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

Hemoglobin is very low during pregnancy

the question
I am in the 32nd week of pregnancy and my hemoglobin is very low - 10.1, other tests I have made indicate a low value of vitamin B12 - the result is 163, while normal values ​​are 180-635. It should be noted that ferritin, iron and transferrin were within the normal range. Red (MCHC) normal values ​​33-37, what should I do? Should I take B12 supplements? If so which pills / injections are recommended and what is the dosage?
The answer
You suffer from macrocytosis, which is already caused by B12 deficiency. You should also check the level of folic acid, and receive treatment accordingly. See your doctor to prescribe B12 tablets.

Causes of low hemoglobin level

the question
I am 20 years old and I suffer from anemia. About a year ago I joined the army and collapsed during the exercise. I had several tests and found that hemoglobin I have 5.30. I entered the hospital and were given two units of blood. Hemoglobin rose to 9.30 and I was given iron treatment that did not help me and hemoglobin dropped to 7 and in the last period rose to 8.6. This time the treating physician sent me for a more comprehensive examination. Even though they were in the army, they did a lot of useless tests. She was discharged from the army because of anemia. The doctor who sent me for new tests also sent me to check for AIDS. I could not understand precisely why (perhaps because of the blood meal I received and if so explain to me the reason) Another general information question related to this topic: If I have unprotected sexual relations with people who are not AIDS patients and I do not take drugs and did not touch any blood Is it possible to Have you got HIV / AIDS?
The answer
You are offering two topics, I will try to touch both.

a. Anemia - Your condition indicates that you have suffered and are still suffering from severe anemia to the extent that blood units are needed. First, a comprehensive examination is needed to look for the cause of anemia. I think the family doctor is doing it. The most common cause of anemia in your age is iron deficiency anemia. The cause of iron deficiency can be due to lack of food, lack of absorption of iron in the digestive system or severe bleeding. A large and persistent bleeding and also a small iron diet can explain the cause of severe anemia. There are hereditary diseases with simple anemia, for example Thalassemia Minor. It is a genetic disease with a defect in the production of hemoglobin protein. This defect results in red blood cells that produce destruction and cause anemia. If there is a family history of the disease (and if not) it is preferable to examine this, the presence of the disease and also bleeding with a slight increase or a slight iron deficiency can explain the severe anemia you are experiencing. It should be noted that these are the most common causes of anemia in your age and there are many other reasons we can exclude. One of the reasons that it is relatively rare is AIDS (the disease and not the incubation of the virus), the mechanisms that lead to anemia in AIDS are anemia due to chronic disease (due to chronic disease there is an abnormal production of red blood cells), side effects of drugs, bleeding or contamination \ Spinal cord infection. For this reason, she was sent for an HIV test as one of the uncommon (rare) causes that could lead to anemia.

B. AIDS - HIV infection can result from transmission / contact with body fluids. In the past, blood transfusions were a common cause of HIV infection, but today every unit of blood is tested and the risk of HIV transmission from a blood unit is very rare. That is why not every person given a blood unit should undergo an HIV test. Having sexual relations without preventive means, with a person who does not know for certain that he does not carry the virus can lead to infection, for the simple reason that the person with whom you have sexual relations may be unaware of being the custodian of the virus. Only after an examination in which the incubation of the virus is excluded can be said that the probability of infection is very low. Although there is a window period (two weeks to three months) during which the person is the virus host and we can not detect this in laboratory tests. However, if you have had sexual relations without preventive methods, it is preferable to have an HIV test. Of course, it is very preferable to refrain from relationships without preventive means if not fully sure of their incubation status of the virus.

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

For fruits between benefits and harms: these are the facts
Although fruits are generally healthy, some say that you should eat them by certain rules in order to avoid any possible damage to them.

Although everyone knows that vegetables and fruits in general are very healthy and useful, but many experts have begun to note recently that they may have negative effects on health, especially because they contain high levels of sugar.

Here are some facts:

Pros of eating fruits
Here are some positive things you should know about fruits in general:

Sugar is harmful, but… what about fruit sugar?
There is a lot of evidence of the harmful effects of sugar and its many disadvantages, including table sugar and fructose sugar.

But this is completely wrong because fructose becomes harmful only if it is over-consumed, and it is impossible for a person to eat too much fruit that causes excessive fructose levels.

2- Fruits are rich in fiber and water and need to chew!
Fruits are rich in dietary fiber and water, and they need time to chew and swallow, making their fructose content gradually enter the liver.

Related Topics

The gradual introduction of fructose into the liver makes it easier for the body to deal with sugar so as not to cause any harm to the body.

Fruits are especially saturated.For example, a large apple can make you feel full enough, making you crave less afterwards.

3. Fruits are rich in vitamins, minerals and antioxidants
Fruits contain many important and essential nutrients, of fiber, vitamins, minerals and various antioxidants.

It also contains a special type of fiber, which has many benefits, such as lowering cholesterol, and reducing the ability to absorb carbohydrates.

Fruits are generally high in vitamin C, potassium and folic acid, which most people do not get enough of.

There are hundreds of species of fruits in nature, whose contents differ from food and vary from fruit to fruit and dramatically!

4 - eating fruits may reduce the chances of some diseases
Several studies have shown that eating fruits regularly may significantly reduce the chances of developing certain diseases, such as:

Heart disease especially strokes.
Diabetes, only in women.
Interestingly, some experts tend to analyze the results of these studies as not specifically related to fruits.

Rather, the reason for reducing the chances of infection is because people who regularly eat fruits tend to adopt a healthy lifestyle that is more smoke-free and full of activity.

5 - eating fruits helps to lose weight
One of the most important things about fruit consumption is that it is heavily saturated, especially oranges and apples, which are even more saturated than eggs!

So when you eat apples and oranges regularly, you often feel full enough to eat other foods, so this contributes to your long-term weight loss.

Fruit damage: does it really exist?
Although fruits are generally considered healthy, there are cases that may make them harmful to some, including:

People with fructose intolerance, eating fruits can cause many digestive problems.
People who follow a ketogenic diet, or a low-calorie diet.
Eating fruits in the form of juice or even eating dried fruits may not always be wise, especially juices on the market that they say are natural but contain harmful added sugar.

Even if the juice is completely natural, it contains in its liquid form a large amount of natural sugar, and it is free of fiber, which makes drinking large amounts of it is easy.

If you put the whole fruit in the blender instead of squeezing it, it may be somewhat better.

By Mahad Shah
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Ms Productions

6 TIPS FOR A FITNESS COACH TO START YOUR FITNESS

Have you decided to get in shape? To lead a healthier and more active life? The beginning is always the most difficult. Of course, a personal coach can help you get started, but it's also possible to do it alone by following the right tips. All our success stories are living proof!

If you too have decided to take back control of your life but you do not know where to start in the face of the never-ending stream of tips and methods to succeed, this article will help you to see more clearly and set the right priorities. .

A man sitting on the stairs

Discover the 6 tips of Mahad Shah, fitness coach and learn to motivate yourself for the future.


1. ENGAGE AND DO IT FOR YOU
The advice of the coach:

Most people hire a personal trainer because they need someone to push and motivate them. However, only those who follow a training plan and stick to it will get results. And this decision belongs only to you!

It's up to you to decide if you're ready for a change. If the heart is not there, you force yourself to please someone else, it will be difficult for you to reach your goals. Repeat on a regular basis that no matter how difficult or difficult to overcome, you CAN do it. Everything is a question of balance in everyday life, of will and perseverance. Commit to 100% and stay the course no matter what.