CONSTIPATION POST PREGNANCY

Constipation post pregnancy or postpartum constipation is one of the common problems that may affect you after you have delivered your baby. Though there is no one particular reason for postpartum constipation, the obvious ones could be

1. Consumption of iron pills during pregnancy

2. System drugs like diamorphine (given to ease the labour pains)

3. Caesarean delivery among others.

But with these few changes in your diet and lifestyle you can have easy bowel movements

1. Stay hydrated: Drink at least 12-15 glasses of water every day to keep your body hydrated & improve your bowel movement. Water is natural flusher so keep that bottle of water handy and keep drinking from it time to time.

2. High fibre diet: Fibres help in easing the bowel movements so avoid processed food and go for natural food like fruits, salads and boiled vegetables to ease the postpartum constipation.

3. Nuts and Dry fruits: Nuts and dry fruits are a rich source of fibre and have the tendency to ease the bowel system so include them into your diet as:
-Include 2 dates with 1 glass warm for bed time.
-4-5 black raisins soaked in water for 5-6 hours or soak them overnight & have it in the morning empty stomach.
-Two slices of papaya with 1 glass warm water at bed time.
-Half tbsp. flax seeds powder with 2 tbsp curd [consume on any three days of a week]
2nd week 1 tbsp flax seeds powder with 2tbsp curd [on any 3 days of the week]
3rd week 1 tbsp flax seeds powder with 2 tbsp curd on any 2 days of the week at bed time.
-Two figs with 1 glass warm water at bed timeContinue reading

Under Eye

Home Remedies for Dark under Eye Circle

  • Drink at least 10 glasses of water every day.
  • Make sure that you get eight hours of continuous sleep in a day, which is necessary for your beauty as well as health.
  • Mix a teaspoon of tomato juice, half teaspoon of lemon juice, a pinch of turmeric powder and a pinch of gram flour to form a paste. Apply this on the dark circles and keep it for 10 minutes. This is one of the most effective and famous remedies for dark under eye circles.
  • Mix one teaspoon flour, one teaspoon milk, a pinch of sugar, a quarter spoon honey and juice of a half lemon. Apply the paste on your dark circles and when it dries out; rub your face with wet hands, to remove the pack. Rinse your face well and pat dry.
  • Powder some fenugreek seeds and mix them in milk to form a paste. Apply this on dark circles in the night and wash off in the morning.
  • Using cotton balls, apply cucumber or potato juice on the eyes. This is another useful remedy for dark circles. You can also use a combination of the two juices.
  • Apply used cold, used teabags to soothe eyes and cure dark circles.

Typhoid

  • The patient needs proper rest and care
  • Keep the patients warm
  • Treatment through antibiotics and drugs
  • As patients are actually ill and anorexic, a high protein and a full fluid diet is recommended.
  • Small frequent meals in regular intervals should be given digestion
  • A bland and soft diet can be given to improve the digestive system.
  • Dietary modification – need for energy is increased as BMR rate is increased consistently and therefore the energy needs also increase.
  • Food rich in CHO should be included.
  • Fats should be given in emulsified form to make it easy to digest.
  • Proteins are relatively required in large amounts as there is excessive tissues loss.
  • Good quality protein foods should be given to the patient.
  • Milk and milk products foods, egg, cheese tender meats and fish are good source and should be included in meal.
  • To compensate for the loss of electrolytes the mineral and vitamin intake should be increased.
  • Dietary fiber should be given in less quality to avoid irritation to the stomach.
  • Chemical irritants and spices should be avoided.
  • Whole grams and cereals with husk should not be given as they are rich in fiber which can cause irritable bowel movement.

 

Thyroid

HYPO AND HYPERTHYROIDISM

HYPOTHYROIDISM:

  • Oral replacement of thyroxin is the main stay of management.
  • Replacement therapy should be taken regularly and most of the time has to be continued for life long.
  • Diet comprising of low calorie, adequate protein, fats, minerals and vitamins should be given.
  • In hypothyroidism the basal metabolic rate is low so the calorie should be reduced to 30 -40% of normal requirement.
  • Protein should be adequate to meet normal requirement.
  • Fats should consist mainly from vegetables oil, which are rich in essential fatty acids. It should not exceed more than 30 grams per day.
  • Vitamins and minerals should be just adequate to meet the daily needs. But the sodium chloride as common salt should be kept at the minimum and avoid salted confectioneries, chips and pickles.
  • In case of endemic goiter supplementations is required.

HYPERTHYROIDISM:

  • Hyperthyroidism is treated with radioactive iodine, anti-thyroid drugs or surgery.
  • A liberal diet proving adequate amount of calories , proteins , vitamins and minerals is indicated patients has severe malnutrition since the basal metabolic rate is increased thus the calorie requirement are also increased 4000-500kcal will be allowed .
  • Protein requirement is also increased to 50% more than the actual requirement which is about 120 – 130 gm. per day .This should come mainly from good quality protein egg, meat, poultry and cereal and pulses combination.
  • A diet rich in vitamin A, B complex, C should be increase to twice the daily requirements.
  • Pulses and wheat sprouts combination will enhance the B complex and vitamin C.
  • Carotene rich foods like papaya, mango, and fenugreek leaves will ensure the Vitamin A supplement.
  • Carotene will be converted to vitamin A in the body.
  • Calcium and phosphorous excretion is greatly increased in the urine, so liberal calcium and phosphorus rich food like milk, milk products, dark green leafy veggie, and ragi must be put in every day diet.
  • Ragi and milk preparation is excellent source of calcium and phosphorous.
  • Fish is also good source of calcium. Small fishes eaten with the bone are very good sources.
  • A person suffering from hyperthyroidism, by limiting smoking, alcohol and caffeine found in tea, coffee, cola and chocolate reduced symptoms as they all can raise the metabolic rate.

Tuberculosis

  • Rest, fresh air, good nourishment and love and affection are important factors to be taken care of for the patients suffering from tuberculosis.
  • Liberal amount of calcium should be given to promote healing of the patient.
  • Enough of vitamin D to be included for proper absorption of calcium.
  • Iron supplementation if patients from hemorrhages
  • Conversion of beta carotene to retinol is adversely affected so diet should provide good amount of retinol through milk and milk products, eggs and meat.
  • Vitamin C requirement increases as it helps in healing. B complex needs are also increased because energy needs are increased Vitamin B6 requirement also increase because prolonged use of chemotherapeutic agents used in the treatment may have an adverse effect on its utilization.
  • Dietary modification- energy should be provided in adequate amounts to compensate for the loss.
  • RDA : ENERGY: 2785KCAL
  • PROTEIN : 75-90 GRMS
  • VITAMIN A : 600 UG RETINAL
  • CALCIUM: 400MG

Pregnancy & Lactation

For pregnant and lactating mothers

For the to-be mum

  • Eat a dry toast or biscuit even before rising from the bed
    • This will help to reduce morning sickness and nausea
  • Foods which have strong odors or those which leave a taste long after being eaten need to be avoided as they may bring on an attack of nausea
  • Drink plenty of water (at least 8-10glasses) in addition to what is contained in the form of milk and other beverages, throughout pregnancy
    • This will help keep the bowels regular. It has been found that infection of the tube connecting the kidney and bladder is less common among pregnant women who drink a lot of water
    • Total daily fluid intake can be increased by inclusion of drinks like buttermilk, milkshakes, vegetable juices, coconut water, fresh unsweetened fruit juices, smoothies etc
  • Avoid excessive consumption of caffeinated beverages like aerated sodas, tea and coffee
    • An average of 2 cups of tea or 1 cup coffee a day is permitted
    • Switch to green tea or jasmine tea for added health benefits
  • Keep salt intake to minimum to prevent excess water retention
  • Include a small piece of fresh coconut (approx 4") daily
    • Helps improves growing baby's skin and hair
  • Make sure you're getting enough protein
    • Good, wholesome protein in daily diet is extremely important to ensure the rapid growth and development of the fetus
    • For vegetarians, include soyabean, tofu, soya milk, bean sprouts, pulses and legumes, milk and milk products, threptin biscuits, protein concentrates
    • Non-vegetarians can add egg whites, chicken and fish to improve quantity and quality of essential amino acid intake
  • Ensure daily consumption of vitamin and mineral supplements as recommended by the doctors to avoid leeching of your bone and calcium depots in the body
  • Try mild exercise
    • An hour of slow level walking is recommended after the 1st trimester to prevent excessive weight gain during pregnancy and to alleviate stiff joints aches and pains

A happy healthy mother produces a happier healthier baby! So keep yourself happy and content. Indulge in activities that bring about inner happiness and satisfaction. Inculcate good vibes and habits to ensure the same are being adopted by your growing baby.

For lactating mums

  • Eat within the first hour of rising
    • Do not start your day with caffeine
  • Eat small frequent meals; include a small snack every 2 hours
  • Limit intake of fats (oil/ghee/butter) to not more than 3-4tsp a day
  • Drink 1-2 glasses of water during or after each feed
  • Eat adequate proteins to ensure high quality of breast milk
    • Include high protein foods like dals, pulses, sprouts, soyabean, egg whites, milk, buttermilk, fish, chicken and turkey in daily meals
  • Remember "You don't need to drink milk to make milk"
    • For the mammary glands to produce milk, it needs good amount of water, proteins and sugars (which comes from all the food we eat like fruits, roti, rice, dal etc)
    • If these three ingredients are present in adequate amounts then you can produce good quantity and quality of milk
  • Do any cardio vascular exercise but not more than 20minutes at a time
    • This is to prevent too much lactic acid production, which may make the milk sour
  • Drink a fresh glass of vegetable juice daily
  • Exercise caution with any drugs and pills
    • Since drugs (antibiotics, caffeine, hormones and alcohol) are secreted into the breast-milk and could prove harmful to the infant
  • Take a calcium and multi-vitamin supplement daily

 

 

Peptic Ulcer

  • Drugs: antacids and inhibitors of gastric acid section are two main drugs used to aid the diseases.
  • When H. pylori infection is present the most effective treatment are combinations of two antibiotics eg. Erythromycin, ampicillin, amoxicillin, tetracycline, metronidazole and 1 proton pump inhibitor (PPI).
  • Treatment of H. pylori usually leads to cleaning of infection, relief of symptoms and eventual healing of ulcers.
  • Recurrence of infection can occur and retreatment may be required if necessary with other antibiotics.
  • Dietary management: Bland diets are recommended for patients.
  • Diet should be free from chemicals and thermal irritants.
  • The texture of food should be soft, semisolid for easy digestion.
  • Fibrous foods can be avoided like husks of fruits , whole cereals as they work as  the increased mechanical irritants
  • REST: the patient needs lots of rest and care.
  • The bowl movement should be reduced
  • The patient should be relieved from stress and strain as it may cause unnecessary pressure on the intestinal walls and stomach.
  • Modification in the nutrients mostly the patients who suffer from these diseases are generally undernourished.
  • They need extra amount of energy rich foods to compensate for loss.
  • The food rich in energy like fats and carbohydrates must be given
  • Protein intake is increased to provide essential amino acids to promote healing of the tissues.
  • Adequate amount of vitamin C should be provided to enhance the absorption of iron.
  • Care should be taken to induce calcium and iron the diet as they are essential minerals to meet the increased needs.
  • Avoid: Certain foods like fried and spicy foods should be avoided.
  • Fatty and tough meat also irritates the bowl movement.
  • Beverages like black coffee, strong tea and alcohol is not recommended.
  • Strongly flavoured foods like radish, turnip, cauliflower and garlic and onion should also be avoided.

 

PCOS

  • PCOS/PCOD treatment
  • Despite there being no known cure for polycystic ovary syndrome; there are a variety of treatments available which can effectively control the symptoms.

HORMONE TREATMENT:

  •  Hormone therapy is often used as a PCOS treatment as a way of alleviating certain symptoms. In some cases, anti-male hormone drugs such as cyproterone acetate, spironolactone, flutamide and finasteride are used to block any unwanted hair growth, acne and high testosterone levels.

DIABETES MEDICATION:

  •  Metformin, a drug commonly used by diabetes sufferers has been found to be an effective PCOS treatment. It has been found to increase ovulation within women who have the condition. Experts believe it may reduce health risks linked to insulin resistance and the effect of abnormal hormone levels.

 CLOMIPHENE:

  •  This is a fertility drug occasionally offered to sufferers as a PCOS treatment. This is because clomiphene is capable of stimulating the ovaries if the woman is not ovulating.

 VANIQA CREAM:

  • A PCOS treatment that slows down the growth of unwanted facial hair by blocking the action of an enzyme found in the follicles, which is needed for hair to grow. Whilst this is not a treatment that removes hair or cures unwanted facial hair, it has been found to be most effective when used with a hair-removal product.

SURGERY:

  • A treatment option for women with PCOS may be to undergo a minor surgical procedure. Laparoscopic ovarian drilling (LOD) is a treatment offered to women suffering with the fertility problems often associated with the condition. The ovaries are treated with either heat or laser, to target and break down the tissue producing the male hormone.

 WEIGHT :

Does your weight make a difference?

  •  Weight gain is one of the most common side effects of PCOS. Whilst it is essential that sufferers seek professional medical advice and treatment for the condition, a suitably qualified nutrition professional could provide individuals with extra support if they are struggling to manage their PCOS diet independently.
  •  Individuals losing just five per cent of their body weight will experience an improvement in symptoms of polycystic ovary syndrome.

 A PCOS diet

  • It is thought that a nutritious diet will also help to reduce the risk of developing symptoms of polycystic ovary syndrome, including weight management and helping to regulate insulin levels.
  • Finding the right diet to tackle the symptoms of PCOS is a complex process and highly individual.
  • Contacting a suitably qualified nutrition professional will help you understand and manage the dietary and lifestyle changes.
  • Following a low GI (glycemic index) diet
  • The glycemic index is a way to monitor how quickly the blood glucose rises after eating carbohydrates. Foods with a low GI can cause your blood levels to rise slowly. It is thought that these are helpful in reducing the symptoms of polycystic ovary syndrome.
  • Low GI foods can improve and help balance insulin levels; women with PCOS are often resistant to the effects of insulin, therefore have more insulin in their blood. This rise in insulin levels means the levels of testosterone are also increased. The increase in both insulin and testosterone upsets the natural hormone balance in the body, often causing symptoms to flare up.
  • Women with the condition may find replacing high GI foods effective, even if they do not need to lose weight. It has also been found that when combined with weight-loss, a low GI diet can help regulate the menstrual cycle.
  • As well as the potential to help ease some of the symptoms worsened by being overweight, a nutritious diet will also help to reduce a woman’s risk of developing diabetes, heart disease and improve overall health and well-being.
  • Below are some of the foods to include in a PCOS diet:
  • Fruit - Fruit is rich in fiber and is a good source of essential vitamins and minerals. Whilst many women are reluctant to add fruits into their PCOS diet due to the sugar content, when eaten in the correct portions and as a whole fruit as opposed to dried or juiced, it can be an extremely healthy alternative to unhealthy snacks. Fruit is vital in providing the body with the nutrients needed to combat the symptoms of PCOS.
  • Fruits with a low GI include cherries, plums, apricots, prunes and grapes.
  • If concerned about the rise in blood sugar and insulin levels caused by fruit, enjoy a handful of seeds or nuts as a side snack - the protein in the seeds can help regulate the rising glucose levels. Aim for two to three portions of fruit per day and increase your vegetable intake for fiber, minerals and antioxidants.
  • Chromium is an important mineral involved in regulating blood sugar and insulin levels. This can sometimes be low in a highly refined diet; opting for more complex carbohydrates, such as whole grains, broccoli and nuts can help to provide this.
  • Healthy fats - Unsaturated fats are essential in managing the symptoms of polycystic ovary syndrome. Essential fatty acids (EFAs) are vital in a PCOS diet as they help maintain the cell wall, which absorbs the nutrients we need. EFAs also help to rebalance hormones, manage weight and can help fertility. ‘Healthy’ fats can include oily fish (salmon or mackerel), avocado and olive oil.
  • However, care should be taken - simply switch the fats you are already having to unsaturated fats, rather than adding extra into your diet in order to avoid weight gain.
  • Magnesium rich foods are also important to include. This is because a deficiency in magnesium has recently been linked with an increased risk of insulin resistance. Dark, leafy greens, nuts and seeds can help provide you with the mineral.
  • Organic meat - It is important to eat good quality, lean meat if you suffer with PCOS. Grass-fed meat often contains fewer hormones and the livestock are less likely to have been fed genetically modified foods. The GM foods fed to standard livestock will often contain pesticides, if consumed, it can be more difficult to manage hormone levels and treat symptoms of PCOS.
  • In addition to organic meat, organic dairy products, best in the form of live, natural yoghurt, (rather than cheese or milk) are advised as it contains bacteria beneficial in a diet for PCOS.
  • Pregnancy - If you are trying to get pregnant, it is particularly important to consider whether you are getting the right amount of nutrients in your PCOS diet. For support and advice on following a healthy PCOS diet, consult a suitably qualified nutrition professional.
  • It has been found that the sex hormone binding globulin (SHBG) is usually low in women with PCOS. Lignans, found in flax and sesame seeds, chickpeas and carrots are reported to increase this.

Hernia

  • Most abdominal hernias can be surgically repaired, and recovery rarely requires long term changes in lifestyles.
  • Uncomplicated hernias are principally repaired by pushing back , or “reducing ”, the herniated tissue, and ten mending the weakness in muscle tissue (an operation called heriorrhaphy)
  • Many pateints are managed through surgical daycare centers, and are able to return to work within a week or two, while heavy activities are prohibited for a longer period.
  • Surgical complications have been estimated to be up to 10%, but most of them can be easily addressed. They include surgical site infections, nerve and blood vessel injuries, injuries to nearby organs, and hernia recurrence.
  • EAT SMALL MEALS; large meals can distend your stomach, pushing it into your chest.
  • AVOID alcohol, caffeinated drinks , chocolates , onions , spicy foods, spearmint and peppermint , all of which increase production of stomach acid and relax your lower esophageal sphincter. Even decaffeinated coffee can be irritating to an inflamed esophageal lining. Also try to limit citrus fruit and tomato-based foods. They’re acidic and can irritate and inflame esophagus.
  • LIMIT FATTY FOODS fatty foods relax the lower esophageal sphincter and slow stomach emptying , which increases the amount of time that acid can backup in to your esophagus.
  • SIT UP AFTER YOU EAT wait at least three hours before going to bed for taking a nap. By then , most of the food in your stomach will have emptied inot your small intestine , so it can’t flow back into your esophagus. Eating a bedtime snacks stimulates acid formation and further aggravates acid reflux.
  • DON’T EXERCISE IMMEDIATELY AFTER EATING. Try to wait at least two to three hours before you engage in any strenuous activity. Low- key exercise such as walking is fine .
  • LOOSE WEIGHT. if you are over weight , slimming down helps reduce the pressure on your stomach. This will be be the most important thing you can do to reflive your symptom.
  • STOP SMOKING. Smoking increase acid reflux and dries your saliva. saliva helps protect your esophagus from stomach acid.
  • AVOID CERTAIN MEDICATION IF POSSIBLE LIKE calcium channel blockers , such as diltiazem ; the antibiotic tetracycline ; nonsteriodial , anti –inflammatory drugs , such as aspirin , ibuprofen and naproxen sodium; quinidine; theophylline ; sedatives and tranquilizers ; and alendronate . if you take any of these medication and suffer from heartburn , talk to your doctor.
  • ELEVATE THE HEA DOF YOUR BACK if you elevate the head of your bed 6 to 9 inches , gravity will help to prevent stomach acid from moving up into your esophagus as you sleep .using a foam wedge to raise mattress also may help. Do not try to use pillows, which tend to increase pressure on abdomen.
  • AVOID THIGHT FITTING CLOTHESE. They put pressure on your stomach.
  • TAKE TIME TO RELAX when you’re under stress, digestion slows which makes GERD symptoms worse. Relaxation technique such as deep breathing , meditation or yoga may help reduce acid reflux

Gout

  • Treatment of gout often may include the diet of lower purine intake. About one third of the body’s uric acid can be attributed to diet.
  • Exclusion of foods extremely high in purines may be helpful. All meats, fish, poultry contain moderate to high amounts of purine and pulses and lentils needs to be avoided.
  • Drugs are also affective in lowering the serum urate concentration that rigid restriction of dietary purine is rarely necessary.
  • Avoid red meats, organ meats like brains, kidney, liver and heart, shellfish like mussels, oysters, sea eggs, peas and beans, alcohol like beer and wine.
  • Intake of fluid must be encouraged to assist with the excretion of uric acid and to minimize the possibility of renal stone formation.
  • Because the urate excretion tends to be reduced by fats and enhanced by carbohydrates, the diet should be relatively high in CHO , low in fats, modified in CHO
  • The patients should be encouraged to reduce weight, take protein in moderate amount, use low fat dairy products and eggs and cheese.
  • Take liberal CHO , refined cereals , and beverages , fruits and fruit juices