similar
Date:September 10, 2014 Source: Plataforma SINC
 
Summary:

Resilience, a person's ability to overcome adverse circumstances, is the main quality associated with pain tolerance among patients and their adjustment to chronic pain. This is the result of a new study that shows that the effect of gender on this ability is not as significant as originally thought.
 
Resilience, a person's ability to overcome adverse circumstances, is the main quality associated with pain tolerance among patients and their adjustment to chronic pain. This is the result of a new study carried out at the University of Málaga that shows that the effect of gender on this ability is not as significant as originally thought.

Over the years a number of clinical trials have shown important gender differences with regard to susceptibility to pain through illness, effectiveness of medications and recovery after anesthetic. Furthermore, these results coincide with general lore where it is often said that women tolerate pain better than men.

However, a new study led by researchers at Malaga University with the aim of analyzing the differences between men and women in terms of their experience with chronic pain has dispelled this theory, revealing that these differences are minimal.

Quite the opposite, it is a person's resilience -the ability to overcome adverse circumstances- that determines the high or low acceptance of pain, as it is related to a series of characteristics that provide the individual with resources to cope with chronic pain.

400 patients with chronic spinal pain (190 men and 210 women) treated in primary care centers took part in this study and the findings show more similarities than differences between the two sexes.

"More resilient individuals tend to accept their pain, that is, they tend to understand that their ailment is chronic and they stop focusing on trying to get the pain to disappear, to focus their energy on enhancing their quality of life, despite the pain," Carmen Ramírez-Maestre, the main author and researcher at the Andalusian institution, said.

"In this regard," continued Ramírez-Maestre, "patients who are able to accept their pain feel less pain, they are more active on a daily basis and have a better mood."

Fear of pain

Also, the findings, which were published recently in The Journal of Pain, showed that patients that feared pain also experienced significantly more anxiety and depression.

"However, this fear was only related to a greater degree of pain in the samples of men and this was the only difference found between the sexes," concludes the author.

Story Source:

The above story is based on materials provided by Plataforma SINC. Note: Materials may be edited for content and length.

Journal Reference:
Carmen Ramírez-Maestre, Rosa Esteve. The Role of Sex/Gender in the Experience of Pain: Resilience, Fear, and Acceptance as Central Variables in the Adjustment of Men and Women With Chronic Pain. The Journal of Pain, 2014; 15 (6): 608 DOI: 10.1016/j.jpain.2014.02.006

http://www.sciencedaily.com/releases/2014/09/140910083339.htm

HOMOEOPATHIC REMEDIES FOR PILES OR HEMORRHOIDS

Hemorrhoids  also called piles, are swollen and inflamed veins in your anus and lower rectum. Hemorrhoids may result from straining during bowel movements or from the increased pressure on these veins during pregnancy, among other causes. Hemorrhoids may be located inside the rectum (internal hemorrhoids), or they may develop under the skin around the anus (external hemorrhoids).

Hemorrhoids are common ailments. By age 50, about half of adults have had to deal with the itching, discomfort and bleeding that can signal the presence of hemorrhoids.

Fortunately, many effective options are available to treat hemorrhoids. Most people can get relief from symptoms by using home treatments and making lifestyle changes.

CAUSES-The veins around your anus tend to stretch under pressure and may bulge or swell. Swollen veins (hemorrhoids) can develop from an increase in pressure in the lower rectum. Factors that might cause increased pressure include:

·         Straining during bowel movements

·         Sitting for long periods of time on the toilet

·         Chronic diarrhea or constipation

·         Obesity

·         Pregnancy

·         Anal intercourse

·         Low-fiber diet

Hemorrhoids are more likely as you get older because the tissues that support the veins in your rectum and anus can weaken and stretch with aging.

Symptoms --Signs and symptoms of hemorrhoids may include:

·         Painless bleeding during bowel movements — you might notice small amounts of bright red blood on your toilet tissue or in the toilet bowl

·         Itching or irritation in your anal region

·         Pain or discomfort

·         Swelling around your anus

·         A lump near your anus, which may be sensitive or painful

·         Leakage of feces

Hemorrhoid symptoms usually depend on the location. Internal hemorrhoids lie inside the rectum. You usually can't see or feel these hemorrhoids, and they usually don't cause discomfort.

But straining or irritation when passing stool can damage a hemorrhoid's delicate surface and cause it to bleed. Occasionally, straining can push an internal hemorrhoid through the anal opening. This is known as a protruding or prolapsed hemorrhoid and can cause pain and irritation.

External hemorrhoids are under the skin around your anus. When irritated, external hemorrhoids can itch or bleed. Sometimes blood may pool in an external hemorrhoid and form a clot (thrombus), resulting in severe pain, swelling and inflammation.

HOMOEOPATHIC REMEDIES

ALOE SOCOTRINA 30-Homeopathic medicine Aloe Socotrina is one of the top   medicine for treating protruding piles. Piles appear blue like bunch of grapes at anal verge. They are very tender, sore and painful. Burning at anus also accompanies. Intense itching may also appear . Relief from cold applications in piles symptoms is also a guiding feature to use Aloe. A history of long standing diarrhea may be present .

NUX VOMICA 30- Nux Vomica is also  a top grade remedy for piles with constipation. A person needing Nux Vomica has piles with frequent- ineffectual urging for stool but passes little stool at a time. The urge for stool is renewed shortly after one has defecated. The stool is always unsatisfactory. Nux Vomica is highly beneficial for blind piles. Blind piles with pressive/sticking/burning/shooting pains calls for use of Nux Vomica. Subjects with sedentary habits developing piles with constipation fit the complete picture for Nux Vomica to be used

HAMAMELIS 30--Hamamelis is an effective  homeopathic medicine for Bleeding piles. In homeopathy, Hamamelis is a top grade remedy for venous congestions and bleeding tendencies.It is very effective in controlling hemorrhages. It can be used confidently with great results in bleeding piles. Piles that bleed profusely require Hamamelis without a second thought. Burning and soreness in rectum may appear with bleeding. Few  may also complain of backache with bleeding piles. Soreness or rawness at anus is also marked. Extreme weakness also accompanies bleeding piles.

RATANHIA 30- Ratanhia is prescribed for  piles when  marked burning and pain for many hours after stool is present. The character of Pain is ‘as if broken glass pieces are placed in rectum’ .  knife like stabbing pain also indicate the use of Ratanhia.

MURIATIC ACID 30- Muriatic acid is the best effective remedy for piles during pregnancy.Piles protruding like bunch of grapes. Violent stitching pain and soreness , better by heat.

PAEONIA OFF. 30—Paeonia should be tried if Mucuna fails. Piles large and ulcerated. Ulceration of anus and perineum, purple covered with crusts. Itching burning and fissures in anus.

AESCULUS HIPP. 30--Aesculus is  used in piles when it is accompanied with backache. Severe, sharp, shooting lower backache in lumbo sacral region  with haemorrhoids is sure shot sign for Aesculus to be used.  Aesculus is mainly a remedy for blind piles. Piles appear purple, painful, burning with rawness, soreness and itching. Stool is also constipated and is hard, dry and difficult to expel. Rectum feels full of small sticks.

CAUSTICUM 30-Causticum is prescribed when the piles is extremely painful when touched,when walking, standing or sitting, better after a stool. Piles impeding stool. Itching, stitching, moist and burning piles.Worse when thinking of them, by touch, when exerting voice

CALCAREA FLOUR 12X- Calcrea flour is used both blind and bleeding piles.There is backache , which is more on the sacrum. In bleeding piles , the blood is bright red with swollen and painful piles. There is chronic constipation with piles . There is itching and prolapse of rectum. It cures tumours with piles.

MUCUNA Q-A specific remedy for bleeding piles.

COLLINSONIA 30-Collinsonia is prescribed when piles with backache and obstinate constipation is present. Piles bleeding or blind and protruding. Bleeding only with great pressure. There is alternate constipation and diarrhea

NITRIC ACID 30-Piles bleed easily. Bowels constipated with fissures in rectum. Violent cutting pain after stool.

SULPHUR 200-Sulphur may be prescribed both bleeding and blind piles. There is a sinking feeling at the stomach , especially in the afternoon . Itching and burning in the anus. Irritable skin, worse at night, on getting warm in bed, and from washing