The importance of parent’s role in the development of child

There is a lot of problems to guide the children in a healthy way so that they can become a good and kind hearted person. Here, there are some competencies that predict good parenting outcomes. It is some effort,so how will they predict a strong parent- child bond and children’s happiness, health and success.

1) Love and affection – parents should support and help in developing the child’s physical health and spend one-on-one time together.

2) Relationship skills – Parents should maintain a healthy relationship with their spouse, significant other and model effective relationship skills with other people.

3) Stress management – Parents should take steps to reduce stress for themselves and their child,practic relation technique and promote positive interpretations of events.

4) Education and learning – Parents should provide educational opportunities for their child and help in learning process in study.

5) Autonomy and Independence – Parents should treat their child with respect and encourage them to become self-sufficient and self- reliant.

6) Health – Health is very important for child. So, parents should take care of their lifestyle and good habits such as regular exercise and proper nutrition for their child.

7) Life skills – Parents should provide for their child to become a healthy person and should plan for the future of the child.

8) Behaviour management –Parents should make extensive use of positive reinforcement and punish only when other methods of managing behaviour have failed.

9) Religion- Parents should support spiritual or religious development and participate in spiritual or religious activities.

10) Safety– Parents should take essential precautions to protect their child and maintain awareness of the child’s activities and friends.

11) Socio- cultural development – the child learn how to interact with others by working towards a common goal, developing team spirit, selecting the right friends and much more.

12) Cognitive development – Positive parenting increases children’s cognitive,social and problem solving abilities as they grow up.

13) Physical development – Parental guidance can instill in children a healthy exercise and eating regimen to achieve optimal physical development. Parents should remember that their children set a good example.

14) Mental development – Parenting methods assist the child with learning innovatively, embracing set back and overcoming them, understanding discipline, taking criticism,also rewarded and punishment concept.

Support the child’s mental health

a) Love- be there for your child and show care and love

b) Be proud – tell your child that you are proud of them.

c) Educate- educate yourself about mental health problems

d) Coping – help your child to learn some simple coping skills such as relaxation, playing

e) Conversation – encourage your child to engage in conversation

f) Exercise – encourage play, exercise and support

g) Behaviour – keep an eye out for any changes in behaviour

h) Support – regularly support, encourage and praise your child

i) Help- don’t be afraid to seek help from professionals

j) Problem solving – help your child to effectively problem solve

k) Rest time – help your child to manage stress by building in some rest time

l) Feeling – get to know that how your child is feeling

m) Listen –make sure that you take time to listen to what your child has to say

n) Environment – parents should provide a positive environment for their child where they can thrive.

So, these are some useful tips for parents to guide their children in positive environment.

Dr S.k.jha


Psychotic Depression: what is it and what are the symptoms,signs and treatment?

Psychotic Depression is a mental health problems in which the patient may cause symptoms of hallucinations or delusions. It involves symptoms of psychosis during an episode of depression.

It is estimated that about 3% to 12% of all people will experience severe depression during their lifetime.

Psychotic Depression affects roughly one out of every four people admitted to the hospital for depression.

In this case, the patient may have:-

1) Delusion

2) Hallucinations

3) a state of stupor

4) psychomotor impairment

It can affect the mood, behaviour, everyday life and physical health.

Psychotic depression is often considered a psychiatric emergency because the patient is at increased risk of suicidal thoughts and behaviour.


1) lack of interest and pleasure in all activities

2) a persistent low,sad, empty or hopeless mood

3) loss of appetite

4) sleeping difficulties

Sleeping difficulties

5) fatigue

6) difficulty in concentration

7) feeling of guilty

8) frequently feeling of worthlessness

9) suicidal thoughts

Psychotic Depression is always serious mental illness.

People with psychotic depression may spend a lot of time by themselves or in bed, sleeping during the day and staying awake in the night. A person with psychotic depression may neglect appearance by not bathing or changing clothes or that person may be hard to talk to.

Psychotic hallucinations and delusions might involve:-

a) believing that having a serious health problems

b) believing that having a unique power

c) believing that becoming an important person

d) hearing unwanted voices

e) paranoia or extreme suspicion of other people

Delusions and hallucinations often feel completely real. They can lead to distress,panic and tremor.

There is not exact cause of psychotic disorder. Researchers have yet to find oy if the actual cause of psychotic depression.

There are some possible cause for psychotic disorder are:-

1) Genetic

2) Environmental factors

3) Traumatic or stressful experience


Being diagnosed with psychotic depression, the patient may have five or more of the following symptoms:-

A) agitation

B) Loss of appetite

C) Depressed mood

D) Difficulty in concentration

E) Insomnia

F) A lack of interest in all activities

G) Low energy level

H) Suicidal thoughts

I) Feeling of guilty

Risk factors

1) Not having close friends

2) a family history of any mental health problems

3) a major negative life events in the past year

4) surviving extreme stress or trauma

5) living with chronic pain or chronic health problems

6) financial difficulties

7) age( older adults have a higher risk)

8) a family history of bipolar disorder with psychosis, schizophrenia or major depressive disorder with psychosis


The diagnosis and treatment usually involves a medical history.

1) Medications – if the patient experiences both depression and psychosis,then antidepressants, antipsychotic medicine can be given.

2) Electroconvulsive therapy – it can be used in severe depression condition.

3) Cognitive behavioral therapy – it is also used for depressive patients.

Psychotic depression can be frightening.

Dr S.k.jha

Exercise and fitness: why it is so important?

Nowadays,most of the people want to keep fit and shape.But, they are unaware that how to keep fit their body and being in shape.

So, here I am trying my best to explain some tips for everyone,just for a few minutes exercises help in keep fit.

All of us know that as the age going so fast , muscles are getting weak, if if want to get back in shape,the this workout may help you.

1) Jumping jack Remember, when you were young and going to school or college, you have leaned some exercises there as jumping jack,stand up with your legs spread and your hands touching overhead. Then as you jump , bring your legs back together and put your arms to your sides.

Do this type of exercise for 30-40 seconds, take a 15 second break and go ready for next exercise.

Jumping jack

2) Wall sits- in this exercise,stand tall against a wall with your head and back touching the wall.

Position your feet so that they are shoulder -width apart and a few inches away from the wall. Rest your arms at your sides.

Bend your knees and lower into a squat position until your thighs are parallel to the floor and hold the position.

Return to the standing position by straightening your knees and standing tall again.

3) Push ups – The Push ups build both upper body and core strength.

First ,get into a plank position on the floor,feet together with toes tucked under hands planted flat below your shoulder.

Drop down on all fours and place your hands on the floor so they are straight and slightly beyond shoulder -width.Lower your body until your chest nearly touches the floor and then push yourself back up as quickly as you can.

Repeat it for 30 seconds.

4) Ab crunches – This exercise is the best way to burn belly fat and strengthen the abdominal muscles.

First lie on your back , with your knees bent and feet on the floor. Tighten your core .Press your lower back into the floor and reach towards top of knees.

Return to starting position,but remember your core should be tight and repeat it for 40 seconds.

5) Squat- this exercise helps you build up your quads, arms and calves. It also gives strengthening the whole core and enhancing the strength.

First of all your feet should be shoulder -width apart or slightly wider.

Extend your hands out in front of you and sit back and down, keeping your head facing forward.Make sure that your back does not round.Keep lowering yourself until your thighs are parallel to the floor. Press back through your heels.

Repeat it for 30 seconds.

6) Tricep Dip on bench or chair- in this exercise, first of all,sit on a chair with your hands either next to your hips or slightly under the hips.

Lift up onto your hands and bring your hips forward.

Bend your elbows and lower your hips down, keeping shoulder down and hips close to the chair. Now push back up but don’t lock your elbows and repeat it.

Do it for 30 seconds.

7) Plank- The plank is the most important exercise. It helps to give strength of core muscles, ribbed abs and strong shoulder.

Just get into push ups position on the floor,bend your elbows 90 degree and prop yourself on the elbows, forearms and forefeet forming a straight line from head to feet, then hold it for as long as you can without moving your waist.

Repeat it for 40 seconds.

8) Lunges – it is one of the most important exercise. There are a variation of lunges exercise.

Stand with your feet together.straight forward on your right foot, dropping your pelvis down towards the floor. Lowering yourself until both front and back knees are best as close to a 90 degree angle as possible. Then push back with the front leg and return to your starting position. Switch legs.

Repeat this exercise for 30-40 seconds.

9) Side plank – it is an important exercise for strengthening the oblique abdominal muscles.

Lie on your left side,legs extended and stacked from hip to feet. The elbow of your left arm is directly under your shoulder. Ensure your head is directly in line with your spine. Your right arm can be aligned along the right side of your body.

The goal should be hold for 60 seconds.

Change side and repeat.

10) Push up and rotation – start in a standard push- up position. Begin a push up ,but as you come back up , shift your weight onto your left side.

Rotate your upper body and extended your right arm straight up toward the ceiling. Return to your starting position,then repeat with right side.

Repeat for 40 seconds.

11) Jumping jack – it is the exercise you can do it earlier in school or college.

Stand with your feet together and hands at your sides. Now , simultaneously swing your arms above your head and jump just high enough to spread your feet wide without pausing quickly reverse the movement and repeat.

12) High knees – This exercise is a combination of the run in place with exaggerated knee left.

Stand straight with your feet shoulder -width apart. Face upward and open your chest.

Bring your knees up to waist level and then slowly land on the balls of your feet. Repeat it for 40 seconds until the set is complete.

This is a good exercise for warm up the body that increases aerobic fitness. Prepare your body for more complex movements. Performing High knees bring your heart rate up , increase the metabolism and helps you burn more calories throughout the day.

Now ,if you do these exercises daily,you will start seeing improvement in your body and shape.

Dr S.k.jha

Hanuman Jayanti: An important festival in India and Nepal

Hanuman Jayanti is a great Hindu festival celebrated in India and Nepal.It is celebrated on the occasion of the birth of Lord Hanuman who is a popular Hindu deity in India and Nepal. Customs and rituals may vary from place to place ,but seeking Hanuman blessing of strength and courage are centric to the idea

Lord Hanuman is well known for his power and intellect. He single -handedly burned the whole Lanka and even king Ravana could not Stop him. He is also as peaceful and sober as he is powerful.

It is believed that he is immortal being and possesses immense power to eradicate all kinds of negativity or temptations.

Hanuman or Anjani putra ( son) is worshipped by Hindu. Hanuman is worshipped for his strength, wisdom, powerful and agility. A great devotee of Sri Lord Rama is the symbol of devotion and dedication.

Lord Hanuman is worshipped in all the temples of India and Nepal. Every temple of Sri Rama contains an icon of Hanuman. Worship of Sri Lord Rama is complete only with the worship of Hanuman.

In Hinduism,Lord Hanuman is considered a symbol of devotion, dedication and strength. He is also considered a symbol of courage and selflessness.

In southern India,as in Tamilnadu, Hanuman Jayanti is celebrated on the day Hanuman met Lord Rama,but not on the day of his birth.

According to mythology, Lord Hanuman is an incarnation of Lord Shiva ( 11th Rudra) and the most powerful being in all the realms.

Many states in southern India celebrate Hanuman Jayanti as Hanuman Vardhanti.

It is very common to find a temple of Lord Hanuman in towns and villages of India.

He is widely worshipped in India.Lord Hanuman is believed to be immortal and possesses immense strength and divine powers. It is said that he is able to fly, change his size at will and be invulnerable to weapons.

Hanuman chalisa was written by Sant Tulsidas in 1497-1623. It is believed in Hinduism that chanting Hanuman chalisa benefits can ward off all negative thoughts and energy.

The word Hanuman chalisa has a beautiful meaning. In Hinduism, the word ‘Chalisa ‘ was derived from’Chalis’ which means forty(40). It represents 40 verses in the hymn.

Sant Tulsidas had written Hanuman chalisa in 40 days in the jail of Third Mughal Emperor Jalaluddin Mohammad Akbar.

Hanuman chalisa is a devotional hymn dedicated to Lord Hanuman,a Hindu deity known for his strength, courage and devotion.

Hanuman chalisa

The Hanuman chalisa is believed to have several benefits:-

1) freedom from family problems

2) protection from evil

3) enhance strength and courage

4) to fulfill all wishes

5) when fear is unknown

6) success in efforts

7) build confidence

8) strengthen Mars or Mangal

9) reduce the effects of Saturn

10) get rid of sin

11) create a feeling of positivity

12) the feeling of Divine Bliss

Reciting the Hanuman chalisa 108 times brings positive results and help to regain strength and confidence.

Recital of Hanuman chalisa,a devotional hymn of Lord Hanuman, which is also one of the most read Hindu religious scriptures of all time.

Devotees strong believe that reciting the Divine hymn Hanuman chalisa continuously helps to overcome all sorrows and difficulties.

On this day, people go to temples dedicated to Hanuman to seek blessings.

Many devotees read Hanuman chalisa in temples and homes.


It is an important festival for the Hindus and celebrate it with great enthusiasm.

Every year on the auspicious day of Hanuman jayanti, devotees worship Lord Hanuman with a pure heart,some keep fasting to get his blessings for a successful life.

So, this festival teaches us to remain calm every time just like Lord Hanuman.


How to keep fit your body after 50 ? Do you ready for it?

If fitness and Health words come in the mind ,then a lot of things come and talking about the fitness, exercise and strength training after 50 or 60 .But, every one knows that as we get older,we don’t get the same stamina, strength and energy. So, keep in mind that we have to keep fit our body and no any serious health problems after 50.

There is a lot of researches to know the importance of exercise during middle age and we all of us know that there is not any magic that we can get the same stamina, strength and energy as the body of 20-24 years old.

Being stronger and physically fit is essential to maintaining a good life.

If you cross the age of 50 or 60 and then you are committed to getting fit and shape of the body then you have to keep in mind that you have to make the time table for exercise and daily routine as well as balanced diet items.

The benefits of weight training exercises along with aerobic and cardiovascular exercise are important for those who are over 50 or 60 or more.

Everyone knows that regular exercises help to slow the onset of life- threatening illness that may begin in middle age as hypertension, diabetes, stroke, atherosclerosis, arthritis and certain types of cancer.


You know that your body is no longer fit that of a teenager or young adults because with the passing years the physical changes come.

Some are losing stamina, and energy due to illness,life’s stress, while others are result of the aging process.

Strength and fitness training are believed to slow the progression of Alzheimer’s disease, dementia as well as slow down the CNS system.


Working out and staying in shape will add mor life to your years.

Strength training and weight lifting exercise not only improve muscles strength and increase stamina and energy but also makes daily activities easier to do and slow the decline of muscles strength related to the disease.

So, there are some exercises which help in keep body fit and in shape.

1) Plank- the plank is one of the most important exercise.

It is a one more static exercise that will help you build a core of muscles strength,ribbed abs and strong shoulder.

Just get into push ups position on the floor,bend your elbows at 90 degree and prop yourself on the elbows, forearms and forefeet forming a straight line from head to feet ,then hold it for as long as you can without moving your waist.

2) Push ups

The Push ups is the ultimate bodyweight exercise that utilizes every muscles in your body,thereby helping you firm your whole body.

Push ups

Get into a plank position, placing your hands directly under the shoulders and push your whole body ups maintaining a straight line with the legs,back and waist. Lower your body down on the same way and repeat.

3) Squats

The exercise will help you build up your quads,arms and calves, while also strengthening your whole core and enhancing greater overall your burning fat.

For the squat exercise, your feet should be shoulder -width apart or slightly wider.

Extend your hands out in front of you and sit back and down, keeping your head facing forward. Make sure that your back does not round.

Keep lowering your self until your thighs are parallel to the floor. Press back through your heels.

4) Bird dog exercise

From a plank position,prop yourself on your knees and hands and simultaneously stretch one leg and the opposite arm , maintaining both perfectly straight.

Hold for a moment, the lower them down and repeat with the other leg and arm. This exercise increases core strength in both abs and lower back.

5) Lying hip raises

This lying hip raise is the perfect body weight exercise for building powerful glutes.while also strengthening your abs,back and thighs.

Lie on your back on the floor with bent knees and flat feet. Extend your arms out to your sides at a 45 degree angle.Squees your glutes and lift your hips toward the ceiling, making sure to tilt your pelvis. Lift them up as high as possible, squeezing your glutes.

Slowly yourself down and repeat.

Now, if you do these five exercises every day you will start seeing improvement in your waistline size and overall body composition in less than one month.

So,it is time to listen and make a daily habits of exercise to regain muscle mass after 50 or 60.


Schizoaffective disorder

Sizoaffective disorder is a chronic and serious mental illness which is characterized by symptoms of both schizophrenia and mood disorder.

It is combined with symptoms of

1) mania

2) hypomania and/or

3) depression

In this case , the person suffers from a set of schizophrenia symptoms such as delusion, hallucinations or paranoid thoughts. Mood disorder symptoms as mood swing, depression or mania can occur.


There are two types:-

1) Bipolar type

2) Depressive type

Males are more suffering than females. Around the age of 18 for male and 26 is in female.

Schizoaffective disorder is considered incomprehensible cases.

Each case is characterized by a mixture of symptoms of different behaviour and episodes that are differ from person to person.

The schizoaffective disorder is characterized by Cycles of acute symptoms followed by a period of improvement with fewer acute symptoms.

Depressive type schizoaffective disorder is characterized by episodes of major depression without mania

Bipolar type schizoaffective disorder is characterized by major depression and episodes of mania.


Symptoms of this case may vary from one person to another person.

These symptoms are: –

1) sensory hallucinations

2) troubled speech

3) difficulty in thinking

4) delusion

5) Depressive symptoms

6) thinking you are being controlled

7) mood disturbances

8) mania

9) disorganised thinking

10) lack of drive

Disorganised thinking

A depressive episode of the schizoaffective disorder requires six or more symptoms over a two week period.

1) difficulty in concentration

2) depressed mood

3) the feeling of guilty or worthlessness

4) thought of death or suiside

5) decreased sleep

6) loss of appetite

7) lack of energy

8) slowing of movement

9) the lack of pleasure

Similarly, a manic episode of schizoaffective disorder requires a period of irritable or elevated mood for atleast three of the following symptoms.

These are:-

1) increased energy

2) increased activity

3) increased self- esteem

4) more goal- directed activity

5) engaging in risky behaviour

6) speedy thoughts

7) less Sleep

8) becoming talkative

9) irritability

10) being easily distracted

The general signs and symptoms of schizoaffective disorder is :

1) hallucinations

2) delusion

3) major depressive episode

4) unusual behaviour

5) sudden increase in activity

6) deficiency in the job and social performance


The exact cause of schizoaffective disorder is unknown. But, there are some factors that can lead to this disorder:-

1) Genetic factor

2) Environmental factor

3) Delayed development of brain

4) Birth defects

5) Taking drugs

6) Exposure to toxins

Risk factors

One of the most important factor that increase the risk of developing the schizoaffective disorder is a close relatives ( blood relative) who suffer from one of the following:

1) schizophrenia

2) bipolar disorder

3) clinical depression


People with schizoaffective disorder are at increased risk of:-

1) suicide or suicidal thoughts

2) family and personal conflicts

3) social isolation

4) anxiety disorder

5) manic and depressive behaviour

6) excess drug abuse and alcohol consumption

7) major health problems

8) unemployment


There is no specific tests for diagnose schizoaffective disorder:-

But, a) physical examination

b) medical history

c) Lab test

d) MRI test

These tests make sure that another type of illness is not causing the symptoms.


It is treated with a combination of Psychotherapy, cognitive behavioral therapy, medications and skill therapy. The electroconvulsive therapy is also useful for some patients.

So, mental illness is very serious and sometimes fatal. So, there is help and hope for recovery.

Dr S.k.jha

Tobacco products, Smoking and oral cancer: what is the causes for oral cancer ?

Now a days many people in the world taking Tobacco in different forms as cigarettes,cigar and chewing tobacco products.

People who consume tobacco products have increased risk of developing cancer.

A person who smokes cigarettes is about 5-6 times more likely to develop oral cancer than someone who does not.

The longer a person uses tobacco products, the greater their oral cancer risk.

Oral cancer or mouth ulcer affects around 1 in 70 males and 1 in 120 females.Most people with oral cancer receive a diagnosis after the age of 58 ,but in can occur in younger people also.

Tobacco products contain toxic chemicals which can lead to oral cancer. For example, Lead , Arsenic, formaldehyde, radioactive substances, hydrogen cyanide and benzene etc.

The carcinogens in tobacco products can damage DNA. As tobacco carcinogens enter the body through the mouth can may develop in this area. Smoking inhaling or chewing tobacco products can expose the mouth and throat to several carcinogens.


1) jaw pain or swelling

2) mouth or lips sore

3) lumps around the cheek , mouth or lips

4) red or white patches in the mouth

5) sore throat

6) difficulty in swallowing or chewing

7) numbness in or around the mouth

8) loss of tongue or jaw mobility


1) physical examination

2) a biopsy

3) imaging tests

Types and risk of oral cancer

Smoking tobacco products carry the highest risk of developing oral cancer.

People who smoke and consume alcohol have an even greater chance of getting the oral cancer.

Smokeless tobacco products such as chewing tobacco and snuff also contain carcinogens. Most of these products contain large amounts of tobacco specific nitrosamines (TSNAs) .These TSNAs can cause cancer of the lungs ,nasal tract , mouth and esophagus.

A recent data shows that people who used smokeless tobacco products had around 34% higher risk of oral cancer.

Except tobacco products, other risk factors also cause for oral cancer.

1) The Epstein – Barr virus

2) family history of oral cancer

3) gum disease

4) deficiency of oral hygiene

There are many causes and risk factors that have linked to oral cancer.


Such as –

1) Drinking alcohol

2) being overweight

3) having certain infections

4) having poor nutrition

5) betel nut chewing.

Quitting tobacco products can reduce the risk of oral cancer and many other health conditions.

So, quitting the tobacco products is good for health.

Quitting tobacco can lead to positive changes such as: –

1) improved heart health

2) increased life span

3) reduced risk of many chronic diseases

A supportive network of family, friends and medical professionals can help in quitting the tobacco products. Some lifestyle factors that can reduce the risk of oral cancer include:

1) avoiding alcohol and tobacco

2) maintaining a healthy diet

3) using a sun cream or a lip balm when exposed to the sun

4) exercise regularly

5) maintaining good oral hygiene

6) regular visit to doctor for check- ups

So, with the right tools and a good supportive network help for quitting tobacco products is better for health.

Oral cancer is caused by the uncontrolled growth and reproduction of cells in some regions of the mouth. It can occur inside the cheek,under the middle and front of the tongue or on the tissue lining on the mouth or gum.


Treatment of oral cancer usually involves using a combination of therapies such as radiation therapy and chemotherapy.

So , stopping smoking and tobacco products can reduce the risk of developing oral cancer.

Dr S.K.jha


Alcohol is the most popular drug in the world. For thousands of years,alcohol has been used and as long as there has been alcohol,there has been abuse of this drug.

There is no system or organ in the body that does not take a health hazard as a result of excessive alcohol consumption. The physical damage caused by alcohol can and does cause misery, illness and death.

According to WHO, it is estimated that more than two millions people each year die due to drinking of alcohol.

Alcohol poisoning is a serious and potentially lethal result from consuming a lot of alcohol in a short amount of time.

Young adults and college students are more likely to become the victims of alcohol poisoning,an alcohol overdose can happen to anyone who drinks too much.

Binge drinking and continued alcohol use in large amounts are associated with many health problems. These include high blood pressure,stroke ,heart related disease, liver damage, nerve damage, inflammation of stomach, permanent damage to the brain, malnutrition and cancer of the mouth and throat.

Memory loss is one of the most common symptoms associated with brain impairment due to alcohol.

Liver damage is due to heavy drinking. The liver is a vital organ. On overdose and long term drinking, cirrhosis of liver can be happens. Before a liver reach the point of being cirrhotic,it may be fatty or inflammed. The first stage of damage is a fatty liver,a build- up extra fat in the cells.

This can cause fatigue, weakness and weight loss. If a person stop drinking, the condition can be reversed.

A person who consume alcohol daily as a overdose having problems of cerebellar degeneration, neuropathy, leukemia, gastrointestinal problems as pancreatitis, gastritis,folate deficiency, cirrhosis, testicular atrophy etc.

Ataxia, incoordination , confusion,coma and even death can occur at progressively higher blood alcohol levels.

Signs of alcohol withdrawal may include shaking, sweating, hypertension, tachycardia, insomnia and anxiety etc.

Psychotic symptoms can include visual,auditory and olfactory hallucinations. Seizure can occur.

Lab investigation

Blood test, GI endoscopy or radiology,Liver spleen scan, abdominal ultrasound or CT ,liver biopsy,EEG, ECG, and cranial CT. may show evidence of alcohol related organ dysfunction.

Alcoholism or alcohol dependence has long been associated with a set of classified symptoms such as experiencing alcohol withdrawal or continuing to drink alcohol even after suffering physical or psychological health problems.


Alcohol withdrawal is treated with thiamine ( 50-100mg IV daily for 5 days) , multivitamins,CNS depressant drugs and in some cases anticonvulsants .

Fluid and electrolytes status and blood sugar levels should be closely followed. Care should be taken to searc for evidence of trauma or infections that may be masked by prominent withdrawal symptoms.

Treatment of chronic alcoholism depends on recognition of the problems by patients.

Rehabilitation programs and support groups may be helpful.

So, it is my advise that we should avoid alcohol.

Dr S.K.jha

Panic attack: what are the symptoms of it ?

A panic attack is a sudden episodes of intense fear that triggers several physical reactions when there is no real danger or cause. Panic attacks can be very frightening. When panic attacks occur, people might think that they are losing control, having a chest pain or even dying.

People with panic disorders may be extremely anxious and fearful,since they are unable to protect when the next episode will occur.Women are twice as likely as men to develop the condition and it’s symptoms usually begin in early childhood.

It is not clear the cause of panic attacks.people who suffer from panic disorders are more likely than others to suffer from depression, attempt suicide or to abuse alcohol or drugs.

The fear that a person experiences during a panic attack are not be related to what is happening around them.

The chest pain of panic attack usually stay in mid – chest area ,may have rapid breathing, increased heart rate and fear. Panic attack come and disappear suddenly,but leave exhausted.

If a person has four or more than these symptoms,may be suffering from a panic attack.

1) sudden high anxiety with or without a cause

2) an increased heart beat

3) feeling dizzy or weak

4) a feeling of choking

5) nausea

6) feeling sweating

7) chest pain or discomfort

8) breathing difficulties

9) shaking

10) feeling a loss of control

11) tingling and numbness in hands and fingers

Panic attacks are generally short or lasting less than 10 minutes, although some of the symptoms may last longer.

People who have had panic attack are at greater risk for another compared to those who have never had one.

In most cases, the trigger for panic attacks are related to physical, mental and emotional exhaustion.

Physical exhaustion can be the result of overwork or not getting enough rest. It may also be the result of bad eating habits.

Mental exhaustion can be result of excessive worrying and stress. If a person constantly feel mentally drained and are finding it difficult to cope with emotions and may be at risk for having a panic attack.

Emotional exhaustion is conflict with loved ones and relationship problems can be triggers for panic attack.

In a sensitive States, small things can cause excessive anxiety and make vulnerable to a full- blown panic attack.

Panic disorder is a treatable condition. Psychotherapy and medications have both been used , either single or in combination.

Dr S. K.jha

Fitness and Health

Now a days people are busy, have a sedentary job and have not enough time for his health and exercise daily for fitness.But,if people can do exercise daily for fitness and make a habit,feel better and help prevent or control many diseases and likely even live longer.

So, many people want to get fit and shape of body. So,it is important to do some exercise at home daily or in Gym ,but remember exercise depends on age,body immunity, resistance power and stamina. It is better to do exercise in guidance of an expert trainer.

Walking is a good exercise for all ages

Benefits of exercise

It can make feel better,help with weight loss .It is good for muscles and bone strength. It can reduce risk of chronic disease and help brain memory.

Yoga, meditation, walking, light weight exercise, heavy weight exercise and people either do it in Gym or at home also. So,make a habit for fitness and enjoy life..

There are six factors for fitness and Health :

1) Nutrition

2) Medical checkup

3) Avoiding of smoking, alcohol and drugs

4) Stress and management

5) Rest

6) Exercise

1) Nutrition – Good health is a direct result of eating right food in the right quantity. The right food should proportionate amounts of the nutrients as proteins, carbohydrates,fats, vitamins and minerals.

Eat good,feel good

Protein is required for building and maintaining health tissues and is found in meat, eggs,milk and pulses. carbohydrates and sugar give energy and are found in rice,bread, potatoes and certain vegetables.Fat is found in butter,ghee, cheese and vegetable oil.

Minerals include such as calcium, phosphorus,iron, magnesium and iodine are essential for building of bones,teeth,nerve cell, hemoglobin and metabolism etc. They are found in vegetables,milk, cheese,fish,nuts ,liver and fruits etc.

Vitamins are available in natural foods.Lack of vitamins cause dry skin, itching eyes,loss of appetite and anemia.

2) Medical checkup- Everyone including children and adults should have medical checkup regularly. In old age,a medical checkup may be necessary for every six months to one year. A simple rule to follow is everyone should have annual medical checkup which will detect any unsuspected illness and do necessary investigation for finding correct diagnosis and treatment.

During annual checkup, doctor may be able to locate such disorders such as cysts, tumors etc by feeling the various parts of the body with his instruments.

The blood pressure should be checked and tests conducted on urine, blood samples to enable the doctor to prescribe the specialised treatment and advise on such matters as diet, medicine and rest.

3) Avoidance of alcohol, smoking and drugs – smoking cigarettes and smoke have certain several chemical compounds such as nicotine, carbon monoxide and other irritants which act on mouth,air passages and lungs are directly absorbed by blood stream and affects all the organs of the body. The most serious risk in smoking is lung cancer and smoking can also lead to heart diseases and bronchitis.

The only way to give up smoking is willpower.

Alcohol is also dangerous for health. It is directly absorbed into the blood stream as soon as it is consumed and the blood carries it to the liver,heart, lungs and brain muscles etc. Alcohol slow down the efficiency of these organs and results in disordination of the muscles and disordination of the nervous system and the brain. It also causes liver disorder and ulceration of the mouth.

Drugs – They are used for medical purposes in the form of capsule, tablets, syrup or injection. Excessive use of any drugs beyond the prescribed doses is harmful and is called drug addiction.

Drug addiction is uncomfortable compulsion to take drugs as opium,heroin, morphine, cocaine etc and the result of taking drugs overdose can result in death. Drugs taking and addiction should be avoided.

4) Stress management – Stress is an extra pressure which is harmful for body and health. These stress meet certain demands and these demands could be physical, emotional and so on. The body reacts to all these demands in which the heart ,blood vessels,lungs, nervous system, muscular system are activated. This results in rapid heart beat, increased blood supply,rapid breathing etc.therapy giving the body extra energy and power to meet those demands.

Unpleasant emotions like anger, depression, frustration and failure cause distress to the body which results in over- stimulation of endocrine system, release of adrenaline, increase in heart beat, muscular spasm of the digestive system, increase in blood pressure , fatigue,bodyache, irritability,insomnia, and sexual difficulties etc.

Excessive stress is caused by demands made by working people such as rushing to the office, payments, meeting,extra work pressure etc. The physiological reactions to psychological disturbances are increased blood pressure,heart attack etc… So avoid all these ailments have to be cheerful,proper managements having realistic and achieving goal with faith on oneself.

5) Rest- The body requires rest which may take two forms

a) Relaxation

b) Sleep

A) Relaxation – Relaxation can be achieved by yoga, listening music, walking, painting, photography and whatever you like to do.

B) Sleep- sleep is the purest form of rest in which person’s body and nervous system become almost inactive.Sleep is essential for mental and physical health, the amount of sleep varies according to age and individual needs.

Lack of sleep or insomnia could result in irritability, confusion, fatigue and disordination.

Relax- you are enough, you do enough.Breathe extra deep ,let go and just live right now in the moment.

6) Exercise – There are several form of exercise and the most famous are isometric, Isotonic,Isokinetic ,yoga and aerobic exercises.

The physical fitness of the body comprises four basic factors i.e. strength, stamina,speed and flexibility.

So, these are the factors for getting healthy life and enjoying the life.

Dr S.K. jha