What should a typhoid patient eat?

There is no doubt that typhoid patients undergo a diet to maintain weight, especially because they lose weight due to symptoms of the disease, what is this diet?

To be sure, patients with typhoid are gradually losing weight, so they should follow a high-calorie diet. Read the article to find out.

Typhoid fever is caused by Salmonella typhi, which is spread through contaminated food or water or through direct contact with an infected person.

Typhoid symptoms include:

High temperature
Headache
Abdominal pain
Constipation or diarrhea
Muscle pain
Anorexia
Weight loss.
As a result of constant weight loss in typhoid patients, they should follow a diet that compensates for carbohydrates and body fat.

What should a typhoid patient eat?
When you suffer from typhoid, taking a small amount of calorie-rich food at regular intervals helps to maintain the strength and energy of your body.Here are some of the foods you should eat:

High-calorie food, such as pasta, boiled potatoes, white bread and bananas, where it contains a lot of energy needed to fight typhoid fever.
It is important to provide your body with as much fluid as possible, because typhoid causes severe diarrhea and fever that can lead to dehydration.
Dehydration associated with typhoid can lead to a lot of complications during treatment, so eat food that is high in water, such as fresh fruit juice.

Eat food that is high in carbohydrates, but it must be easy to digest, such as boiled rice, baked potatoes and boiled eggs.
Dairy products should be consumed in large quantities.
Honey is a high-sugar food, so it is important for typhoid patients.
Typhoid diet should include yogurt and eggs, it is easier to digest than meat and can compensate for protein deficiency in the body.
Vegetaria
ns can also eat legumes and high-protein cheese.

Foods rich in omega-3 fatty acids, where they can help reduce inflammation in the body.
Foods to avoid
There are a range of foods to avoid in the typhoid diet:

Avoid high-fiber foods
Avoid vegetables such as cabbage and capsicum as they cause gas and bloating
Avoid food that has a strong flavor of onion and garlic
You should avoid spicy foods that contain acetic acid such as pepper, hot sauce and vinegar
Obesity, butter and fried food should also be avoided.
Tips you should follow
If you have typhoid, do the following:

Always wash vegetables and fruits before you eat them
Avoid places that do not maintain hygiene
Wash your hands before you eat
Do not buy fruits and vegetables from street vendors
Drink bottled water
If you experience symptoms as a result of eating certain foods, contact your doctor immediately.

By Dr Mahad Shah 
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flu

Contents of the page
What is influenza
Syndrome
Causes and risk factors
Multiples
treatment
protection
Influenza is a viral disease characterized by widespread seasonal outbreaks. The cause is the influenza virus, which is transmitted from person to person through the respiratory system.

Characteristics of influenza
Influenza has a number of unique features that include:

Fixed seasonality: The influenza virus causes influenza in winter in the northern hemisphere, in summer in the southern half and in rainy seasons in the tropics.
The ability to change: The flu virus changes, at a high rate, the structure of proteins on its surface, deceiving the immune system that had produced antibodies against the previous version. Thus, influenza can affect the same person more than once.
The disease is widespread: when an influenza outbreak affects a very large number of children and adults (about a third of children and 10% of adults), leading to frequent absences from work and school, creates severe pressure on hospitals and clinics.
The incubation period for influenza is short (less than 1-4 days). After the incubation period, the following symptoms begin: headache, chills, cough, and later: high temperature, mucus and muscle aches. A high temperature lasts 3-6 days, but a cough accompanied by phlegm can last up to two weeks.

A person with the flu can transmit the infection from 1 to 2 days before it fever and up to 5 days after it has risen.

The signs and symptoms of influenza are disturbing, but they go away and disappear on their own after a few days. However, the problem of influenza is mainly related to its possible complications including: pneumonia (or: pneumonia), bronchitis (or: bronchitis), ear infections and nervous system complications.

Specific groups are more likely to have influenza complications. They include: elderly, patients with chronic respiratory diseases (including asthma-Asthma), heart patients, kidney patients, diabetics, patients with congenital or acquired immune deficiency, steroid-treated patients Chemotherapy, pregnant women and newborns. These groups suffer from a significant increase in the rate of influenza complications and a high rate of hospitalization and death due to the disease and its complications. It is therefore necessary to prevent or minimize the effects of influenza among members of these groups, to the extent possible.

Flu symptoms
Influenza, in its infancy, appears as colds, stuffy nose, sneezing and sore throat. But the common cold usually develops slowly, while influenza appears and infects suddenly. While colds can be just a transient nuisance, influenza generates a very bad general feeling.

  Common symptoms of influenza include:

Body temperature rises above 38 degrees in adults and 39.5 - 40 degrees in children and boys
Chills and sweats
a headache
dry cough
Feeling of general weakness and fatigue
Stuffy nose;
Anorexia
Diarrhea and vomiting in children
Causes and risk factors for influenza
Influenza viruses circulate in the air in very small drops, from coughing, sneezing or even talking to someone who is sick with the flu. These drops can be inhaled directly from the air, or can be touched by a purpose, such as a telephone set, a computer keyboard, the computer itself or others, and then transferred to the eyes, nose or mouth.
Influenza is divided into three groups (varieties) of viruses: A, B and C:

Influenza A - can be the leading cause of deadly global epidemics, striking every 10 to 40 years.
 Influenza viruses of type A and B can be, together or separately, the cause of the spread of influenza that appears every winter. No link has been found between the influenza virus type C and the emergence of an influenza pandemic.
Flu C - is a relatively stable virus, while viruses of type A and B are undergoing permanent changes, as new varieties are constantly emerging.
The body produces antibodies against the type of flu it has infected, but these antibodies do not prevent the disease from influenza virus of another type. Therefore, doctors recommend vaccination against influenza, annually.

At-risk category
The most vulnerable groups are:

Infants and young children
People over the age of 50
People living in shelters for the elderly or in nursing homes for a long time
People with chronic disease such as diabetes, heart disease, kidney, or lungs
People with a weakened immune system, as a result of taking medications or because of HIV
Pregnant women during the flu season
Workers in therapeutic and medical institutions or elsewhere where they may be exposed to the flu virus
People in close and permanent contact with infants or children
Children who receive long-term aspirin therapy may be more susceptible to the flu virus.

Complications of influenza
If you are generally healthy, influenza will not pose a serious risk to your health.

Although you are likely to feel very upset and upset, influenza usually goes away with no long-term effects.
 However, children and the elderly, at a relatively high risk, may experience complications, such as:

 Ear infections
Acute sinus infections
Bronchial infections
Pneumonia
Meningitis
Of these complications, pneumococci, a serious bacterial contamination of the lungs, is the most common and dangerous complication to the extent that it can be fatal for the elderly and those with chronic diseases. Therefore, vaccination against pneumonia and influenza virus provides optimal protection.

Flu treatment
Flu is treated with medications to relieve symptoms, such as drugs to lower body temperature and to relieve nasal mucus and cough.

1- Drugs
Two drugs designed to limit the spread of the flu virus in the body have recently been introduced to the market. These two properties:

Tamiflu
Relenza
Effective only if taken on the first two days of influenza, or as a prophylaxis after exposure to the virus.

2- Medicines
Drugs designed to treat influenza A and B viruses work by neutralizing the enzyme needed by the virus to grow and spread. If medication is taken immediately after the first symptoms of influenza, this can help shorten the duration of the disease by one to two days.
These drugs may cause side effects, such as dizziness, nausea, vomiting, loss of appetite and breathing problems. They can also lead to the development of viruses resistant to antiviral drugs.
In November 2006, the US Food and Drug Administration (FDA) demanded the manufacturer of Tamiflu to add a label to the label attached to the drug for patients with influenza, especially children, from the risk of confusion and self-harm caused by taking this drug (Tamiflu - Tamiflu).

The US Food and Drug Administration (FDA) advises people with influenza who take Tamiflu to stay under constant surveillance to detect signs of unusual behavior. In any case, it is recommended to always consult a doctor before taking any medication, in general, or an antiviral drug in particular.

Prevention of influenza
The best way to treat the damage and complications of influenza is to prevent the disease.

However, influenza cannot be prevented by a one-time vaccination. Vaccine must be obtained annually to suit new variants of influenza viruses.
It is important to vaccinate people at risk before winter (in September-October).

It is also recommended to vaccinate:

Healthy adults over 50 years of age
Women who are expected to enter the second or third trimester of pregnancy during the influenza season
Health workers
On the contrary, vaccination should be encouraged for children and people who do not belong to the most vulnerable groups, especially young children aged 6 months to 2 years, as they may also be exposed to influenza complications.

Types of vaccine
There are two types of vaccines:

Killed virus vaccine, which contains the same deadly influenza virus, is the most accepted vaccine today given by injection, and the live attenuated virus vaccine that contains the virus itself is alive, but attenuated, a vaccine that is under ratification and authorization. Its advantage is that it is given as a nasal spray so that the distress caused by the injection is avoided.
Vaccine efficacy
Vaccine efficacy is very high (70% - 100%), and there is a match between vaccine classes and disease classes in the season in question. Efficacy decreases (approximately 40% -60%) in the absence of such a match, or when vaccination is given to the elderly and infants, although the effectiveness against complications of the disease remains high, even in these cases as well.

The vaccine does not cause influenza. Its side effects are simple and ephemeral, but it is not suitable for people who are allergic to eggs.


By Dr Mahad Shah
Ms Productions

Types of cough and semantics 5 types of cough and semantics

There are many causes that can lead to coughing, and often result from health problems, in addition to some causes, so the cough can be classified into different types according to their cause.

Coughing is a protective mechanism to clear the airway in the lungs. Coughing can be caused by many respiratory health problems.

Although it is difficult to determine the type of cough when infected, but there are some key differences that can help to know the cause and type of cough.

1. Cough wet
A wet cough reflects sinusitis or lung mucus, usually wet, accompanied by ringing or wheezing, as well as shortness of breath.

Wet coughs are caused by influenza, colds, or bronchitis, and smoking causes wet coughs.

A wet cough usually disappears as the infection ends, but sometimes it can last for a long time, due to several reasons:

Chronic obstructive pulmonary embolism: Chronic obstructive pulmonary embolism leads to wet coughing and difficulty breathing. Frequent respiratory infections and increased phlegm.
Posterior nasal drip: posterior nasal drip can be caused by a sinus infection, or a cold, where mucus drips on the larynx, which increases the wet cough that prevents mucus from moving into the lungs.
Bronchiectasis: Another cause of wet coughing is that mucus accumulates and is difficult to remove from the lungs.
2. Dry cough
Cough that does not contain phlegm, and occurs as a reaction to irritation of the throat, and the multiple causes of dry cough to include:

Asthma: When dry cough occurs with shortness of breath and chest, it may be related to chest allergies and asthma. If the cough is caused by asthma, it will increase at night or during a terrible effort such as exercise.
Gastroesophageal reflux: where the muscle between the diaphragm and the stomach is lax and weak, causing acid reflux from the stomach, irritation of the lining of the esophagus and coughing.
In case of coughing due to acid reflux, it is observed when lying down or after eating.

3 - cough resulting from medicines
Some medicines cause dry cough when taken, this is temporary during the period of taking the drug, but if it is a medicine for chronic disease, only continue dry cough until you stop taking the medicine.

Angiotensin-converting enzyme inhibitors for the treatment of hypertension are among the most prominent of these drugs, and cough begins to appear a few days after taking the drug.

In this case, talk to your doctor about replacing the medicine with another that does not cause coughing.

4. Dry cough that turns into damp
The cough can be dry at first, then turn into a wet cough with yellow or green mucus.

This type of cough is often caused by pneumonia.

It is usually accompanied by chills, fever, difficulty breathing and pain when breathing deeply.

In this case, the doctor prescribes an antibiotic to treat the problem, and chicken soup and hot drinks should be taken to relieve the cough.

5. Whooping cough
This is called pertussis because the coughing ends with a rooster, and the cough is severe.

The first symptoms of this type of cough are similar to common colds, which are stuffy and runny nose, eye tears, and fever.

Over time, however, the cough, pain and chest tightness increase during coughing.

People with pertussis suffer from persistent and painful coughing attacks, often affecting children.

Another type is called barking cough. The sound is like a bark. It results from a virus that has swollen the airways and can also affect adults.

By Dr Mahad Shah
Ms Productions

Cold winter and cough accompanying phlegm 

Winter is characterized by a festive and warm family atmosphere. On the other hand, colds that lead to coughing with phlegm increase in this chapter. So how do we face this heavy guest?

Winter is characterized by its festive atmosphere and the wonderful times we spend with family and friends. But sometimes unwanted visitors arrive in the form of colds, in which case there is a risk of cough accompanying phlegm.

A cough associated with sputum - or the product of sputum - can cause discomfort by restricting your daily movement. No matter where you are, the most important priority is to find a quick solution. But before you start treating cough associated with phlegm, you must know what it is.

Well, what exactly is a cough associated with phlegm?
Simply put, a cough produced by a phlegm is a wet cough accompanied by sputum or mucus. Do not try to mute the cough associated with phlegm because the lungs need to clean themselves, which is exactly what a cough does.

What are the symptoms of cough associated with phlegm and causes?
If you have difficulty breathing, fever, colds and flu, wheezing and chest pain, you have a cough associated with phlegm, and the cough gets worse when you wake up or talk. Mucosal cough usually occurs as a result of viral infection, bronchitis, pneumonia, smoking and COPD.

How can I treat cough associated with phlegm?
Treatment of cough associated with phlegm begins with relief of chest congestion. If the sputum from the cough is thick and sticky, the cough alone is not enough to get it out, so you need an effective phlegm repellent.It frees your lungs quickly by making the sputum more easy to move.

Is there a way to prevent cough associated with phlegm?
Yes, you can do this by strengthening your immune system, so that coughs and colds are not easy. There are many ways to strengthen your immune system such as: walking daily, maintaining personal hygiene, taking plenty of sleep and most importantly a healthy diet, where you can increase the amount of citrus, fruits, tomatoes, potatoes, spinach and broccoli.

Can cough associated with phlegm become dangerous?
Yes, that is possible. If your cough lasts longer than a week with fever, or if you have persistent chest pain or difficulty breathing, see your doctor. Cough associated with phlegm is a symptom of a pathological injury do not leave it without treatment. The condition can worsen leading to other complications.

So when you have a chest cough associated with phlegm you can treat it with some care and attention.


How can you explain the causes of cough?

the question
I have a severe cough and suffocating accompanied by light mucus and not green for a month continuously, I took pills Amoxicillin (Amoxicillin), codeine (Codeine), Telfast (180) (Allergy) Suffering severe, what should I do?
The answer
A cough is called an acute cough if it lasts for at least three weeks, and chronic cough if it lasts more than this period. Acute cough usually stems from infectious, viral or bacterial causes, upper respiratory tract or lungs chronic cough.
In the smoker, concerns are raised about pulmonary embolism or malignant lung disease. In people who do not smoke, the three common causes of chronic cough are: exudate in the back (nasopharynx) throat (Post nasal Drip), asthma (Asthma), replacement of stomach acid of the esophagus.
A family of antihypertensive drugs called ACE inhibitors (Tritace, Enalapril) can cause a persistent cough as a side effect. Less common causes include heart failure, chronic lung disease, pulmonary embolism and others.
Things to check with a person who has a cough:

 Knowledge of medical history:

1. Is the cough acute or chronic?
2- When did the cough begin, I found symptoms of respiratory infection such as sore throat, catarrh and others?

Is this a seasonal cough? Is there wheezing? If yes the problem is asthma

4. Are there symptoms supporting the secretion in the throat (secretion from the nose, tingling in the throat) or the return of stomach acid to the esophagus (heart burn or the feeling that eating rises up). The absence of these symptoms does not exclude these causes, but their presence enhances the likelihood that they are causing the problem.
5. Is there a fever or phlegm? If yes, the problem may be inflammation or pneumonia.
6 - Does the patient suffer from other diseases or risk factors for diseases: smoking, exposure to the environment, the causes of the risk of AIDS and others.
7. Does the patient take ACE inhibitors (ACE inhibitors)?
Full physical examination includes, pharyngeal, cardiac, lung balance, tests: general blood tests, chest x-ray, lung function examination (to check the likelihood of asthma or chronic obstructive pulmonary disease in smokers), blood test in sputum, send urine test to laboratory To rule out inflammation, cell sputum examination, more complex tests are performed as needed. Cough treatment:

Treatment is appropriate for the cause of the cough. If the cause is not known and a chronic and inexplicable cough is found, tendency to give therapeutic and diagnostic treatments such as, anti-allergic reactions, nasal spray, asthma treatment, treatment for acid return from the stomach to the esophagus (Gastro esophangeal reflux disorder) Such as Codeine, which is given when we do not know the cause of a cough that disrupts the functioning and life system of the patient. A cough accompanied by a mine does not tend to give codeine because the phlegm can accumulate and interfere with breathing, causing pollution. If your cough persists, refer to your doctor to complete an investigation into these trends.

By Dr Mahad Shah
Ms Productions

8 important tips to protect you from cancer

Numerous studies and research have shown that your lifestyle has a strong relationship to increase or decrease your chances of developing cancer. Here are top tips for a lifestyle that may protect you from cancer.

There is no magic way to completely prevent cancer, whose development depends on many, some of which are still unknown today.

However, we have compiled the 8 most commonly recognized tips to reduce your chances of developing cancer:

1. Stay away from smoking
Lung cancer kills more men and women than any other cancer in the United States, 28% of all deaths from this disease are linked to lung cancer, the main reason for this is smoking.

Therefore, avoiding smoking greatly reduces the chances of cancer, and if you find it difficult to quit smoking, doctors believe that reducing the amount of cigarettes also has an effective effect.

A study published in the Journal of the American Medical Association in 2010 found that smokers who reduced the number of cigarettes from 20 to 10 cigarettes a day, reduced the risk of lung cancer by 27%.

This is an important first step, but do not stop there, but continue until you can stop smoking completely for your health.

What about secondhand smoke?
Another thing about smoking is passive smoking. Even if you don't smoke directly, but you are in areas full of cigarette smoke, you are at risk. Many lung cancers are directly related to secondhand smoke.

It doesn't stop here! There are even other types of cancer that are associated with it as well, such as breast cancer and leukemia which may develop after prolonged exposure to cigarette smoke from others.

2. Maintain a healthy weight
Excess weight is a burden not only on the heart, but also a major risk factor for cancer, with 14% of cancer deaths associated with weight gain.

Doctors recommend maintaining proper weight, not only because of a variety of medical problems associated with obesity, but categorically in order to reduce the risk of cancer.

Overweight has been linked to many types of cancer, such as bladder and esophagus, pancreatic cancer, gallbladder cancer, breast cancer, uterine cancer and kidney cancer.

3 - your mental health first
Stress, stress and even anxiety in everyday life are known to increase the risk of cancer.

There is no scientific evidence that these psychiatric conditions are independent factors for cancer, but people who are nervous always harm their health in general, by:

Increased drinking alcohol.
Smoking.
Overeating.
Use of medicines.
These behaviors increase your risk of cancer, so instead, deal with stress by exercising, meditating and yoga, as well as frequent holidays and psychological support.

4. Proper nutrition
There are different foods that may contribute to the prevention of cancer, especially some types, for example, tomatoes, melons and other foods containing lycopene, these contribute to the prevention of prostate cancer.

Make sure you:

Fill your dish with vegetables and fruits, at least about 14 grams per day.
Avoid processed foods as much as possible.
Focus on: legumes, whole grains, lean meats, fish and low-fat milk.
5 - Stay away from alcohol
When it comes to health, alcohol plays a dual role:

There is ample evidence that consumption of light alcohol, especially red wine, may be beneficial to the heart.
On the other hand, it seems that every alcohol consumption may increase the risk of cancer.
 To prevent cancer, you should know that there is no safe level of alcohol, it is just a matter of dosage.

And if you smoke with alcohol, the risk even doubles.

6. Don't neglect sports
Every form and method of physical activity can prevent many cancers, as studies suggest that exercise may reduce by 30% - 50% the risk of common cancers.

Whatever kind of physical activity you do, the important thing is simply to do so and to make physical activity an integral part of your routine.

7. Family tree is important
Experts recommend looking at family history to better understand the genetic load you carry.If you examine your family history well, you can develop a personal strategy to reduce different cancers and increase the chances of early detection.

The next time you have a family meeting, you can gather information about the health of your relatives and learn a lot of important lessons.

8. Stay in the shadows
To prevent cancer you should minimize direct exposure to sunlight. There is no need for extensive explanation of the sun's damage to the skin and the risk of developing tumors due to prolonged sun exposure.

Be sure to avoid prolonged sun exposure, apply sunscreen, and watch for suspicious moles throughout the body.

By Dr Mahad Shah
Ms Productions

List of diseases and weakness of the anemia due to iron deficiency
Anemia due to iron deficiency

Contents of the page
What is anemia due to iron deficiency
Diagnosis
treatment

Iron deficiency anemia Iron has a vital role for human survival. Iron is a transitional metal that can give and receive electrons, enabling breathing and energy production. Iron is one of the most prevalent elements in nature; however, iron deficiency is the most common cause of anemia in the world. The reason for this unexpected phenomenon is the very low solubility of iron found in nature. In order to overcome these difficulties, all living organisms developed materials that function to absorb and store iron in the body.

The total amount of iron, in an adult, ranges from about 2000-3000 mg. The primary iron store is found in erythrocytes, in the form of hemoglobin, which is responsible for transporting oxygen for respiration. The rest of the amount of iron is stored in the liver, spleen and bone marrow, which forms a store of iron when needed, such as after blood loss, or to produce new blood cells. A small amount of iron is present in proteins associated with the energy production process, or in transitions in body fluids, by the transfirin binding that transports iron from one place to another.

Iron is not excreted from the body in the proper position, so there is no need to supply the body with iron from an external source, through food. Contrary to popular belief, iron deficiency is not the result of a lack of food for iron, but a loss of blood. The most common cause of iron deficiency among young women is loss of blood during menstruation. Among adult men and women after menopause, the primary cause of iron deficiency is loss of blood from the digestive tract; only in young children and pregnant women, iron deficiency may develop, due to an unbalanced rapid rate of growth, by absorbing iron with the intestines, not against loss of the blood.

It is because of awareness of this anticipated problem that preventive measures are taken and that iron and iron supplements are supplied to infants and pregnant women as iron supplements.

Diagnosis of iron deficiency anemia
Anemia has many possible causes, so it is wrong to attribute all cases of iron deficiency anemia. For diagnosis, several laboratory tests are required to detect: small red blood cells, low iron level, high transfrin and low Ferritin (protein that stores iron in tissues). Later, the cause of iron deficiency should be clarified, so that the cause is known in infants and pregnant women, the rapid growth rate without adequate supply of iron in food. Among young women, as is well known, the cause is in most cases an improper menstrual blood loss. In other cases, a thorough digestive clarification should be carried out in order to find (detect) diseases associated with blood loss, such as: Ulcer disease in the duodenum, diaphragmatic hernia or cancer. Since blood loss can be the first sign of colon cancer, early diagnosis can contribute to complete recovery through surgery, before the outbreak. Another important cause of iron deficiency is malabsorption, such as celiac disease or atrophic gastritis, which prevents the stomach and small intestine from participating in the absorption of iron and other nutrients.

Treatment of iron deficiency anemia
The most important part in the treatment of iron deficiency anemia is the diagnosis of the disease that led to the emergence of this condition. After the initial disease has been treated or excluded, the status quo is treated by receiving iron. It is generally preferable to take iron orally with a drink or tablets, intravenously, because the first method is easier and safer. Treatment with tablets containing about 50 to 100 mg of iron per day is followed.

May cause larger amounts of iron, stomach pain, constipation or diarrhea, and therefore not recommended. The recovery process is slow, and usually requires continuous treatment for 3 to 6 months. Also, the recovery rate of anemia is slow, and the rate of iron increase does not exceed 1 or 1.5 g hemoglobin per week. You should continue to follow up with your doctor even after treatment has been fully received, to prevent a low concentration of repeated hemoglobin. Follow-up is important, especially in cases of continued blood loss, such as increased menstrual bleeding, or a disease in the intestine that needs to be cured for a long time.

In recent years, intravenous iron infusion devices have been developed efficiently. This treatment is intended for patients whose bodies are unable to absorb iron, or whether oral therapy has not worked. Injectable therapy requires repeated infusion, at a rate of 100 or 200 mg per day, until we reach a total iron total, approximately 2 g.

By Dr Mahad Shah
Ms Productions

Milk allergy

Contents of the page
What is milk allergy
Syndrome
Diagnosis
Milk allergy, the most common type of nutrient allergy. When we say milk allergy, we mean cow milk allergy specifically, although milk from other sources may also cause allergy. As is known, cow's milk causes problems for a large number of people, effectively outnumbering milk hypersensitivity.

This type of milk hypersensitivity affects young children and infants in particular. It is believed that 2% of all children suffer from milk hypersensitivity. Milk allergy is manifested by the appearance of the following symptoms: skin rash, shortness of breath, sneezing, vomiting, abdominal pain, diarrhea. The patient may also lose consciousness in some acute cases, or it may be fatal. Not all of these symptoms appear in all children, and their severity varies from person to person, depending on their sensitivity and the amount of milk they eat. Allergies occur when exposed to the causative agent. In general, an allergic reaction occurs within a few minutes and not after several days. The first symptom that may appear, is the feeling of tickles and stings inside the mouth, as it may be in the form of spitting milk or unwilling to take it in infants.

This sensitivity disappears automatically with age in more than 70% of cases. Milk tolerance begins to develop and develop at the age of one to three years, but it is also likely to happen in a more late generation.

The appearance of delayed milk allergy is called milk intolerance, Cow s milk intolerance, Cow s milk allergy type II, Milk induced enteropathy. This allergy also affects children and infants, and also automatically disappears in more than 90% of cases by the age of one year. In these cases, the response to the catalyst occurs even after 48 hours of exposure to cow's milk, the most important characteristic of which is vomiting and diarrhea. Without dyspnea, rash or fatigue, it is not a real risk to life and does not cause death. In infants with such conditions, the skin test result for cow's milk is negative, as is the special blood test. About one third of all infants with type 2 allergies are also allergic to soy milk.

Another phenomenon that can cause confusion and confusion with milk allergy is the phenomenon of lactose intolerance (milk sugar), which is characterized by gas accumulation and abdominal pain. This condition is more prevalent as we age, and it also tends to worsen with age.

Symptoms of milk allergy
Rash, shortness of breath, sneezing, vomiting, abdominal pain and diarrhea; In severe cases, the patient may lose consciousness, or may die.

In cases of milk allergy of the second type, the symptoms of milk allergy are vomiting and diarrhea only. Without dyspnea, rash or fatigue. As well as without the risk or risk of death.

Diagnosis of milk allergy
Milk allergy can be diagnosed depending on the symptoms that may appear, adding a skin test, or a special blood test in milk allergy (depending on the immunoglobulin IgE characteristic of the disease). But the skin test is considered the best examination, due to its accuracy and low costs, and the speed of obtaining results.

In some (rare) cases, when there is a suspicion of allergies, a challenge test can be carried out, i.e., limited amounts of milk and follow-up. Most infants with cow milk allergy also suffer from goat milk and sheep allergy. Most people with this allergy consume vegetarian milk (soy milk).

The skin test for cow's milk in infants with type 2 allergies is usually negative, as is the blood test for milk allergy.

By Dr Mahad Shah
Ms Productions

Does a hiatal hernia require surgery?

the question
I am a man age 55 years and I carry almost 15 kg overweight. I have recently had a high frequency of heartburn and an acid taste in my throat. The doctor has diagnosed a hernia in the diaphragm. Does this require surgery?
The answer
Hernia is the pressure of an organ through a hole in the muscular wall of the cavity that protects it. In the case of a diaphragmatic hernia, part of the stomach is pressed through the hole where the esophagus and stomach meet.

The most common cause of diaphragmatic hernia is increased pressure on the abdominal cavity. Pressure can come from coughing, vomiting, pressure during defecation, heavy lifting, or physical stress. Pregnancy, excess weight or fluid accumulation in the abdominal cavity can also cause diaphragmatic hernia.

Diaphragmatic hernia can occur at any age and in both sexes, although it often occurs in middle age. In fact, most people over the age of 50, intact except for this problem, suffer from small hernias in the diaphragm.

Most people with diaphragmatic hernia do not feel any symptoms. In some people, acid and digestive juices come out of the stomach into the esophagus (reflux). This command causes the following problems:

Heartburn

A bitter or acidic taste in the deep throat

Bloating and belching

Discomfort or pain in the stomach or esophagus

Vomiting

Most hiatal hernias do not cause problems and rarely need treatment. Successful treatment of diaphragmatic hernia usually involves treating Reflux reflux symptoms, caused by excessive pressure in the abdominal cavity.

Treatment includes:

Make lifestyle changes, such as:

• Reduce weight, if you are overweight, maintain a healthy diet.

• Maintain a reasonable approach to eating, such as eating small to medium meals; reducing the intake of fatty foods, acidic foods (such as tomatoes, citrus and fruit juices), caffeinated foods and alcoholic beverages.

• Eat meals three to four hours before bedtime, avoid snacks before bedtime.

• Raise the head position in your bed by 15 cm (this helps the force of gravity to preserve the contents of the stomach).

• stop smoking.

• Avoid tight clothing that presses the abdominal area.

• Take medications, such as antacids, H2 blockers, or PPIs. Be aware: If you are taking over-the-counter medications, do not feel better, or have taken this medicine for more than two weeks, talk to your doctor. It may prescribe a stronger medicine.

If medications and lifestyle changes are not effective in treating your symptoms, diagnostic tests may be required to determine if surgical intervention is required to correct the problem or symptoms using these methods.

People with diaphragmatic hernias, as well as chronic and severe reflux may need surgery to correct the problem if their symptoms do not improve with these treatments. Surgery may also be required to minimize hernias if there is a risk of stenosis or strangulation (by cutting off blood supply). During surgery, the reflux is corrected by returning the diaphragmatic hernia to the inside of the abdomen, creating an improved valve mechanism at the bottom of the esophagus. The surgeon wraps the upper part of the stomach (labeled fundus) around the bottom of the esophagus. This forms a narrower passage so that food cannot bounce back into the esophagus.

Diaphragm surgery can be performed either by opening the abdominal cavity or by Laparoscopy laparoscopy. During laparoscopic surgery, five or six small incisions (5-10 mm long) are incised in the abdomen. Laparoscopy and surgical instruments are inserted through these incisions. The surgeon uses a laparoscope for guidance, where images of the internal organs are broadcast on the screen. Features of endoscopic surgery include smaller incisions, less risk of infection, less pain and scarring, and faster healing.

by Dr Mahad Shah
Ms Productions

5 diseases of children who are cured without antibiotics

Diarrhea, flu and cold are caused by viruses, therefore they heal on their own. Otitis and tonsillitis are only sometimes caused by bacteria, in that case they are treated with antibiotics.

Antibiotics are only effective in diseases caused by bacteria. Taking them when the infection is caused by viruses is useless and can be counterproductive.





Three diseases that heal without antibiotics:
Diarrhea

Diarrhea can be caused by a virus, an allergy, a food intolerance ... But even those caused by bacteria heal on their own within a few days. The treatment of diarrhea is rehydration with oral serum and normal diet. Only in some very specific cases (usually severe diarrhea in which the patient is hospitalized and a stool culture has been done) is it advisable to use an antibiotic. In other cases, antibiotics are useless, harmful and dangerous.

More information: You have diarrhea, what do I do?
The flu

It usually gives high fever, headache, severe discomfort, pain throughout the body (the “trancazo”). Antibiotics are only useful if a bacterial complication occurs, such as pneumonia. But be careful, taking antibiotics before does not prevent pneumonia.

More information: Influenza in children, how to treat it?
The cold

The cold is not the same as the flu. Hence the widespread complaint, "I got a flu shot, but I got a cold the same way." Of course: the flu vaccine does not prevent the cold.

Despite its name, the cold (mucus and cough, with or without fever) is not caused by cold, but by a virus. For dozens of different viruses (and so, while we only get the flu once a year, we can catch a cold many times). Young children, as they have not had a cold before, are not immunized, and they are caught all; The first year of school is usually tremendous.

Antibiotics do nothing in the cold; neither shorten it, nor relieve it, nor prevent possible (and rare) complications.

Snot usually changes color throughout the process: transparent-white-yellow-green. Green mucus is normal in a cold, and should not be treated with antibiotics.

More information: Is your baby cold?


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Two infections that are treated with antibiotics only sometimes


Pharyngitis ("angina")

Most pharyngitis (sore throat) is viral, and therefore you don't have to take antibiotics. In bacterial (by streptococcus) the antibiotic is not given to cure the disease (which heals on its own, and the treatment barely shortens the process a bit), but to avoid possible (and very rare) complications, such as rheumatic fever or glomerulonephritis (kidney involvement). Today it is recommended to make a throat smear (culture of a sample) to detect the bacteria before giving antibiotics. And when the child has a cough, mucus, hoarseness, or sores (canker sores) in the mouth or is less than three years old, there is not even a smear: they are viruses, and no treatment is needed.

More information: Pharyngitis or tonsillitis? Why does your throat hurt?
Otitis

Otitis, although bacterial, heals on its own in a few days. Antibiotics barely accelerate a little in the process, so today they are reserved for children under two years of age or for those who have been feverish for several days.

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