Aspirin appeared and used fro treatment of headache alone or in combination with paracetamol and caffeine long time back .It was very much an effective remedy.But is notorious to cause stomach problem in form of gastritis, ulcers and bleeding.Then it was not used for many years till its beneficial effect in myocardial ischaemia and infarction was rediscovered.In low doses, as low as 75 mgs per day is prescribed to myocardial infarction patients to keep their blood more fluid i.e. to prevent thrombosis.It is also prescribed in combination with other thrombolytic agents.The advantage it has is low cost and easy availability. It is said that if heart attack is suspected and nothing is found a tablet of aspirin will prevent much damage to heart muscle.The potential side effect ,gastrointestinal bleeding can be prevented by other anti-ulcerogenic drugs. Researchers also say that aspirin helps in early diagnosis of colon cancer.The hall mark of colon cancer is painless bleeding per anus besides other symptoms.the bleeding tendency is probably facilitated by aspirin. It is still the drug of choice for a very important disease called Rheumatic arthritis having much dreaded sequelae of rheumatic heart disease. So in right doses and judicious combination it is a panacea for health.
At last there is some hope that monsoon will arrive in this part of world.Mercury is a little in the comfort zone in this dawn of longest day in Northern hemisphere.So I started my walk a little earlier,to be precise at 4 AM to avoid day light coming.As I approached towards the seashore the view inside the Bay of Bengal was somewhat likened to the number of lightened flats by the ships waiting for their turn to enter the Paradip Port.I could able to count about twenty ships.But I had learnt that there were about 50 ships in waiting.In the recent past this port is bustling with activity, thanks to the deepest draft here in the eastern coast of India. En route I noticed much more lightning activity inside the Bay of Bengal.Lightning is a high voltage electric current ,occurs due to the potential difference between clouds or between cloud and earth.This could prove fatal if faced.This high voltage current may cause instant death from cardiac arrest or may cause a flash burn with and the consequences . To avoid outdoor during lightning activity is the best.But if already in outdoors run for shelter in a nearby house.Never stand below a tree , tall structures or electric poles.If inside a car one can stay safe there as " electric field inside a sphere is zero" and does not cause harm as per "Gauss" law .This update was given to me some years back by my elder son and reiterated by the younger.If inside house prefer to sit on non conductors such as wooden furniture.Should not go near the open doors or windows and never if wearing metal jeweleries.Unplugging electrical appliances and disconnecting cables are good preventing measures to protect those from damage. AS a lightning victim suffers from sudden cardiac arrest cardio-pulmonary resuscitative measures are to be started then and there and be shifted to a near by hospital later.Flash burn victims are to be shifted to a hospital and be managed there. paradip port
To-day is the auspicious occasion the Car Festival of the Living Gods, the adored deity of the Oriyas and the people world wide, The Jagganath ,Balabhrada and Sister Subhadra.This will be celebrated in Puri,Orissa.They are the God of mass though worshiped as Hindu God.They will travel to their aunt's house and en- route bless the mass by their presence. There is no restriction to-day for offerings .All are busy to make the mega event run smoothly in the presences of millions of devotees.The largest kitchen of the world of the Gods' here will be busy in serving the hungry.The mega event will be broadcasted worldwide with a lot of affection and love.It is said that whoever will see the deities on the "Rath",the car ,will not have re-birth.
I shall be watching the event in my TV,to-day being a holiday for us.Will you like to...!!
Osteoarthrosis of knee a debilitating condition will come and stay with the aging process.The best way to beat it is by physiotherapy combined with on demand simple analgesics like paracetamol and etoricoxib. So-many physiotherapies are described ,but by far swimming is the best.Swimming is the most energy consuming exercise.Combined with it a little diet modification in form of negative calorie balance will reduce weight of over weights/obeses to a great extent which in tern will relieve some weight off the knee joints.
While swimming water off loads weight from knees and at the same time gives resistance to knee movement thereby working at the joints to strengthen the muscles around the joints.Strengthening muscles give stability to the joint and flexibility to movement. Do you know swimming ? If not learn the skill to-day.
Typhoid an infection by Salmonella Typhi/Paratyphi of intestinal lymphoid collection also called Enteric fever is transmitted through contaminated food and drink .There are also human carriers of the disease.The disease is characterized by fever of long duration with rigors,cough and great prostration usually fatal if untreated. Diagnosis is based on clinical and Widal test .If treated adequately it is cured .Whether treated or untreated usually in pediatric age group patient may land up in perforation of intestine towards the end of second week or beginning of third week. It is invariably fatal. I have seen patients not doing well many years back.But not seen cases in the recent past perhaps due to advent of newer drugs. Another community problem is healthy carrier status.This occurs due to inadequate treatment of the disease, the bacteria houses in the gall bladder and infects that.Here the asymptomatic patient distributes disease as makes own hands infected . That is why it should be treated adequately.It also remains viable long time in the ice/icecreams made using contaminated water.
Go for red wine ?Recently many reports are coming in from researchers highlighting the advantages of wine.The skin of grapes contains resveratrol and seed contains proanthrocynidins which have antioxidant properties ,so could influence lipid metabolism.Grapes especially the dark variety have the potential to lessen heart attacks. Should somebody draw the conclusion that drinking wine is good and start it for these benefits ? I think from Indian context neither grapes nor wine is affordable to the mass who struggle to get food twice a day. It is not that India is very poor to fulfill food demand.One main factor is accumulation of money in the hand of a few by whatever means may be and the second important aspect being lazy mind of people. But whether affluent or not why one should not take natural balanced diet by addition of green vegatable and fruits ? Where some body is already habituated to drinking, may go for wine . At any rate alcohol is alcohol and food is preferable to wine/ alcohol.
The thicker slice is the left side and and the separator is the mitral valve.
"It leaves joints and bites the heart" is well said.Rheumatic arthritis has this notorious reputation.Most commonly affects a female of younger age group,usually having a history of long standing throat infection in the past.Bigger joints such as knees,elbows,ankles and hips are affected. Both sides are affected and shifts from one to other.Affected joints are greatly swollen,extremely painful and crippling associated with fever.This arthritis may occur several times to subside even without treatment.This is classified under the group of collagen diseases.The arthritis is diagnosed and confirmed basing on the Jone's criteria.
After some time, over years it may affect the one way valve of left side of heart which regulates blood flow collected from the lungs after addition of oxygen and removal of carbon dioxide.The valve becomes rigid and narrowed in the course of disease to hamper the easy flow of blood. So swelling of face followed by extremities even abdomen occur with breathlessness and weakness.The patient may not be able to follow his/her day to day pursuits.This is called Mitral Stenosis.
All operated and removed fibroadenomas of breast has to be subjected to histopathological study.In rare occasions a cancer of breast will be hidden there.I have a case to operate upon and the specimen will be subjected to the same study.
It is very much hot and humid here in Paradip,Orissa,India.The monsoon is scheduled to arrive.During my walking sweat comes out from scalp as rain drops.But I completed it.I have scheduled some endoscopies to-day at 8 AM.I hope the day will not be better without rain.This is the difficulty in coastal areas. People are prone to heat stroke during this time, a fatal outcome in these areas .T hope this is not seen in cold countries.I lot of fluid and avoiding exposer to sun are the mainstray of prevention.Govt of Orissa has closed the schools ,prevented labourers from working in the mid-day and installed road side water supply to the comuters.
Testes develop inside the abdomen of fetus and descends down to scrotum to permanently house there through a path in the abdominal wall called inguinal canal.Sometimes it may so happen it's descend is arrested somewhere in it's path to be called undescended testis .According to pull theory on descend of testis there are five strands to pull the testis and powerful becomes the scrotal one .But if some other string becomes more powerful it may drag the testis to some other location to be called imperfectly descended testis.
Frequently young adults aspiring for a recruitment especially where strict medical examination is conducted come to me with a complain that the left side testis is bigger than it's counter part.
Invariably I could find it to be cent percent normal.The mystery is that is that the right side testis normally remains in a little higher position than the left and so the asymmetry.The cause is developmental rather than an abnormality.The testes develop in the abdomen of fetus while still in the mother's womb. They come out to make scrotum their latest and permanent home.The left one descends first and the right one later ,a few weeks before birth and so maintains a little higher position.
And that is the cause sometimes some weakness remains in closing of the path in the abdominal wall and may give rise to a hernia sooner or later in the life, to be seen more commonly in the right side.
Testes being accessible organ are to be self examined for abnormalities and early detection of development of tumour where cure is possible.
I think later on we will discuss other abnormalities in descend of testes.
Some eleven years back one known to me asked about his relative who was getting pain in his left shoulder and becoming breathless while walking.The presumptive diagnosis was somewhat straight forward.And an ECG revealed that he is suffering from Myocardial Ischaemia.The typical description of angina pectoris pain is a feeling of severe compression of chest ,a squeezing or a sharp pain in the left lower chest lasting for minutes and radiating to neck,shoulder tip,axilla,Lt. arm,back,right side of chest and upper abdomen.Unfortunately this typical description is lacking in many.
Other symptoms of Myocardial Ichaemia include sweating,breathlessness,stupor,fainting , vomiting and many other atypical ones. But in a physically active person with regular brisk walk having some burning symptom of upper abdomen and normal ECG in two different occassions ,it is hard to digest that he is suffering from myocardial ischaemia.But later his description of this burning sensation and discomfort of upper abdomen while walking, compelling him to take breaks two to three times in about two kilometers distance should have given rise to suspicion of ischaemia. Eventually an ECG on that day revealed a change in ECG prompting an urgent treatment.Further an angiography revealed narrowing in one of the branches of a main coronary artery and he was treated according.Also it was noticed that the artery in question was little less in caliber than usual.During review of literature in the Wiley Interscience database it was seen that narrow coronay may go for spasm.And I think this must be happening during an exercise while there is demand for more oxygen in the myocardium i.e. heart muscle.
But the lesson is that highest degree of suspicion till ischaemic heart disease is excluded confidently.
H.pylori a comma shaped bacteria generally contaminate drinking water has been linked to development of gastritis and duodenal ulcer and found associated with cancer stomach.This bacteria remains under the mucous layer of stomach , infect the cells and sets inflammation.This gradually progress to type B gastritis which may in the long run gives rise to development of cancer stomach.
Now-a-days drugs are given to target this bacteria with an intension to cure gastritis and duodenal ulcer.
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Molecule of Aspirin 
1) Blocked Coronary Artery,2)Ischaemic heart muscle.
Headache ???
Distribution Of Pain Of Heart Attack. 
paradip port
