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Dr K K Aggarwal

Tackling obesity in children

By Dr K K Aggarwal
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More than 30 people of the society including children have potbelly abdominal obesity. India is witnessing an epidemic of metabolic syndrome which is characterized by abdominal obesity high triglyceride low good cholesterol high blood pressure and high sugar. Abdominal girth of more than 90 cm in men and 80 cm in women indicates that the person is vulnerable to future heart attack. Normal weight obesity is the new epidemic of the society. A person could be obese even if his her body weight was within the normal range. An extra inch of fat around the abdomen increases the chances of heart disease by 1.5 times. Normally once the height stops growing most organs will also stop growing. The weight of the heart liver of kidney cannot increase after that. Only muscles can build up to some extent. The only thing after that stage which can increase the weight of the body is deposition of fat. Therefore any weight gain after puberty is invariably due to fat. Though the overall weight can be in the acceptable normal range but any weight gain within that range will be abnormal for that person. One should not gain weight of more than 5 kg after the age of 20 years in males and 18 years in females. After the age of 50 the weight should reduce and not increase. Potbelly obesity is linked to eating refined carbohydrates and not animal fats. General obesity is linked to eating animal fats. Refined carbohydrate includes white rice white maida and white sugar. Brown sugar is better than white sugar. Refined carbohydrates are called bad carbohydrates and animal fat is called bad fat. Trans fat or vanaspati is bad for health. Trans fats increase the levels of bad cholesterol and reduce good cholesterol in the body. Reduction in weight can reduce snoring pain of arthritis blood pressure and control uncontrolled diabetes.

Every arthritis is not same

By Dr K K Aggarwal
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Every arthritis is not the same. While osteoarthritis, also called as green arthritis, may require only painkillers and rehabilitation exercises, the red inflammation arthritis called rheumatoid arthritis, if not treated early and aggressively can end up with serious deforming complications Any arthritis in young women of child-bearing age should not be ignored, especially if it is worse in the morning and improves by movement. Most of them will have high platelet count on blood examination. These patients require aggressive treatment with disease-modifying drugs within days of the onset of symptoms and diagnosis. Approximately 1-2% of population may have this type of disease. Osteoarthritis, on the other hand, is a disease of age 50+ and is due to wear and tear of various joints in the body and break down of the cartilage cushion in the joints. It mainly affects the weight-bearing joints like the knees, hips, neck and lower back joints. Inflammation is not a major feature of osteoarthritis. Another form of joint disorder is gout, which is never seen in children and in people below 40 years of age and is almost never seen in young women before the onset of menopause unless there is a known underlying kidney disease. The progression of osteoarthritis can be arrested with appropriate exercises, weight reduction and preventing posture and movement that worsen the disease. Typical wear and tear of osteoarthritis is caused by sitting crosslegged, doing Padmasana, squatting, other non physiological postures, sitting on low level surface like floor and low chairs, doing push ups, going up and down on stairs, etc. Most yoga postures should be done under medical supervision and should follow with a counter yoga exercise. Most patients of serious arthritis end up with treatment with other systems of medicines or with quacks.

How to Prevent Arthritis from Slowing You Dow

By Dr K K Aggarwal
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  1. Keep moving
    • Avoid holding one position for long.
    • While working get up and stretch every 15 minutes.
  2. Discover your strength
    • Put the strongest joints and muscles to work.
    • Push open heavy doors with the side of the arm or shoulder. It will protect finger and wrist joints.
    • While climbing up let the strong leg lead you and while going down let the weaker leg lead you. It will reduce hip or knee stress.
  3. Plan ahead
    • Simplify and organize your routines so you minimize movements that are difficult or painful.
    • Keep items you need for cooking, cleaning, or hobbies near where they are needed
    • Have multiple sets of cleaning supplies, one for the kitchen and one for the bathroom
  4. Make use of labor-saving devices and adaptive aids.
    • Long-handled grippers can be designed to grasp and retrieve out-of-reach objects.
    • Rubber grips can help one get a better handle on faucets, pens, toothbrushes, and silverware.
  5. Ask for help.
    • Only a very small percentage of people with arthritis become severely disabled and get dependent on others.
    • Educate family members and friends about how arthritis affects you.
    • Don’t be afraid to ask for help when you need it.

Every arthritis is not same

By Dr K K Aggarwal
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Every arthritis is not the same. While osteoarthritis, also called as green arthritis, may require only painkillers and rehabilitation exercises, the red inflammation arthritis called rheumatoid arthritis, if not treated early and aggressively can end up with serious deforming complications.

Any arthritis in young women of child-bearing age should not be ignored, especially if it is worse in the morning and improves by movement. Most of them will have high platelet count on blood examination. These patients require aggressive treatment with disease-modifying drugs within days of the onset of symptoms and diagnosis. Approximately 1–2% of population may have this type of disease.

Osteoarthritis, on the other hand, is a disease of age 50+ and is due to wear and tear of various joints in the body and break down of the cartilage cushion in the joints. It mainly affects the weight-bearing joints like the knees, hips, neck and lower back joints. Inflammation is not a major feature of osteoarthritis. The experts said that another form of joint disorder is due to gout which is never seen in people below 40 years of age and is almost never seen in young women before the onset of menopause unless there is a known underlying kidney disease and never seen in children.

The progression of osteoarthritis can be arrested with appropriate exercises, weight reduction and preventing posture and movement that worsen the disease.

Typical wear and tear of osteoarthritis is caused by sitting cross legged, doing Padmasana, squatting, other non physiological postures, sitting on low level surface like floor and low chairs, doing push ups, going up and down on stairs, etc.

Most yoga postures should be done under medical supervision and should follow with a counter yoga exercise.

Most patients of serious arthritis end up with treatment with other systems of medicines or with quacks.

Every arthritis is not same

By
Filed Under Wellness | Tagged With: , , | | Comments Off on Every arthritis is not same

Every arthritis is not the same. While osteoarthritis, also called as green arthritis, may require only painkillers and rehabilitation exercises, the red inflammation arthritis called rheumatoid arthritis, if not treated early and aggressively can end up with serious deforming complications

Any arthritis in young women of child-bearing age should not be ignored, especially if it is worse in the morning and improves by movement. Most of them will have high platelet count on blood examination. These patients require aggressive treatment with disease-modifying drugs within days of the onset of symptoms and diagnosis. Approximately 1-2% of population may have this type of disease.

Osteoarthritis, on the other hand, is a disease of age 50+ and is due to wear and tear of various joints in the body and break down of the cartilage cushion in the joints. It mainly affects the weight-bearing joints like the knees, hips, neck and lower back joints. Inflammation is not a major feature of osteoarthritis. The experts said that another form of joint disorder is due to gout which is never seen in people below 40 years of age and is almost never seen in young women before the onset of menopause unless there is a known underlying kidney disease and never seen in children.

The progression of osteoarthritis can be arrested with appropriate exercises, weight reduction and preventing posture and movement that worsen the disease.

Typical wear and tear of osteoarthritis is caused by sitting cross legged, doing Padmasana, squatting, other non physiological postures, sitting on low level surface like floor and low chairs, doing push ups, going up and down on stairs, etc.

Most yoga postures should be done under medical supervision and should follow with a counter yoga exercise.

Most patients of serious arthritis end up with treatment with other systems of medicines or with quacks.

 

Every arthritis is not same

By
Filed Under Wellness | Tagged With: , , , , | | Comments Off on Every arthritis is not same

Every arthritis is not the same. While osteoarthritis, also called as green arthritis, may require only painkillers and rehabilitation exercises, the red inflammation arthritis called rheumatoid arthritis, if not treated early and aggressively can end up with serious deforming complications.

Any arthritis in young women of child-bearing age should not be ignored, especially if it is worse in the morning and improves by movement. Most of them will have high platelet count on blood examination. These patients require aggressive treatment with disease-modifying drugs within days of the onset of symptoms and diagnosis. Approximately 1-2% of population may have this type of disease.

Osteoarthritis, on the other hand, is a disease of age 50+ and is due to wear and tear of various joints in the body and break down of the cartilage cushion in the joints. It mainly affects the weight-bearing joints like the knees, hips, neck and lower back joints. Inflammation is not a major feature of osteoarthritis. The experts said that another form of joint disorder is due to gout which is never seen in people below 40 years of age and is almost never seen in young women before the onset of menopause unless there is a known underlying kidney disease and never seen in children.

The progression of osteoarthritis can be arrested with appropriate exercises, weight reduction and preventing posture and movement that worsen the disease.

Typical wear and tear of osteoarthritis is caused by sitting cross legged, doing Padmasana, squatting, other non physiological postures, sitting on low level surface like floor and low chairs, doing push ups, going up and down on stairs, etc.

Most yoga postures should be done under medical supervision and should follow with a counter yoga exercise.

Most patients of serious arthritis end up with treatment with other systems of medicines or with quacks.

Diclofenac associated with increased risk of cardiovascular events

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Diclofenac, used for the treatment of pain and inflammation caused by arthritis, is associated with a significantly increased risk of cardiovascular complications and should be removed from essential-medicines lists.

It is listed on the EML of 74 countries, increased the risk of cardiovascular events between 38% and 63% in different studies. The increased risk with diclofenac was similar to the COX-2 inhibitor rofecoxib, a drug withdrawn from worldwide markets because of cardiovascular toxicity.

Dr David Henry at Institute for Clinical Evaluative Sciences,Toronto who conducted the review along with Dr Patricia McGettigan at London School of Medicine and Dentistry said that its use is much more common in other non-Western countries.