Thursday, February 16, 2023

Relieving Seasonal Allergies With Ayurveda | Dr Ashwani Kansal

 

 

Relieving Seasonal Allergies With Ayurveda

Conventional seasonal allergies are seen as an adverse reaction to food, medicine, environment and cosmetics. Common recommendation for the best method of relieving seasonal allergies is to provide immediate relief with antihistamines and avoid the allergens that cause the reaction.

 

Ayurveda has a diverse view and believes that allergies originate from an imbalance of the doshas or bio-energetic principles that govern the function of our body and mind. As with all Ayurvedic treatment, treating the origin as opposed to the symptom is the key in achieving long term benefits and relief. Besides avoiding the external causes of allergy, it is essential to boost internal immunity by measures like a healthier diet, life style, some common herbs and certain rejuvenating treatments.

 

Balancing the Doshas

A person’s primary dosha, or mind-body constitution, can often predict which allergy symptoms will manifest, so it’s important to understand your dosha type as well as your current imbalances.

 

In addition to understanding our primary dosha and individual tendencies, it is important to understand that each of us has all of the doshas within us and can therefore experience imbalances in of any of the doshas. Different types of allergy symptoms represent imbalances in different doshas. By recognizing this, we can more specifically guide the treatment of relieving seasonal allergies.

 

Kapha Allergy Symptoms

In Ayurveda, the typical allergy symptoms in the spring season – congestion, runny nose, watery eyes, and sneezing – are described as an accumulation of the Kapha dosha, which is made up of earth and water elements. This leads to the feeling of “heaviness” and excessive mucus in the head and sinuses. Other symptoms are sluggishness and feeling tired. For the classic Kapha-type allergy symptoms, there are several simple and effective therapies that will relieve acute symptoms.

 

You can try the traditional yogic nasal cleansing system known as Jalneti. This self-practice involves clearing the nasal passages with salt water with a Neti Pot, which looks like a miniature teapot with a particularly long spout. This helps to regulate pressure in the head and although it may seem not easy or uncomfortable at first, with a little practice it’s easy to do, and highly effective.

 

Other treatments that help relieve acute Kapha allergy symptoms include the use of pungent and bitter (astringent) herbs and spices to reduce Kapha, including ginger, cayenne, pepper, basil, cumin, cardamom, sage, turmeric, and cinnamon. An easy remedy is drinking hot honey water, or ginger lemon tea. A classical Ayurvedic herbal treatment to reduce Kapha is trikatu, which can be taken daily. In addition, treatment should be geared toward lightening the body in other ways, such as daily exercise and use of a dry sauna.

 

Pitta Allergy Symptoms

When allergy symptoms occur in the summertime, the underlying source is often an out-of-balance Pitta dosha. Pitta is governed by the elements of water and fire, and in the summer, excess heat can produce inflammation in the respiratory tract or skin. These symptoms are usually rash, headache, burning or red eyes, and inflammation in the sinuses and airway (sinusitis, bronchitis).

 

To pacify Pitta and the resulting allergy symptoms, Ayurveda recommends ingesting cooling herbs, such as coriander and cilantro. In addition, herbs such as guduchi, amalaki, and neem may be helpful. Ingestion of clarified butter, or ghee, as well as aloe, can calm the inflammatory reaction that is typical of Pitta imbalance. From a biochemical perspective, these herbs contain healthy anti-inflammatory and antioxidant properties that support our immune system.

 

Vata Allergy Symptoms

When Vata is out of balance, the allergic symptoms include headache, wheezing, sneezing, and generalized muscle aches. These may be seen more typically in the fall as the air becomes cold and dry. This is due to the accumulation of the lighter elements of space and air in the mind-body physiology. Other manifestations of this Vata imbalance include dry cough, restlessness, and dry eyes.

 

To balance the excess space and air elements, it is important to stay hydrated and drink warm liquids, such ginger tea with honey. To bring Vata back into balance, use calming herbs such as ashwagandha, which is also an immune modulator that calms the immune system’s response to allergens. Another useful tool in calming Vata is performing a self-massage, or abhyhanga.

 

Natural Ways of Relieving Seasonal Allergies

Eat light, warm and cooked food

 

Warm, cooked vegetarian foods, made with a little bit of clarified butter (ghee) helps the body to bounce back. In Ayurveda, eating warm, cooked foods gives the digestive fire a chance to rest. When the digestion is low, it can’t access the nutrition stored in raw foods, and the poorly digested food creates toxins. When you know that your digestion is up to par (especially in summer), enjoy raw greens and salads.

 

Reduce or avoid dairy

Reducing or avoiding dairy will help to reduce the symptoms related to mucous and allows the body to get rid of the toxins naturally quickly.

 

Use a Neti pot

You can also try the traditional yogic nasal cleansing system also known as Jalneti. This self-practice involves clearing the nasal passages with salt water with a neti pot which looks like a miniature teapot with a particularly long spout. This helps to regulate pressure in the head and although it may seem not easy or uncomfortable at first, with a little practice it’s easy to do, and highly effective. It is best practiced in the morning prior to breathing exercises such as pranayama.

 

Do gentle exercise and practice Pranayama

 

Gentle exercise or yoga poses along with the practice of pranayama, or breath techniques will help. These simple practices can help not only on a physical level, but also on a mental and spiritual level, bringing calm, attention, and space.

 

Herbal supplements and spices

Use warming spices in cooking to support the digestive fire — particularly ginger, cinnamon, turmeric, cumin seeds, coriander, garlic and black pepper.

When our agni is restored, we avoid aggravating allergens and ama (toxicity) by making conscious choices, and we maintain balance of our internal energies, or doshas, we are less likely to experience ill health, such as seasonal allergies. Instead of seeing our environment as a threat, we can begin to calm the excitability of the immune system and, instead, experience our connection to the external world as nourishing. Ayurveda provides us with the tools to experience this connection and move closer to our natural state of health and balance.

Instant relief with Nasya Face and Head Massage ,

Nasya is a unique nasal treatment including the face and neck that helps relieve congestion and help allergy sufferers. Nasya involves a soothing pressure point face massage, a head and chest massage with a steam treatment. A few drops of specially formulated Ayurvedic herbal oils are dropped into each nostril that helps to provide relief for sinus problems and congestion. The oil forms a protective layer on the nasal tissues and prevents allergens from directly attaching themselves to nasal membranes.

 


 


Diabetes Foot Health Care At Home | Dr Ashwani Kansal Noida

 

 

Diabetes Foot Health Care At Home

 

Get your feet checked at every health care visit

If you have diabetes, here’s a way to keep standing on your own two feet: check them every day—even if they feel fine—and see your doctor if you have a cut or blister that won’t heal.

 

There’s a lot to manage if you have diabetes: checking your blood sugar, making healthy food, finding time to be active, taking medicines, going to doctor’s appointments. With all that, your feet might be the last thing on your mind. But daily care is one of the best ways to prevent foot complications.

About half of all people with diabetes have some kind of nerve damage. You can have nerve damage in any part of your body, but nerves in your feet and legs are most often affected. Nerve damage can cause you to lose feeling in your feet.

 

Feeling No Pain

Some people with nerve damage have numbness, tingling, or pain, but others have no symptoms. Nerve damage can also lower your ability to feel pain, heat, or cold.

Living without pain sounds pretty good, but it comes at a high cost. Pain is the body’s way of telling you something’s wrong so you can take care of yourself. If you don’t feel pain in your feet, you may not notice a cut, blister, sore, or other problem. Small problems can become serious if they aren’t treated early.

 

Preventing Nerve Damage

What’s the most important thing you can do to prevent nerve damage or stop it from getting worse? Keep your blood sugar in your target range as much as possible. Other good diabetes management habits can help, too:

 

Don’t smoke

 Smoking reduces blood flow to the feet.

Follow a healthy eating plan, including eating more fruits and vegetables and less sugar and salt.

Get physically active —10 to 20 minutes a day is better than an hour once a week.

Take medicines regularly as prescribed by your doctor.

 

Could You Have Nerve Damage?

*      Anyone with diabetes can develop nerve damage, but these factors increase your risk:

*      Blood sugar levels that are hard to manage

*      Having diabetes for a long time, especially if your blood sugar is often higher than your target levels

*      Being overweight

*      Being older than 40 years

*      Having high blood pressure

*      Having high cholesterol

Nerve damage, along with poor blood flow—another diabetes complication—puts you at risk for developing a foot ulcer (a sore or wound) that could get infected and not heal well. If an infection doesn’t get better with treatment, your toe, foot, or part of your leg may need to be amputated (removed by surgery) to prevent the infection from spreading and to save your life.

 

When you check your feet every day, you can catch problems early and get them treated right away. Early treatment greatly reduces your risk of amputation.

 

Tips for Healthy Feet

*      Looking at the bottom of  feet in a mirror

*      Get to the bottom of any foot problems by using a mirror or asking for help.

*      Check your feet every day for cuts, redness, swelling, sores, blisters, corns, calluses, or any other change to the skin or nails. Use a mirror if you can’t see the bottom of your feet, or ask a family member to help.

*      Wash your feet every day in warm (not hot) water*. Don’t soak your feet. Dry your feet completely and apply lotion to the top and bottom—but not between your toes, which could lead to infection.

*      Never go barefoot Always wear shoes and socks or slippers, even inside, to avoid injury. Check that there aren’t any pebbles or other objects inside your shoes and that the lining is smooth.

*      Wear shoes that fit well For the best fit, try on new shoes at the end of the day when your feet tend to be largest. Break in your new shoes slowly—wear them for an hour or two a day at first until they’re completely comfortable. Always wear socks with your shoes.

 

Trim your toenails

Trim straight across and gently smooth any sharp edges with a nail file. Have your foot doctor (podiatrist) trim your toenails if you can’t see or reach your feet.

 

Don’t remove corns or calluses yourself

 Especially don’t use over-the-counter products to remove them—they could burn your skin.

Get your feet checked at every health care visit. Also, visit your foot doctor every year (more often if you have nerve damage) for a complete exam, which will include checking for feeling and blood flow in your feet.

Keep the blood flowing. Put your feet up when you’re sitting, and wiggle your toes for a few minutes several times throughout the day.

 

Choose feet-friendly activities

 Like walking, riding a bike, or swimming. Check with your doctor about which activities are best for you and any you should avoid.

Be sure to ask your doctor what else you can do to keep your feet healthy.

 

When to See Your Doctor

If you experience any of these symptoms, don’t wait for your next appointment. See your regular doctor or foot doctor right away:

*      Pain in your legs or cramping in your buttocks, thighs, or calves during physical activity.

*      Tingling, burning, or pain in your feet.

*      Loss of sense of touch or ability to feel heat or cold very well.

*      A change in the shape of your feet over time.

*      Loss of hair on your toes, feet, and lower legs.

*      Dry, cracked skin on your feet.

*      A change in the color and temperature of your feet.

*      Thickened, yellow toenails.

*      Fungus infections such as athlete’s foot between your toes.

*      A blister, sore, ulcer, infected corn, or ingrown toenail.

Most people with diabetes can prevent serious foot complications. Regular care at home and going to all doctor’s appointments are your best bet for preventing foot problems (and stopping small problems from becoming serious ones)


 


Wednesday, February 15, 2023

Lifestyle and Home Remedies For Asthma Management | Dr Ashwani Kansal

 

 

Lifestyle and Home Remedies For Asthma Management

 

Although many people with asthma rely on medications to prevent and relieve symptoms, you can do several things on your own to maintain your health and lessen the possibility of asthma attacks.

 

Avoid your triggers

Taking steps to reduce your exposure to asthma triggers is a key part of asthma control. To reduce your exposure, you should:

 

Use your air conditioner. Air conditioning reduces the amount of airborne pollen from trees, grasses and weeds that finds its way indoors. Air conditioning also lowers indoor humidity and can reduce your exposure to dust mites. If you don't have air conditioning, try to keep your windows closed during pollen season.

Decontaminate your decor. Minimize dust that may worsen nighttime symptoms by replacing certain items in your bedroom. For example, encase pillows, mattresses and box springs in dustproof covers. Avoid using down-filled pillows and blankets. Throughout the house, remove carpeting and install hardwood or linoleum flooring. Use washable curtains and blinds.

Maintain optimal humidity. If you live in a damp climate, talk to your doctor about using a dehumidifier.

Prevent mold spores. Clean damp areas in the bathroom, kitchen and around the house to keep mold spores from developing. Get rid of moldy leaves or damp firewood in the yard.

Reduce pet dander. If you're allergic to dander, avoid pets with fur or feathers. Having pets regularly bathed or groomed may also reduce the amount of dander in your surroundings.

Clean regularly. Clean your home at least once a week. If you're likely to stir up dust, wear a mask or have someone else do the cleaning. Wash your bedding regularly.

Cover your nose and mouth if it's cold out. If your asthma is worsened by cold or dry air, wearing a face mask can help.

Stay healthy

Taking care of yourself can help keep your symptoms under control, including:

 

Get regular exercise. Having asthma doesn't mean you have to be less active. Treatment can prevent asthma attacks and control symptoms during activity.

Regular exercise can strengthen your heart and lungs, which helps relieve asthma symptoms. If you exercise in cold temperatures, wear a face mask to warm the air you breathe.

 

Maintain a healthy weight. Being overweight can worsen asthma symptoms, and it puts you at higher risk of other health problems.

Control heartburn and gastroesophageal reflux disease (GERD). It's possible that the acid reflux that causes heartburn may damage lung airways and worsen asthma symptoms. If you have frequent or constant heartburn, talk to your doctor about treatment options. You may need treatment for GERD before your asthma symptoms improve



Diabetic Foot Screening | Dr Ashwani Kansal

 

 

Diabetic Foot Screening

 

​Screening of foot in diabetes is an essential part of the examination carried out . The aim of this examination is to determine as early as possible any risk factors for diabetic foot complications such as neuropathy and ischaemia amongst other things, and reduce amputations and ulcerations with timely referrals. Studies have shown that early detection and intervention may prevent up to 85% of amputations in diabetic patients.

 

It is important to inform the podologist if one is having any problems with their feet such as:

·         Burning Sensation.

·         Pins And Needles.

·         Problems with Corns And Nails.

 

The following should be reported immediately to your caring doctor/podologist:

·         Open Wounds And Any Ulcers.

·         Areas of Bluish/Black Skin.

·         In growing Toe Nail +/- With Discharge.

·         Color Change - Red Hot Skin Which May Also Be Swollen.

·         Increase in Skin Foot Temperature.

Patients will be risk categorized and if indicated referred for further assessment.

 

Patient care pathway for screening of patients for Diabetic foot complications

 

All patients attending the Diabetes clinics in all the health centers are obliged to have screening for the feet. The nurse leading the diabetes clinic will make sure that the screening actually takes place and the GP refers patient accordingly.


 

Initial Assessment (Level 1 screening)

All patients will undergo neurological and vascular assessment by the Podiatrists using the mono filament and Doppler ultrasound, The findings are recorded in the specified form DH 140. If initial assessment is certified to be normal then the patient is given a yearly appointment and referred back to the Diabetes

 

1. Comprehensive Diabetes Foot Screening

o   All Primary Care Health Centres

o   High risk are referred for further screening

 

2. Intensive Foot Screening

o   Floriana Health Centre by trained podiatrists

o   Ankle Brachial Pressure Index (ABPI), Neuropathy scores, Footwear, Biomechanical examination

o   Critical/rest pain/ low ABPIs referred for vascular assessment

 

3. Vascular Assessment

o   MDH by a trained podiatrist

o   ABPI, TBI, Doppler waveforms, segmental studies, venous PPG


Diabetic Foot Care A much Needed Concern Love n Care your Feets

 

 

Diabetic Foot Care A much Needed Concern Love n Care your Feets

 

Diabetes can lead to a number of foot complications. Fortunately, you can prevent most of these with a little extra foot care. If diabetes is not well controlled, it can cause damage to blood vessels and result in poor circulation to the foot. When the skin does not get enough blood flow, it becomes prone to pressure sores and ulcers, which heal slowly.

 

Diabetes can also damage nerves, interfering with the ability to feel pain and pressure. When you can’t feel your foot normally, it is easy to injure your skin, bones, and joints without knowing it. For these reasons diabetes increases the risk of fungal infections, bunions, and ulcers. An ulcer is a sore or break in the skin. With ulcers, often the skin seems to have worn away. Deep ulcers can lead to bone infection.

 

Gangrene is the most serious foot complication of diabetes. It usually occurs on the tips of the toes as blackened areas of skin. The black area is dead tissue. In severe cases, gangrene spreads to involve the entire toe, other toes, and the entire foot. Foot or toe amputation may be required. Good foot care and blood sugar control can prevent this.



 

Home Care

• Wear comfortable, well-fitting shoes.

• Wash your feet daily with warm water and mild soap.

• After drying, apply a moisturizing cream or lotion to the top and bottom of your feet. Don’t put lotion between toes.

• Check your feet daily for skin breaks, blisters, swelling, or redness. Look between your toes as well. If you cannot see the bottoms of your feet, ask someone to look or    use a mirror.

• Wear cotton socks and change them every day.

• Trim toenails carefully, and do not cut your cuticles.

• Strive to keep your blood sugar under control with a combination of medicines, diet and activity.

• If you smoke and have diabetes, it is very important that you stop. Smoking reduces blood flow to your feet.

• Schedule foot exams at least every year, or more often if you have foot problems.

• Put your feet up when sitting, wiggle toes, and move ankles to help improve blood   flow.

 

Avoid activities that increase your risk of foot injury:

• Do not walk barefoot.

• Do not use heating pads or hot water bottles on your feet.

• Do not put your feet in a hot tub without first checking the temperature with your hand.

 

Follow-up Care

Follow up with your healthcare provider, or as advised. Be sure to take off your shoes and socks before your appointment starts so your healthcare provider will be sure to check your feet. Report any cut, puncture, scrape, blister, or other injury to your foot. Also report if you have abunion, hammertoes, ingrown toenail, or ulcer on your foot.

 

Meet your healthcare provider right away if any of these occur:

• Black skin color anywhere on your feet.

• Open ulcer with pus draining from the wound.

• Increasing foot or leg pain.

• New areas of redness or swelling or tender areas of the feet.

• Fever of 100.4°F (38°C) or greater.


Benefits of Inculcating Vitamin B12 Foods in Your Diet

 

Benefits of Inculcating Vitamin B12 Foods in Your Diet

 

Vitamin B12 is necessary for brain and neurological functions. It also aids in creating and regulating DNA. Furthermore, it is involved in developing red blood cells. In addition, vitamin B12 is essential for all cells’ metabolism. It aids in synthesising fatty acids and energy generation.

For example, helping the human body absorb folic acid, vitamin B12 allows energy to be released.

 

Every minute, the human body creates millions of red blood cells. Without vitamin B12, these cells will not be able to increase. When vitamin B12 levels are too low, red blood cell formation suffers. If the red blood cell count falls too low, anaemia might develop.

 

1. Aids in the formation of red blood cells and the prevention of Anaemia:

Vitamin B12 is essential for producing red blood cells in your body. Vitamin B12 deficiency inhibits the production of red blood cells and prevents them from growing correctly.

In addition, vitamin B12 deficiency causes red blood cells to become bigger and oval. In contrast, healthy red blood cells are tiny and round.

Megaloblastic anaemia happens when red blood cells cannot migrate from the bone marrow. Due to their bigger and irregular structure, they cannot circulate at an average pace.

As a result, your body doesn’t have enough red blood cells to carry oxygen to your important organs. Therefore you become anaemic. Fatigue and weakness may result from this.

 

2. Could prevent significant congenital disabilities:

Vitamin B12 levels must be enough for a healthy pregnancy. According to studies, a foetus’ brain and nervous system require enough vitamin B12 from the mother to develop.

Therefore, vitamin B12 deficiency during the first trimester of pregnancy might raise the chance of birth abnormalities. Such as neural tube defects. Furthermore, a lack of vitamin B12 in the mother may result in a preterm delivery or miscarriage.

According to research, women with vitamin B12 levels below 250 mg/dL are three times more likely to give birth to a child with birth abnormalities.

However, the risk is five times higher for women who have a vitamin B12 deficiency with levels below 150 mg/dL.

 

3. May help to prevent Osteoporosis and support bone health:

Vitamin B12 deficiency can harm your bones. Therefore it’s essential to keep your levels up. A study of almost 2,500 adults found that vitamin B12 deficient people have lower than average bone mineral density.

Reduced mineral density in the bones can cause them to become brittle and fragile over time. Therefore the risk of osteoporosis increases. In addition, low vitamin B12 levels lead to poor bone health and osteoporosis, particularly in women, according to research.

 

4. Vitamin B12 reduces the chances of macular degeneration:

Macular degeneration is a visual loss that mainly affects central vision. Vitamin B12 deficiency may add to age-related macular degeneration.

According to research, supplementation with vitamin B12, an amino acid present in the plasma, may reduce homocysteine levels. In addition, homocysteine levels beyond certain levels can increase the risk.

In contrast to the placebo group, who took these supplements for seven years. They had fewer incidences of macular degeneration. 

However, more research is required to completely comprehend vitamin B12’s significance in supporting eyesight health and avoiding macular degeneration.

 

5. May help with depression symptoms and mood:

Vitamin B12 may help you feel better. The impact of vitamin B12 on mood is still a mystery. On the other hand, this vitamin is necessary for the production and metabolism of serotonin, a neurotransmitter that regulates mood.

As a result, vitamin B12 deficiency can reduce serotonin synthesis. As a result, depression may occur. Vitamin B12 supplements can improve depression symptoms in those low in vitamins.

Persons with depression and low vitamin B12 take antidepressants and vitamin B12 supplements together. As a result, they are more likely to experience reduced depression symptoms.

On the other hand, only antidepressants show minor improvement, as seen in one research. Another study found that vitamin B12 deficiency has linkages to a twofold increase in the risk of severe depression.

Furthermore, high vitamin B12 levels are associated with improved treatment results. Recovery is more likely. Thus, vitamin B12 supplements may assist patients with shortages improving their mood and sadness. However, there is no evidence that they impact persons with regular vitamin B12 levels.

 

6. Vitamin B12 may help your brain by preventing neuron degeneration:

Memory loss can result from vitamin B12 insufficiency, particularly in elderly persons. In addition, the vitamin may help to prevent brain atrophy, which is the loss of neurons in the brain. And can result in memory loss or early onset of dementia.

According to one research, a combination of this vitamin and omega-3 fatty acid supplements delayed mental deterioration in adults with early-stage dementia. However, another study discovered that even low vitamin B12 levels might impair memory function.

Consequently, taking this vitamin may help with memory even if you don’t have a clinically recognised deficit. However, more study is needed to draw solid conclusions on the influence of vitamin B12 supplements on memory and cognitive function.

 

7. It might give you a boost of energy:

Supplements containing vitamin B12 are the go-to solution for a burst of energy, as per some promotional materials. However, they alone don’t always give energy. All B vitamins play a crucial function in your body’s energy generation.

However, exhaustion or a lack of energy is one of the most prevalent early indicators of vitamin B12 insufficiency.

8. Reduced homocysteine levels may improve heart health:

Homocysteine, a prevalent amino acid in the blood, can increase the risk of heart disease.

When you’re lacking in vitamin B12, your homocysteine levels rise. Vitamin B12 has been found in studies to help lower homocysteine levels. Which in turn may lower your risk of heart disease.

However, there is no concise scientific data to support the claim. As a result, further studies need to comprehend the link between vitamin B12 and heart health.

 

9. Aids in the maintenance of healthy hair, skin, and nails:

Vitamin B12’s role in cell production necessitates adequate levels to promote healthy hair, skin, and nails.

In reality, insufficient vitamin B12 levels can cause many dermatological symptoms. Hyperpigmentation, nail discolouration, hair changes, vitiligo, and angular stomatitis.

Supplementing with vitamin B12 has been found to helppersons with its deficiency. That improves their dermatologic symptoms. But, on the other hand, taking a supplement is unlikely to help your skin, nail strength, or hair health if you’re well-nourished and not weak in this vitamin.


 

 


Interactions |Moderate Interaction | Be Cautious with This Combination

 

 

Interactions |Moderate Interaction | Be Cautious with This Combination

 

Aluminum interacts with VITAMIN D

Aluminum is found in most antacids. Vitamin D can increase how much aluminum the body absorbs. This interaction might be a problem for people with kidney disease. Take vitamin D two hours before, or four hours after antacids.

 

Calcipotriene (Dovonex) interacts with VITAMIN D

Taking vitamin D along with calcipotriene might increase the effects and side effects of calcipotriene.

 

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Vitamins & Supplements Vitamin D

Vitamin D - Uses, Side Effects, and More

OTHER NAME(S): Alfacalcidol: 1-alpha-hydroxycholecalciferol, 1-alpha-hydroxycholécalciférol, 1 alpha (OH)D3.<br/> Calcifediol: 25-HCC, 25-hydroxycholecalciferol, 25-hydroxycholécalciferol , 25-hydroxyvitamin D3, 25-hydroxyvitamine D3, 25-OHCC, 25-OHD3, Calcifédiol.<br/> Calcipotriene : Calcipotriène, Calcipotriol.<br/> Calcitriol: 1,25-DHCC, 1,25-dihydroxycholecalciferol, 1,25-dihydroxycholécalciférol, 1,25-dihydroxyvitamin D3, 1,25-dihydroxyvitamine D3, 1,25-diOHC, 1,25(OH)2D3.<br/> Cholecalciferol: 7-déhydrocholestérol Activé, Activated 7-dehydrocholesterol, Cholécalciférol, Colecalciferol, Colécalciférol, Vitamin D3.<br/> Dihydrotachysterol: DHT, Dihydrotachystérol, dihydrotachysterol 2, dichysterol, Vitamine D3.<br/> Ergocalciferol: Activated Ergosterol, Calciferol, Ergocalciférol, Ergocalciferolum, Ergostérol Activé, Ergostérol Irradié, Irradiated Ergosterol, Viosterol, Viostérol, Vitamin D2, Vitamine D2.<br/> Paricalcitol: 19-nor-1,25-dihydroxyvitamin D2, 19-nor-1,25-dihydroxyvitamine D2, Paracalcin.<br/> Vitamina D, Vitamine D. Show Less

Overview

Uses

Side Effects

Precautions

Interactions

Dosing

Reviews (296)

Overview

Vitamin D is an essential vitamin that helps regulate calcium and phosphorus in the body. It also plays a role in maintaining proper bone structure.

There are different forms of vitamin D, including ergocalciferol (vitamin D2) and cholecalciferol (vitamin D3). Vitamin D is found in fish, eggs, and fortified milk. It's also made in the skin when exposed to sunlight. During periods of sunlight, vitamin D is stored in fat and then released when sunlight is not available.

Vitamin D supplements are commonly used to treat and prevent vitamin D deficiency. People who don't get enough sun and people who are 65 years or older are at risk for deficiency. People also use vitamin D for weak and brittle bones, heart disease, asthma, hay fever, and many other conditions, but there's no good scientific evidence to support many of these uses. There is also no strong evidence to support using vitamin D supplements for COVID-19. But it is important to maintain healthy levels of vitamin D. This can be done by taking 400-1000 IU of vitamin D daily or spending 15-30 minutes in the sun each day.

 

Uses & Effectiveness

Effective for

A rare, inherited bone disorder marked by low levels of phosphate in the blood (familial hypophosphatemia). Taking specific forms of vitamin D, called calcitriol or dihydrotachysterol, by mouth along with phosphate supplements is effective for treating bone disorders in people with low levels of phosphate in the blood.

Underactive parathyroid (hypoparathyroidism). Taking specific forms of vitamin D, called dihydrotachysterol, calcitriol, or ergocalciferol, by mouth is effective for increasing calcium blood levels in people with low parathyroid hormone levels.

Softening of the bones (osteomalacia). Taking vitamin D3 by mouth is effective for treating this condition.

A bone disorder that occurs in people with kidney disease (renal osteodystrophy). Taking a specific form of vitamin D, called calcitriol, by mouth helps to manage low calcium levels and prevent bone loss in people with kidney failure.

Rickets. Taking vitamin D by mouth is effective for preventing and treating rickets. A specific form of vitamin D, called calcitriol, should be used in people with kidney failure.

Vitamin D deficiency. Taking vitamin D by mouth is effective for preventing and treating vitamin D deficiency.

 

Likely Effective for

Bone loss in people taking drugs called corticosteroids. Taking vitamin D by mouth prevents bone loss in people taking drugs called corticosteroids. Also, taking vitamin D alone or with calcium seems to improve bone density in people with existing bone loss caused by using corticosteroids.

Weak and brittle bones (osteoporosis). Taking vitamin D3 by mouth along with calcium seems to help prevent bone loss and bone breaks in people with osteoporosis.

Psoriasis. Applying vitamin D in the form of calcitriol, calcipotriene, maxacalcitol, or paricalcitol to the skin can help treat plaque-type psoriasis. Applying vitamin D along with corticosteroids seems to work better than applying vitamin D or corticosteroids alone. But taking vitamin D by mouth doesn't seem to help.

 

Possibly Effective for

Hay fever. Taking vitamin D by mouth seems to reduce symptoms of hay fever in adults and children. But it isn't clear if taking vitamin D during pregnancy can help to prevent hay fever in the child after birth.

Cavities. Taking vitamin D2 or D3 by mouth reduces the risk of cavities by 36% to 49% in infants, children, and adolescents.

Heart failure. Taking vitamin D by mouth can help reduce the risk of developing heart failure in some people. But it doesn't seem to help patients who already have heart failure.

Bone loss in people with overactive parathyroid (hyperparathyroidism-related bone loss). Taking vitamin D3 by mouth seems to reduce parathyroid hormone levels and bone loss in people with a condition called hyperparathyroidism.

Infection of the airways. Taking vitamin D by mouth helps prevent respiratory infections in children. But taking vitamin D by mouth during pregnancy doesn't seem to reduce the risk of these infections in the child after birth. It also doesn't help prevent infections in adults.

Preventing tooth loss (tooth retention). Taking calcium and vitamin D3 by mouth appears to prevent tooth loss in elderly people.

 

Possibly Ineffective for

Heart disease. Taking a vitamin D supplement by mouth doesn't seem to prevent heart disease, heart attack, stroke, or other serious heart-related events in most people.

Critical illness (trauma). Giving vitamin D to people with low vitamin D levels who are in the hospital with a critical illness doesn't make them more likely to live.

Fractures. Taking vitamin D by mouth doesn't seem to prevent fractures in older people who do NOT have osteoporosis.

High blood pressure. Taking vitamin D by mouth doesn't seem to lower blood pressure in most people with high blood pressure. But it might help people who have very low blood levels of vitamin D.

A mental disorder marked by hallucinations and delusion (psychosis). Taking vitamin D by mouth doesn't seem to improve symptoms of psychosis in adults.

Prostate cancer.  Taking vitamin D by mouth doesn't seem to reduce cancer progression or death from prostate cancer.

Tuberculosis.  Most research shows that taking vitamin D by mouth doesn't help to cure tuberculosis or make it less severe.

There is interest in using vitamin D for a number of other purposes, but there isn't enough reliable information to say whether it might be helpful.

 

Side Effects

When taken by mouth: Vitamin D is likely safe when taken in recommended amounts. Most people don't experience side effects with vitamin D, unless too much is taken. Some side effects of taking too much vitamin D include weakness, dry mouth, nausea, vomiting, and others. Taking vitamin D for long periods of time in doses higher than 4000 IU (100 mcg) daily is possibly unsafe and may cause very high levels of calcium in the blood.

Special Precautions and Warnings

When taken by mouth: Vitamin D is likely safe when taken in recommended amounts. Most people don't experience side effects with vitamin D, unless too much is taken. Some side effects of taking too much vitamin D include weakness, dry mouth, nausea, vomiting, and others. Taking vitamin D for long periods of time in doses higher than 4000 IU (100 mcg) daily is possibly unsafe and may cause very high levels of calcium in the blood. Pregnancy and breast-feeding: Vitamin D is likely safe during pregnancy and breast-feeding when used in daily amounts below 4000 IU (100 mcg). Do not use higher doses unless instructed by your healthcare provider. Vitamin D is possibly unsafe when used in higher amounts during pregnancy or while breast-feeding. Using higher doses might cause harm to the infant.

 

Children: Vitamin D is likely safe in children when taken by mouth in recommended amounts. But it is possibly unsafe to take vitamin D in higher doses, long-term. Infants from 0-6 months should not take more than 1000 IU (25 mcg) daily. Infants aged 6-12 months should not take more than 1500 IU (37.5 mcg) daily. Children aged 1-3 years should not take more than 2500 IU (62.5 mcg) daily. Children aged 4-8 years should not take more than 3000 IU (75 mcg) daily. Children aged 9 years and older should not take more than 4000 IU (100 mcg) daily.

Hardening of the arteries (atherosclerosis): Taking vitamin D could make this condition worse, especially in people with kidney disease.

A type of fungal infection called histoplasmosis: Vitamin D might increase calcium levels in people with histoplasmosis. This could lead to kidney stones and other problems. Use vitamin D cautiously.

High levels of calcium in the blood: Taking vitamin D could make this condition worse.

 

Over-active parathyroid gland (hyperparathyroidism): Vitamin D might increase calcium levels in people with hyperparathyroidism. Use vitamin D cautiously.

Lymphoma: Vitamin D might increase calcium levels in people with lymphoma. This could lead to kidney stones and other problems. Use vitamin D cautiously.

Kidney disease: Vitamin D might increase calcium levels and increase the risk of "hardening of the arteries" in people with serious kidney disease. Calcium levels should be monitored carefully in people with kidney disease.

A disease that causes swelling (inflammation) in body organs, usually the lungs or lymph nodes (sarcoidosis): Vitamin D might increase calcium levels in people with sarcoidosis. This could lead to kidney stones and other problems. Use vitamin D cautiously.

Tuberculosis: Vitamin D might increase calcium levels in people with tuberculosis. This could lead to kidney stones and other problems. Use vitamin D cautiously.

 

Interactions ?

Moderate Interaction

Be cautious with this combination

 

Aluminum interacts with VITAMIN D

Aluminum is found in most antacids. Vitamin D can increase how much aluminum the body absorbs. This interaction might be a problem for people with kidney disease. Take vitamin D two hours before, or four hours after antacids.

Calcipotriene (Dovonex) interacts with VITAMIN D

Taking vitamin D along with calcipotriene might increase the effects and side effects of calcipotriene.

Digoxin (Lanoxin) interacts with VITAMIN D

Taking vitamin D along with digoxin might increase the effects and side effects of digoxin. If you are taking digoxin, talk to your doctor before taking vitamin D supplements.

Diltiazem (Cardizem, others) interacts with VITAMIN D

Vitamin D helps your body absorb calcium. Calcium can affect the heart. Diltiazem can also affect the heart. Taking large amounts of vitamin D along with diltiazem might decrease the effects of diltiazem.

 

Verapamil (Calan, others) interacts with VITAMIN D

Vitamin D helps the body absorb calcium. Calcium can affect the heart. Verapamil can also affect the heart. Do not take large amounts of vitamin D if you are taking verapamil.

Water pills (Thiazide diuretics) interacts with VITAMIN D

Vitamin D helps the body absorb calcium. Some "water pills" increase the amount of calcium in the body. Taking large amounts of vitamin D along with some "water pills" might cause too much calcium in the body. This could cause serious side effects, including kidney problems.

Atorvastatin (Lipitor) interacts with VITAMIN D

Vitamin D might decrease how much atorvastatin the body absorbs. Taking vitamin D with atorvastatin might decrease the effects of atorvastatin.

 

Medications changed by the liver (Cytochrome P450 3A4 (CYP 3A4) substrates) interacts with VITAMIN D

Some medications are changed and broken down by the liver. Vitamin D might change how quickly the liver breaks down these medications. This could change the effects and side effects of these medications


 


Allergic Rhinitis (Hay Fever) | Dr Ashwani Kansal

 

 

Allergic Rhinitis (Hay Fever)

 

Allergic rhinitis, also called hay fever, is an allergic reaction that causes sneezing, congestion, itchy nose and sore throat. Pollen, pet dander, mold and insects can lead to hay fever symptoms. Hay fever can make you feel awful, but you can find relief with lifestyle changes, allergy medications and immunotherapy (allergy shots)

What is allergic rhinitis (hay fever)?

Allergic rhinitis (hay fever) is an allergic reaction to tiny particles in the air called allergens. When you breathe in allergens through your nose or mouth, your body reacts by releasing natural chemical called histamine. Several indoor and outdoor allergens cause hay fever. Common causes include dust mites, mold, pet dander and pollen from trees and plants.

 

Symptoms of hay fever include sneezing, nasal congestion and irritation of the nose, throat, mouth and eyes. Allergic rhinitis is not the same as infectious rhinitis, otherwise known as the common cold. Hay fever is not contagious.

 

When do people usually get hay fever?

You can have hay fever any time of the year. Seasonal allergies occur in the spring, summer and early fall when trees and weeds bloom and pollen counts are higher. Perennial allergies can happen year-round. They result from irritants that are always around, such as pet dander, cockroaches and dust mites.

 

How common is allergic rhinitis (hay fever)?

Hay fever is very common. Around 15% to 20% of the population has allergic rhinitis. Millions of children and adults have hay fever every year.

 

Who might get allergic rhinitis?

Allergies are inherited (passed down through families). You’re more likely to have hay fever if you have a parent or family member with allergies. People who have asthma or eczema are more likely to develop hay fever.

 

SYMPTOMS AND CAUSES

What causes allergic rhinitis (hay fever)?

Allergic rhinitis occurs when your body’s immune system reacts to an irritant in the air. The irritants (allergens) are so tiny that you can easily inhale them through your nose or mouth.

 

Allergens are harmless to most people. But if you have hay fever, your immune system thinks the allergen is intruding. The immune system tries to protect your body by releasing natural chemicals into your bloodstream. The main chemical is called histamine. It causes mucous membranes in the nose, eyes and throat to become inflamed and itchy as they work to eject the allergen.

 

Seasonal and perennial allergies can result from many allergens, including:

 

Dust mites that live in carpets, drapes, bedding and furniture.

Pollen from trees, grass and weeds.

Pet dander (tiny flakes of dead skin).

Mold spores.

Cockroaches, including their saliva and waste.

Food allergies can also cause inflammation in the nose and throat. If you think you’re having an allergic reaction to something you ate, get medical help right away. Food allergies can be life-threatening.

 

 

What are the symptoms of allergic rhinitis (hay fever)?

Hay fever symptoms can appear throughout the year. Outdoor allergies are worse in the spring, summer and early fall. In warm weather, weeds and flowers bloom, and pollen counts are higher. Indoor allergies, such as those that result from pet dander and dust mites, can get worse in winter because people spend more time indoors.

 

Symptoms of hay fever include:

 

Nasal stuffiness (congestion), sneezing and runny nose.

Itchy nose, throat and eyes.

·         Headaches, sinus pain and dark circles under the eyes.

·         Increased mucus in the nose and throat.

·         Fatigue and malaise (general feeling of discomfort).

·         Sore throat from mucus dripping down the throat (postnasal drip).

Wheezing, coughing and trouble breathing.

 

DIAGNOSIS AND TESTS

How is hay fever diagnosed?

Your healthcare provider will examine you, ask about your symptoms and evaluate you for other conditions, such as a cold or asthma. To measure your antibodies to specific allergens, your provider may take a blood sample and send it to a lab for testing. This blood test is called an immunoglobulin E (IgE) test. It can detect all types of allergies, including food allergies.

 

Your provider may recommend a skin prick test to determine what allergens are causing your symptoms.

 

What is a skin prick test?

This common test is painless and accurate, though it may be a little uncomfortable. Your provider places a small sample of different allergens on your skin (usually on your forearm or back) and scratches or pricks the skin with a needle. Scratching the skin allows the allergen to get under the surface.

 

If you’re allergic to the allergen, the area will become red, itchy and irritated in 15 to 30 minutes. You may develop raised, hive-like welts called wheals that show an allergic reaction. A skin prick test is a safe, effective way to determine which allergens are causing your symptoms

 

How is allergic rhinitis (hay fever) treated?

Several allergy medications can improve symptoms and help you live with hay fever. These treatments come in many forms, includingliquids, pills, eye drops, nasal sprays and injections. Talk to your provider before taking any medication, especially if you’re pregnant or have other health concerns. Your provider may suggest:

 

Antihistamines: Antihistamine medications are available with a prescription or over the counter. They work by blocking the histamine that your body releases during an allergic response. Antihistamines come as pills, liquids, eye drops, nasal sprays and inhalers. They include:

Ebastine

Bilastine

Loratadine

Fexofenadine

Levocetirizine

Antihistamines can cause drowsiness. Avoid alcohol when taking antihistamines, especially if you’re going to drive.

 

Decongestants: These medications relieve congestion in the nose and sinuses. You can take decongestants by mouth (in pill or liquid form) or use a nasal spray. They include:

 

Nasal spray

Phenylephrine nasal spray

Otrivin or Nasivion nasal spray

Decongestants can increase blood pressure and cause headaches, trouble sleeping and irritability. Nasal decongestants can be addictive if used longer than five days. Be sure to talk to your provider before taking them.

 

Corticosteroid nasal sprays: These sprays and inhalers reduce inflammation and relieve symptoms of hay fever. The most common nasal sprays are Free Air AZ, Ryaltris AZ, Azeflo FT, Duonase,Flonase®, Nasacort® and Rhinocort®. Side effects include headaches, nasal irritation, nosebleeds and cough.

 

 

Leukotriene inhibitors: During an allergic reaction, the body releases leukotriene, histamines and other chemicals that cause inflammation and hay fever symptoms. Available only with a prescription, these pills block leukotriene. The most common leukotriene inhibitor is montelukast . Some people experience changes in mood, vivid dreams, involuntary muscle movements and skin rash when taking this medication.

 

Immunotherapy: This treatment works by helping your body learn to tolerate allergens. Your provider gives you a series of injections (allergy shots) with a small amount of the allergen. Every time you get a shot, your provider increases the amount of the allergen. Over time, your immune system develops immunity to the allergen and stops launching a reaction to it.

 

Your provider might recommend immunotherapy in the form of a pill that you place under your tongue.

 

PREVENTION

How to prevent hay fever?

There is no way to prevent hay fever, but lifestyle changes can help you live with allergies. You can relieve hay fever symptoms by avoiding irritants as much as possible. To reduce symptoms, you should:

 

Avoid touching your face and rubbing your eyes or nose.

Close windows in your home and car during the spring, summer and early fall when pollen counts are higher.

Enclose pillows, mattresses and box springs in dust mite covers.

Keep pets off couches and beds, and close doors to bedrooms you don’t want them to enter.

Use filters in your vacuum cleaner and air conditioner to reduce the amount of allergens in the air.

Wash your hands often, especially after playing with pets.

Wear a hat and sunglasses to protect your eyes from pollen when you’re outside. Change your clothes as soon as you come indoors


 


7 Ultimate Vitamins to Nourish Your Skin & Hair | Dr Ashwani Kansal

 

 

7 Ultimate Vitamins to Nourish Your Skin And Hair

 

The shift in climate can be harsh on your skin and hair. Add pollution and all the harmful products we use, and you have a recipe for disaster. If your skin has turned dry and hair is brittle, don’t panic – you can change things around with a little TLC. Certain vitamins have the power to fight skin ageing, boost hair growth, and improve overall well being. Make them your best friends.

 

Here’s A List of SomeEssential Vitamins to Nourish Your Skin and Hair:

 

Biotin:

Commonly known as vitamin B7 or vitamin H, Biotin is a water-soluble vitamin. It improves your body’s keratin structure, which plays a vital role in hair health. Though it is added in a lot of over-the-counter products, experts are of the opinion that it is not absorbed well via the skin and is best taken orally.

Found In:

Eggs, nuts, beans, whole grains, avocados, berries, seafood.

 

Vitamin B12

Cobalamin essentially promotes healthy hair, skin and nails. It improves the texture of the skin by preventing oxidative damage and treats various dermatological conditions. It rejuvenates and moisturises the skin, reduces various signs of ageing like wrinkles, fine lines, spots, dark circles, hyperpigmentation etc, making it crystal clear. In case of hair, and nails it prevents discolouration, maintains the natural colour of both hair and nails, and prevents them from being brittle and breaking.

Dairy products like yoghurt, milk and cheese.

Some fortified cereals, nutritional yeast, An algae product called nori, shitake mushrooms and certain animal sources like Eggs, fish, clams, chicken, and meat are laden with vitamin B12.

 

Omega 3 Fatty Acids:

This is imperative to improve blood circulation. It prevents hair loss, strengthens the shafts, and helps regrowth. It also moisturises the scalp and prevents hair loss. The body does not naturally produce Omega 3; hence it is important to incorporate it into your diet or take supplements.

Found In:

Fish, nuts, seeds.

 

Vitamin A:

This vitamin is food for the skin. It is an antioxidant that enhances skin condition and cell renewal rate. It slows down the ageing process. For glowing skin, increase your vitamin A intake. But one must be on guard against an overdose.

Vitamin A supports the growth of hair tissue and cells. It aids the skin glands to make an oily substance called sebum, which moisturizes the scalp and maintain hair health. A diet lacking in vitamin A may lead to several issues including hair loss.

Found In:

Sweet potatoes, carrots, spinach, pumpkin, milk, eggs, and cod liver oil are good sources of this fat-soluble nutrient.

 

Vitamin C:

Your skin needs this water-soluble vitamin to remain youthful as it improves skin elasticity and reduces wrinkles. It is an antioxidant that fights skin damage. Deficiency of vitamin C can lead to hair loss.

Vitamin C plays a key role in collagen synthesis, a protein part of the hair structure that thickens hair follicles and helps prevent damage. It also supports the body to absorb iron, a vital mineral needed for hair growth.

Found In:

Citrus fruits, kiwi, spinach, peppers.

 

Vitamin E:

Protecting your skin from sun damage and pollution, vitamin E can be your saviour. Its antioxidant properties block free radicals from the body and slow the ageing process. It can also help repair damaged hair and make it shine.

Found In:

Sunflower oil, spinach, nuts, corn.

 

Iron:

Iron is the medium to take oxygen to the scalp and hair follicles. A deficiency could result in dull, weak hair. Anaemia is a big reason for hair loss.

Found In:

Lentils, spinach, beans, tofu, fish, whole grains, nuts.

 

Zinc:

It is a vital mineral for hair, skin, and nails. Your skin can rapidly lose moisture, especially in the summer. Zinc helps generate the body’s natural oils, ensuring soft skin and preventing dandruff. At the same time, high levels of zinc can disrupt the absorption of other minerals and produce testosterone.

Found In:

Pumpkin seeds, cashews, spinach, mushrooms, chicken.

 

Vitamin D

Deficiency of vitamin D is associated with alopecia, a medical term for hair loss. This fat-soluble vitamin plays a key role in hair production

Found In

Fatty fish, cod liver oil, mushrooms and fortified foods are some of the rich sources of vitamin D.

 

Follow these simple measures that may help you to nourish and revamp your skin and hair health.

Too much sun damages skin and hair use sunscreen with Sun protection factor (SPF) 15 while going out and wear a hat or cover your mane in the hot sun.

Strictly steer clear of alcohol and smoking, as both are harmful to the skin and hair.

Excess heat damages the hair, hence set the hairdryer to a cool setting, or let it dry naturally.

If your diet cannot give you the needed nutrients, takingsupplements from trustworthy health brands is recommended. *But always consulta doctor first!*

 


 


World Spine Day | Dr Ashwani Kansal

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