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- Tips for Losing Weight to Treat Knee Pain
Knee pain is a common problem from which millions of people suffer on a daily basis. In almost all of them, one condition is pervasive, i.e., obesity or excess weight. These people need to know how to lose weight with bad knees. It is because if they keep continuing with their unhealthy eating habits, their knee joints will no longer be able to accommodate the weight and ultimately give up. A healthy lifestyle is essential to the proper maintenance of weight. By understanding the link between knee pain and body weight, you can know why you need to lose weight to get rid of this condition. How Your Weight Affects the Health of Your Knee Joints A person sitting at home, Credit: Pixabay Excess body weight puts excess pressure on the joints of the knee and the back. It causes wear and tear of the knee joint. Hence, you become prone to developing osteoarthritis, a painful condition that affects the knee joint. Such a prolonged pressure on your knees swell and inflames it. Obesity is linked to high inflammation levels in the body. The more inflamed your body is, the more pain you will experience. As you lose weight, the levels of inflammation in your body will decrease. It, in turn, will reduce the pressure in your knee joints and will provide you relief from pain. You must be wondering about the best way to lose weight with bad knees. It is not difficult to do so. The best way is to start incorporating healthy eating habits in your life and take time out for physical activity. How Can I Lose Weight with Bad Knees? Physical therapy exercises Swimming Eat high protein meals Avoid highly processed foods Physical Therapy Exercises A physical therapist with a patient, Credit: Pixabay Physical therapists are experts who guide you through certain gentle exercises that help a lot in strengthening your muscles. Your doctor may refer you to a physical therapist. It’s crucial for you to understand all the exercises they tell you and practice them yourself at home every day. This way, you’ll prevent your knee pain from becoming worse. Some common physical therapy exercises for treating knee pain are lying bridge position, straight leg raise, and heel and calf stretching exercises. Swimming A person swimming, Credit: Pixabay Swimming is a beneficial exercise for people to incorporate into their daily routines. It is perhaps the best exercise to do when losing weight with bad knees. Movements, when done in water like those in pool aerobics, allow your joint to work without any pressure against it. Moreover, they increase your strength so that you can progress to more demanding exercises like fast walking on a treadmill. You can also simply dance for half an hour to burn calories and lose weight. Eat High Protein Meals High protein meal, Credit: Pixabay Incorporating a recommended dose of about 25-30 grams of protein in every meal will keep you full for a long time. Thus, you’ll not get any unwanted cravings and lose weight fast. Such weight loss meals can be made by combining protein with fiber, as the latter will help facilitate good digestive health. Vegetable omelette and oatmeal with protein powder are good combinations of protein and fiber rich meals. Avoid Highly Processed Foods Unhealthy food, Credit: Pixabay Avoiding junk and processed food is the ultimate answer to the question, how to lose weight with bad joints. Avoid all food items that have high sugar, salt, and fat content. Foods that are high in saturated and trans fat contribute to a greater cholesterol level in your body. They build fatty deposits in the blood vessels and put you at greater risk of developing certain heart conditions. The tips mentioned above will help you lose excess weight and get rid of your knee pain. A weight loss of even 4-5 kgs will immensely reduce the intensity of the pain, thereby providing you more comfort in doing everyday activities. Now that you know how to lose weight with bad knees and back, it would only be a matter of time before you start enjoying an improved quality of life.
- Root Canal Treatment Cost And Procedure In India
Known as Endodontic Therapy in medical terms, root canal treatment or rct consists of a number of procedures all of which are executed to heal and treat the internal areas of your teeth called dental pulps when they are infected or damaged. It is an effective procedure to get rid of the discomforting dental pain as well as save the infected tooth from being further damaged. People need to undergo this treatment when they experience extreme inflammation in their tooth’s root. If you are continuously feeling a throbbing pain in your tooth or experience painful sensations while eating very hot or very cold food items then you are a probable candidate for a root canal treatment. Let us find more about root canal treatment cost and procedure in India. What Is Root Canal Treatment? teeth anatomy, Credit: Canva It is a treatment that is designed to prevent and eliminate the bacterias that are present in your root canal region and are damaging your tooth. In this condition, your dental pulp gets infected and it needs to be removed so that the infection does not spread. After the removal of the infected pulp, the inner part of your tooth is disinfected in this treatment. It is also sealed in order to prevent occurrence of a new infection. As this procedure requires the removal of the infected pulps, you might wonder, Is root canal treatment painful? This treatment is by no means painful. In fact, with the advent of new technologies it is becoming painless. So, those wishing to undergo this treatment can drop their worries of it being a painful process. Root Canal Treatment Cost in India picture of money, Credit: Canva Root canal treatment cost of the major cities in India are listed below: City Average Price Price RangePuneRs. 3318Rs. 2000-5500NoidaRs. 4333Rs. 3000-6000New DelhiRs. 4438Rs. 2000-9500AhmedabadRs. 5250Rs. 4500-6000BangaloreRs. 5606Rs. 2500-12000ChennaiRs. 4703Rs. 2500-10000KolkataRs. 3876Rs. 1500-7320JaipurRs. 2867Rs. 1600-4000HyderabadRs. 4005Rs. 2500-6000MumbaiRs. 4294Rs. 1500-8500 What Is the Procedure of Root Canal Treatment? patient undergoing treatment, Credit: Canva After finding out the root canal treatment cost, you must be intrigued about its procedure. This treatment occurs in various steps that are mentioned below: An x-ray examination of your tooth is done by the doctor so that the infected area becomes clear. After locating the infected area, the dentist will numb the area around the specific tooth. A rubber sheet is placed by the dentist around the region of the affected tooth to make it dry. Next, the dentist will drill a hole in your tooth. It is done to eliminate the decayed nerve tissues. To eliminate the debris sodium hypochlorite is applied. Now your tooth has been properly cleansed. Your Cosmetic Dentist will now seal it. In case the treatment stays incomplete the dentist will fill the exterior hole to eliminate saliva and food from there. It is done when you come for the appointment the next time. Lastly, your dentist will place a crown on your teeth to protect it nicely from breaking. This crown will help your tooth regain its lost functionality. Side effects of Root Canal Treatment That You Can Experience woman feeling pain, Credit: Canva After knowing an answer to the question, what is the cost of root canal treatment in India, you naturally, would want to know whether or not you will be subjected to any adverse effects. It is rare for you to experience any side effects because nowadays this treatment is done with the help of cutting-edge technology like in Encino orthodontist. Still, you can feel the following effects: A constant dull pain in the affected tooth Sometimes you can experience a crack formation at the root of your affected tooth. This crack should be immediately brought to your doctor’s attention as it makes the area prone to bacterial infection. In case the crown becomes loose, your affected tooth will get exposed. It must be brought to the notice of your doctor. When the crown becomes loose, the seal that has been put by your dentist will start eroding away. It will create conditions conducive for the infection to start again. Sometimes, your dentist can administer fillers made of a defective material. They are highly prone to erosion. When they erode, the bacterial infection can begin again. If you are finding that your fillers are eroding, consult your dentist. Guidelines to Follow after Root Canal Treatment Procedure Follow the schedule of your medications and do not go days without taking medication. Make a habit of practicing good oral hygiene. Start eating any food item or drink only two to three hours after the procedure. Stay away from hard food items for some days. If you experience an inflammation in any part of your mouth, consult your dentist.
- How To Reduce Chest Fat: Easy Tips For Males And Females
A strong, well-developed, and lean chest does more than just enhance your overall physical look. It provides you with endurance that you need to function optimally in your daily life. If you have a great upper body strength you will not get exhausted as easily as those who don’t. For both men and women, a powerful and well-developed chest is of immense importance. Women can benefit from improved chest physique as it will directly result in better support to their back as well as underlying breast tissues. One can say that when it comes to reducing fat from this area of the body, women are generally less inclined than men. But they should not ignore the crucial fact that enhancing their chest strength and getting rid of unwanted fat in this part will provide them great health benefits too. When all is said and done, how to reduce chest fat is one question that is often asked by both the sexes on various online portals. Before you find out the ways by which it can be effectively achieved, it is important to gain an understanding of the anatomy of your chest. Which Chest Muscles You Need to Target? chest anatomy, Credit: Canva Let us find out how your chest is structured. The upper part of your torso is held in place by twelve pairs of ribs. These ribs are attached to the central bone of your chest called sternum. It is covered by the muscle called pectoralis major which forms the bulk of your chest region and a thin triangular muscle called pectoralis minor which is just beneath it. These two muscles are what you need to target if you want to reduce the fat in your chest as well as increase the strength of this region. When you eat high calorie food items and do not exercise to burn their calories, fat starts to accumulate on top of these muscles, giving your chest a flabby appearance. Hence the answer to the question how to reduce chest fat needs is a calorie-controlled diet along with exercises that target whole and chest muscles in particular. How to Reduce Chest Fat for Male and Female bowl of salad, Credit: Canva One of the first steps in order to achieve a nice definition in your chest is to start eating a healthy diet. You need to understand that spot reduction from only one part of your body, that is, chest, is not possible. In order to eliminate the fat sitting on top of your chest, you need to eat fewer calories than you expend by way of any physical activity. It will allow your muscle shape to come to the surface. Only when your calories are in control, you will find the full benefits of chest exercises that you are doing. If you are eating more than you are able to expend or burn, then no matter how many chest exercises like push ups, chest press, dumbbell flyes, etc. you do, you will not be able to alter the appearance of your chest. Some of the effective tips for reducing your caloric intake are mentioned below. Eat whole foods, primarily fruits and vegetables. Try to avoid food items that are processed or brought from a store. Stop consuming sugar as it is only a source of empty calories. Use sugar free supplements like Splenda, Stevia, and Sugarfree. Ensure that your diet has a high amount of protein in it. It will keep you satiated and less hungry throughout the day. Limit or stop the intake of alcohol. Include moderate quantities of fat in your diet. Healthy fats in food items like chia seeds, flax seeds, butter will keep your blood sugar level stable. Make sure to eat a raw salad consisting of vegetables like carrot, cucumber, tomato, etc. alongside your meals. Now that you have got a fairly clear idea of how to reduce chest fat through diet, let us move on to the exercise to reduce breast size that you can easily do at home. How to Decrease Breast Size How to lose chest fat through exercises is a common question that many people who are just starting out with an exercise regime ask. There are many exercises that you can do to target the region of your chest and impart an impressive shape. All you need is a pair of dumbbells to execute them. Push up Dumbbell or weight pull-over Chest or bench press Any kind of cardio exercise 1. Push Up Woman doing a push up, Credit: Canva This is a classic chest exercise that requires no equipment. Start by holding yourself in a plank position. Your hands should be directly underneath your shoulders and your feet should be exactly shoulder width apart. Now you need to lower down. Try to touch your chest to the floor. Now lift your chest back up. You can do any amount of reps in proper form to get the most out of this exercise. Include it daily in your exercise routine. 2. Dumbbell or Weight Pull Over Woman doing dumbbell pullovers, Credit: Canva Another great chest exercise, it requires you to lay on a bench with a set of weights in your hands. The dumbbells should be held straight above your head by your hands. Now lower down the weights till they reach the level of your ears. Straighten them back. Repeat this exercise for ten to twelve repetitions. Ensure that you are doing this exercise with a weight that you can handle well. If you are able to do ten to twelve repetitions without any problem then take slightly heavier weights the next time you perform this exercise. 3. Chest or Bench Press Woman doing chest press, Credit: Canva Another great exercise to reduce breast size is the chest press. Lay down on a bench with dumbbells in each one of your hands. Start pressing up the dumbbells till your arms become straight. Now lower them back down. Your elbows should be at an angle of 45 degrees. Feel your chest muscles working while you push the dumbbells up. Complete ten to twelve repetitions of this exercise. 4. Any Kind of Cardio Exercise Woman exercising, Credit: Canva Apart from doing strength exercises, you should not forget your cardiovascular fitness. Engage in cardio exercises like running, walking, cycling, and jogging so that you are able to burn excess calories and find your chest muscles becoming more prominent and visible. Hopefully, you must have gained a thorough understanding of how to reduce chest fat through a combination of diet and exercise. It’s time you start implementing these tips.
- How To Increase Breast Size: 7 Proven Methods
Women’s breasts serve the purpose of milk production. This milk is what the newborn child is fed with. Normally it is from ten to eleven years of age that women’s breasts start growing. They grow till about the age of twenty to twenty four years. The development of this organ of the female body is under the influence of sex hormones like estrogen and progesterone. The two breasts in a female are not similar in their shape and size.The size of the breast is also dependent upon nutrition and genetics much more than it is dependent on height and weight. How to increase breast size is a common question that women who have small breasts often ask. Can your breast size change over a course of time? Yes it does due to natural changes in your body. Let us find out about it. Is It Possible to Increase Breast Size? woman standing, Credit: Canva The size of the female breast does indeed change at certain points in her life. When a woman is menstruating there is a huge amount of hormonal fluctuations that are going on inside her body. These hormonal fluctuations cause her breasts to become big or small. A week before the menstruation is about to occur they can find their breasts becoming slightly large. It is because of the fluid retention that occurs at this time. Other than menstruation, breast size is also subject to change when one’s weight increases. It happens because of collection of fat in the cells of the breast. Other factors that influence the size of the breast are the breastfeeding stage of a woman’s life, and during the time she is pregnant. It is because during this time there is a high level of estrogen hormone which causes the breast’s blood vessels to expand in size. After a woman stops breastfeeding, the size of her breasts return to normal. Gradually, a woman reaches the stage of menopause. At this stage, there is a loss of sex hormones. Women may find their breast size increasing again at this stage due to it. Fatty tissue will replace the glandular tissue of the breast. It is responsible for the increase in the size of the breasts. It is not possible to observe a visible change in the size of your breasts through any means as their size is largely influenced by the internal mechanisms of your body. However, apart from surgery and pregnancy, no other method can guarantee effective growth in the size of your breasts. Having said that, there are a few ways through which you can enhance the overall appearance of your breasts. How to Increase Breast Size – Remedies That Work After reading about these remedies you won’t ask the question how to increase breast size again again. They will impart an impressive appearance to your chest. Eat the right food Do some yoga asanas Exercises to enhance breasts Massage your breasts the right way Vitamins to promote breast growth Fennel seeds to boost estrogen levels Pay attention to your bra size 1. Eat the Right Food dairy products, Credit: Canva There are certain kinds of food that help you to impart a fuller and rounder appearance to your chest. But how to increase breast size through diet? Start including more milk and its products like butter in your diet. Breast tissues are entirely made of fat. So, to increase their size you need to eat fat through foods that are rich in it. Apart from cow milk, you can also consume soy milk. It contains isoflavones. It imitates the sex hormone estrogen and works to increase the size of your breasts. This type of milk is extracted from soybeans. Beans also work to keep the level of the hormone estrogen in your body at a healthy range. 2. Do Some Yoga Asanas woman doing yoga, Credit: Canva There are some yoga asanas, that, when practiced regularly can lead to an increase in your breast size. bhujangasana , in which you lie down on the floor and join both of your feet straight while putting both your hands on top of your chest has been shown to increase breast appearance. Another asana is ustrasana. In it, you kneel and face your head above toward the ceiling or sky. You then bend your back to enable yourself to reach to your feet. If you are searching for an answer to the question, How can I increase my cup size in 30 days, this is it. Practice these yoga poses for a month and see the results yourself. 3. Exercises to Enhance Breasts woman exercising, Credit: Canva How to increase breast size by moving your body the right way? All you need to do is perform some arm circles, where you stand firmly on the ground and stretch your arms on either side of your body. Move them backwards and forwards for a minute each. After this, you should circulate them for a period of one minute. This whole exercise will last you for two minutes. Another exercise is arm presses, where you open your hands and stretch them backwards as far as you can then bring them back to front again. You should do this exercise for a minute. In horizontal chest press, your arms should be stretched and be bent at an angle of 90 degrees. Then, your arms should be opened again and brought back together. This exercise should be done for one minute. 4. Massage Your Breasts the Right Way woman massaging her chest, Credit: Canva How to increase breast size in 7 days at home? Do some massage.Breast massage will impart a rounder appearance to your chest. Take any oil, preferably olive oil and spread it on your breast and massage it with both your hands in a circular manner. You should aim to do around 200 to 300 strokes everyday to stimulate your breast tissues. Rub your breasts softly but firmly. Do not rub it vigorously. It will only make your breasts sensitive. 5. Vitamins to Promote Breast Growth orange fruit, Credit: Canva Try to include foods that are high in vitamin B3, C, E, and A. vitamin A facilitates collagen production in your body while vitamin B3 aids in blood circulation. Together, these vitamins give your breasts a more firm shape. Vitamin C also hydrates the cells in your breasts and regulates the hormones that influence to a great extent your breast size. Vitamin E regulates the levels of cholesterol that are directly beneficial to boosting the appearance and size of your breast. 6. Fennel Seeds to Boost Estrogen Levels fennel seeds, Credit: Canva Another great remedy to answer your query, how to increase breast size is fennel. These flavonoid rich seeds boost the estrogen production in the body of a female. You only have to boil some fennel seeds in water, let them simmer for some minutes, and then drink it warm. Drink this fennel tea or water twice daily. 7. Pay Attention to Your Bra Size women comparing bras, Credit: Canva If you want your breasts to develop nicely, then you need to give some thought to the bra you’re wearing. Many women are not able to find the right size for themselves. It leads to the sagging of their breasts. Your breasts will achieve a toned and firm appearance when you start paying attention to your bra size. How to increase breast size is a question that almost all women who are endowed with small breasts ask. Follow the ways mentioned above and soon you will se a significant improvement in the size and shape of your breasts.
- Risks And Harmful Side Effects Of Ipill And When We Should Take Ipill
No women would like to have an unwanted pregnancy. However, in the event of unprotected sexual intercourse due to whatever reason, the possibility of becoming pregnant increases. To avoid this situation, people have relied on emergency contraception for a long time now. It seemed to be the one route of action that provide people a chance to wade away the consequences of having unprotected sex. Contraceptive pills like Ipill are fairly safe drugs that can be consumed by any woman or girl if they do not have any underlying medical illness. However, a little-known fact is that there are a number of side effects of ipill. They are experienced by women all over on a short term and long term basis when they are administering the pill to themselves. In fact, these pills are said to impact the health of the women adversely and hence, it is important to take all the requisite measures before indulging in sexual activity. Keep reading to know about i pill side effects, their duration, and the effect of this pill on your future pregnancy. When Should WeTake Ipill? woman with a pill, Credit: Canva The best time to consume an emergency contraceptive pill is within seventy two hours or three days after you have indulged in unprotected sexual intercourse. Although you can hear that you can take this pill even five days afterwards but there is no conclusive evidence about it. It is better to take the pill sooner rather than later. If you do not know what exactly do we mean by unprotected sex, it is any kind of sexual activity in which There is an absence of the usage of birth control. There is an occurence of birth control having failed. For example, breaking or slipping of the condom, tearing of the cervical cap, forgetting to administer the birth control pills, or administering it late. If you have been sexually assaulted or abused, then also you need to use a reliable emergency birth control method. Emergency contraception is also called morning after pill. It gives effective results till about three days of your intercourse. The name might suggest that you need to administer the emergency contraception the morning after you have had unprotected sex. However, it is not the case. How Does Ipill Work? woman with a pill and water, Credit: Canva Before understanding about the side effects of ipill, it is important for you to understand the functioning of this oral contraception. The process of pregnancy commences when your ovary releases an egg and it is fertilized by the male sperm. The egg that is fertilized implants itself to the innermost part of your womb, which is also called uterus. It is here that your baby develops. The release of this egg is influenced by various hormones that are present in a woman’s body. It is called ovulation. The Ipill contains the synthetic form of a hormone known as levonorgestrel in concentrated form. As this hormone is present in high levels, it prevents the egg from being released from the ovary. But it only happens if you administer this pill early. This hormone creates an environment inside the woman’s uterus or womb that is not conducive for the embryo to implant itself. If you consume the pill in three days of having an unsafe sex, then it is highly probable that the pill will prove effective in preventing you from becoming pregnant. To sum up, the levonorgestrel hormone works to delay your ovulation or interrupt the fertilization process of the egg from the ovary. It is why you find yourself not becoming pregnant after taking this pill. Now, let us move on to know some side effects of ipill. What Are the Side Effects of Ipill? woman feeling nauseous, Credit: Canva There are both short and long term side effects of ipill. Many women experience the following side effects commonly after consuming this pill. Pain in the region of abdomen A constant feeling of exhaustion Headache Nausea and vomiting Tenderness in the region of the breast Dizziness Among the side effects mentioned above, nausea, headaches, and vomiting are the most common one that adolescent girls often suffer from. It happens when the pill is being absorbed in their body. They will experience their periods within a span of 21 days after consuming this pill. These side effects can be uncomfortable for many women and they might question, how long do side effects of ipill last? They last for about two to three days, after which they fade away. Is Ipill Harmful for Future Pregnancy? woman in bathroom, Credit: Canva People think that birth control pills like the pill can cause birth defects if a woman takes it on a long term basis. Hence, many women desperately seek answers to the query, is there any side effect of ipill in future? There are no adverse effects of these pills on your pregnancy in future. Your baby will not be prone to any birth defect risks. You do not need to terminate the pregnancy if you have relied on an emergency contraception. There is no negative impact on a woman’s fertility after she consumes more than one pill. However, this pill is not as effective in eliminating unwanted pregnancies as other methods like traditional birth control. You should not make this pill a very regular part of your life because there are conflicting opinions of the medical community regarding how safe it is. In the long term, this pill may disrupt your regular menstrual cycle and you can experience the effects of hormonal imbalances in your body like weight fluctuations and mood swings. Also, it does make you immune to any sexually transmitted infections that you may contract during the intercourse. If you have experience vomiting in as little as three hours after consuming the pill, then you should reach out to your doctor. It is a sure indicator that the pill has not been fully absorbed and assimilated into your body. Do not make it a habit to indulge in unprotected sex. If you find yourself experiencing much severity in your symptoms, you should take your doctor’s help.
- 13 Amazing Home Remedies For Glowing Skin | Best Homemade Face Packs
AWho does not crave a healthy and glowing complexion? People, especially women wish their complexion to be flawless. However, not everyone is born with a naturally radiant skin. This fact has been exploited to a large extent by the cosmetic industry. There are a ton of creams and lotions that promise miraculous results in as little as just a week’s time. In such a scenario, home remedies for glowing skin often take a backseat. We are always bombarded with photos of unnaturally beautiful looking women with flawless skin advertising one or the other cream or lotion. Seeing such advertisements all around us, we fall into the trap of thinking that until and unless we purchase some expensive products, we will never achieve the skin of our dreams. However, often these products come with a lot of harsh chemicals that are very damaging for the health of our skin in the long run. The truth is if you just look carefully at your kitchen, you will find all the ingredients that are required by you to achieve a glowing and youthful skin of your dreams. No longer will you seek answers to questions like how can I make my face glow naturally? Let us explore the myriad of home remedies for glowing skin that can be whipped up right in the comfort of your own sweet home. The Best Home Remedies for Glowing Skin 1. Lemon and Tomato for Skin Brightening tomato and its juice, Credit: Canva People often search for home remedies for glowing skin in one day all over the internet. Tomato when combined with lemon effectively removes every trace of tan from your skin. Thus, it instantly imparts you a brighter and glowing complexion in just one day. All you need to do is crush a tomato into its puree. Over it, put two tablespoons of the juice of lemon. Mix both of them thoroughly. Make sure to apply it on both your face as well as neck for 20 minutes. 2. Milk and Almond Face Pack for Smooth Skin Milk and almonds, Credit: Canva After using this home remedy, you will stop asking the question: how can I make my skin clear and glowing? Take a handful of almonds and put them in some milk. Let them stay in it throughout the night. When you wake up take out your almonds and start peeling off their skin. After the skin has been peeled off, mix both almonds and the milk together till they become a paste. You can apply this mask throughout the night on your face. 3. Healing Turmeric Mask Woman wearing turmeric face pack, Credit: Canva If you are looking for an incredible remedy to reduce blemishes and attain a clear complexion, look not beyond the humble yet highly powerful turmeric. Put two to three tablespoons of the juice of lemon and one tablespoon of turmeric powder. Mix them well. It should be applied by you on the facial skin for twenty minutes. 4. Yogurt and Banana Mask for Incredibly Soft Skin Honey, banana, avocado, and yoghurt, Credit: Canva What is the best homemade face pack for glowing skin? Banana, when combined with yogurt gives you an incredible glowing and soft skin. Combine one banana with approximately two tablespoons of curd and some drops of honey. Thoroughly mix all ingredients together. Put it on your face for thirty minutes before washing it off with some cold water. 5. Anti-aging Oatmeal Face Mask Bowl of oatmeal, Credit: Canva It is one of those home remedies for glowing skin that also works to prevent the formation of wrinkles. Regularly exfoliating with oatmeal can impart your skin with a youthful lustre and keep it looking fresh. Just combine four tablespoons of oatmeal with a few almonds. Mix well after adding a little honey and milk. You only need to put on this face mask for five minutes. Massage it into your skin for around three minutes before washing it away. 6. Almond and Egg Face Mask for Those with Dry Skin Eggs and tomatoes, Credit: Canva This home remedy is perfect for those struggling with their dry skin. Crack an egg and combine it with some crushed almonds. This mixture can be put on your face for twenty minutes. To get the most out of this mask, try using it before you go to sleep. 7. Glycerin and Aloe Vera Face Mask an aloe vera plant, Credit: Canva One of the best home remedies for glowing skin that will impart you a hydrated and moisturized skin concerns aloe vera. Take the gel of an aloe vera and combine it with a few drops of glycerin. Put this mixture all over your face. Keep it there for twenty minutes. 8. Honey and Carrot Facial Pack for Skin Prone to Sensitivity Man holding carrots and broccoli, Credit: Canva How do I make my face glow overnight? This question often comes from people with sensitive skin as not many ingredients suit their skin. Start by boiling a few carrots and when they become soft, mash them. Put a few drops of honey over it. Put this mixture on your face and leave it for approximately fifteen minutes. 9. Curd and Orange Face Pack for Skin That Shines Child holding oranges, Credit: Canva It is another one of those great home remedies for glowing skin that always surprises people with the result it gives. Take a teaspoon of the juice of orange and combine it with two spoons of yogurt. Next, put this paste all over your face and massage it. It will provide an instant glow. 10. Honey and Papaya Pack for Dry Skin Woman putting face pack, Credit: Canva Honey and papaya are used in many home remedies for glowing skin. Take a few pieces of papaya and thoroughly mash the pieces. The papaya should be raw. Combine it with a spoon of milk and honey. Mix them again till they attain the status of a paste. Put it for around twenty minutes on your face. 11. Cucumber Banana and Papaya Face Mask for Those with Oily Skin Cucumber and banana paste, Credit: Canva Take about a quarter of papaya, cucumber and one half of a banana. Mix them together. Apply the paste all over your facial skin for about twenty minutes. You can wash it with lukewarm water. 12. Fruity Facial Pack Woman with fruits in background, Credit: Canva Among the many Home remedies for glowing skin you cannot forget the classic fruit facial. Prepare a face pack consisting of a myriad of fruits like papaya, avocado, cucumber, etc. and give your skin a great antioxidant boost. 13. Rose Water Pack for a Rosy Glow A Rose water with rose, Credit: Canva Rose water is a very underrated home remedy that not many people know about. It acts as a toner and supplies all the necessary antioxidants that help to calm down your irritated skin and make it more supple over time. You can use it by taking some rose water in cotton and applying it all over your face.
- 11 Effective Home Remedies For Constipation
The word constipation needs no introduction. All of us have suffered from this terribly frustrating condition, where it seems almost impossible to pass regular bowel movements. This condition comes with its set of symptoms like extremely hard stools, pain in the abdomen area, and bloating. Those suffering from this discomforting condition, often ask, how do I empty my bowels? The occurrence of this gastrointestinal disorder depends on a number of factors. It is safe to say that sometimes all of these factors may not be in an individual’s control. Hence, the majority of the people experience this condition at least one or twice in their lifetime. Constipation is one of those digestive issues that is prevalent in both children and the elderly due to differing reasons. A low fiber diet, aging, lack of enough exercise daily, and less than ideal intake of fluid all contribute toward the development of this condition. If you are or someone close to you are suffering from this disorder, don’t worry. These home remedies for constipation will provide you the much-needed relief. The Most Effective Home Remedies for Constipation 1. Stay Away from Foods That Trigger Constipation Raw fruit in a plate, Credit: Canva Constipation home remedies according to Ayurveda often suggest one to keep away from consuming drinks that are cold as well as eating cold and raw food. People are also advised not to eat dry fruits, salads, and beans. Instead, you should consume more drinks that are warm, and vegetables that are well cooked. 2. Have a Cup of Triphala Tea Triphala fruit in bowls, Credit: Canva A well-known ayurvedic medicine for constipation is triphala. Make some triphala tea and drink it or mix it with some coriander and cardamom seeds. This fruit contains glycoside. It means that it works as a laxative. Thus, it makes consumption of triphala one of the most effective home remedies for constipation. 3. Combine Milk and Ghee to Relieve Constipation milk and ghee in cup, Credit: Canva Another instant indian home remedy for constipation is combining a teaspoon of ghee with a mug of milk, preferably hot. Consume this mixture right before your bedtime. Both these ingredients work to help you gently get rid of constipation. 4. Fennel to Kickstart Your Digestion A Fennel tea in cup, Credit: Canva Fennel is the ultimate answer to the question, what helps constipation fast? Take some fennel, roast it, and add it to some hot water. Fennel seeds contain a certain kind of oil which stimulates the production of gastric enzymes in your digestive tract. Thus, it helps you get rid of your constipation. 5. Anjeer to Treat Constipation Bowl of anjeer, Credit: Canva Anjeer figures well in the list of home remedies for constipation primarily because of its incredible fibre content. Soak them in hot water or consume them as it is. They are sure to keep your digestive tract in a great condition. 6. Move More Woman exercising, Credit: Canva Studies have shown the importance of regular exercise in getting rid of constipation issues. Rigorous exercise gets your stools moving. Therefore, it triggers their easy passage. Exercise also helps to reduce the severity of constipation symptoms like bloating and headache. 7. Try the Caffeine Trick Glass of coffee, Credit: Canva What drinks help with constipation? It is none other than your favourite coffee! Caffeine in coffee instantly stimulates all the muscles that are present in your gut and after drinking a cup of steaming coffee, you will definitely experience an enhanced urge to walk towards the bathroom. However, it does not mean that you should consume coffee frequently throughout the day. Too much caffeine is also detrimental to health. 8. Pineapple for Digestive Health Person holding a pineapple, Credit: Canva Home remedies for constipation list can never not mention the importance of pineapple. Constipation is primarily a digestive health issue. Pineapple is rich in bromelain enzymes which support the mechanism of digestive health in your body. It also works to lower down the inflammatory immune cell. You will find a huge improvement in your bloating, diarrhea, and gas after you make pineapple a regular part of your diet. 9. Flaxseed as a Natural Laxative Bowl of flaxseeds, Credit: Canva It is a known fact that constipation treatment majorly relies on the use of laxatives. Home remedies for constipation are designed to help your body achieve the effects of laxatives. An effective natural laxative is flaxseed. Flaxseeds of linseeds have a lot of fibre in them, which is what is needed for regular bowel movements. For this home remedy, you only need to use a tablespoon of flaxseeds. Eat this amount of flaxseeds approximately two or three times in one day according to the severity of your constipation. Do not forget to drink some water after eating it. 10. Dandelion Root for Alleviating Constipation The Dandelion flower, Credit: Canva Dandelion root also functions as a mild and natural laxative and is one of the best home remedies for constipation that you can use. Start by boiling a teaspoon of it in water and let it cool down for some time before drinking it. Its taste does not appeal to everyone. Just like black coffee, you need to acquire its taste. It will truly help you get immense relief from your constipation. Alternatively, if you find that you are simply not enjoying its taste, then you can also find its tablet online. Consume three to four tablets with water and you will have a huge reduction in your constipation. 11. High Fibre Diet to Get Rid of Constipation Fruits and vegetables, Credit: Canva Pregnant women are at risk of suffering from constipation a lot. They often search for home remedies for constipation in pregnancy. The best remedy for them is to consistently consume a diet that is rich in foods items like fruits, vegetables, pulses, lentils, peas, and whole grain breads. Salads consisting of sprouts, carrots, strawberries, bananas, and apples will also help them to get relief from constipation. Now that you have got a fair idea of what foods will make you poop right away, it is time to start taking active measures and alter your lifestyle to get rid of this discomforting condition. These remedies will also help you in attaining better health while curing your constipation in the long run.
- I Did a Football Workout at Home for a Month. Here’s What Happened
Fitness is a crucial aspect of a footballer’s life. They are known for their rigorous training sessions on the field as well as in the gym. Taking inspiration from them, several football fans decide to embark on their own journey of achieving the fitness and strength of their favourite players. There are many football workouts at home that just mildly vary from their gym counterparts. People often make the mistake of thinking that the high-intensity strength training and endurance workout can only be done at a fitness centre where a variety of equipment is there to take care of all your needs. But what they don’t realize is that the gym isn’t the only place where such workouts can be performed. Many football workouts at home without equipment are meant for people who don’t want to spend money on an expensive gym membership. Check out some of them. Strength and Speed Workouts for Football at Home The workout that is guaranteed to give you results in the form of enhanced strength and improved speed consist of the following exercises that are performed back to back. If you’re a beginner, you can take a minute’s rest between each exercise. But if you have a good fitness level, then you can execute all these movements without taking any rest in between. The high school football workout at home plan include the following exercises: Squat jumps Pushups Lunge jumps Plank 1. Squat jumps Woman doing squat jumps, Credit: Pixabay Stand with your feet hip width apart. Engage your core and bend into a squat position. Push your hips out. Then explode up in one jump and come back into the same position. Do this for about 30-50 seconds depending upon your fitness level. 2. Pushups Man performing pushups, Credit: Pixabay Put your palms and toes to the ground. The weight of your entire body should be on your palms and toes. Lower your chest until it is only 4-5 inches away from the floor. Then bring yourself back to the starting position. Do it for at least 10-15 times. 3. Lunge Jumps Woman showing how to perform lunge jumps, Credit: Pixabay Place your right leg in front of your left leg, bend down and jump up while switching your legs. Perform this exercise, switching your legs back to back for atleast 30 seconds. It will work your balance as well as your speed. 4. Plank Woman in plank position, Credit: Pixabay Get in a pushup position but dont lower your chest. Your hips and shoulders should be in one straight line. Keep your core tight. You can bend your knees if you’re a beginner. Stay in this position for 30 seconds to one minute as per your fitness level. What Doing This Football Workout at Home Will Do to Your Body? A healthy woman, Credit: Pixabay When you’re starting with this workout program, you will find it challenging to stick to it every day. But after 7-8 days, you will find your body getting adapted to it. There will be times where you’re muscles will feel sore the next day, so you need to stretch after completing the workout every day. Some of the changes that you can expect in a month are: Improved strength and endurance More energy than usual Less tiredness and fatigue Beginning of a muscle definition in your body Less cravings of unhealthy food items Inch loss and weight loss The beauty of these american football workouts at home is that everyone can do them at their own comfort. It is a great way not only to enhance your overall strength but also to boost your health for life. If you’re wanting to exercise for ling but don’t know where to start your fitness journey.
- Gluten-Free Peanut Butter Balls That Are Better Than Reese’s
Sweet treats are an essential part of every celebration. Not only that, they are something that are readily enjoyed by people at any time of the day. Among these sweet treats, peanut butter chocolate balls are a favourite of almost every person. However, usually, such store-bought chocolate balls contain many added ingredients and preservatives that are not very good for your health. We all know that chocolate and peanut butter when combined makes a truly delicious treat. Reese’s peanut butter cupcakes have acquired a universal reputation of being a mouthwatering delicacy. But what if we told you that you could churn up the same gluten free peanut butter balls right at your home? What’s more, it wouldn’t take much time and offers you an added benefit. You can control the ingredients of the recipe and make it as healthy as possible. How to Make Gluten Free Chocolate Peanut Butter Balls at Home? peanut butter balls, Credit: Pixabay You can make gluten free peanut butter balls no bake according to your food preference. It can be vegan or vegetarian. You just need to have the right ingredients for it. The basic requires the following ingredients: 1 cup of peanut butter 6 tablespoons of butter. If you’re a vegan you can use its substitute. 2 cups of sugar in powdered form. 1 cup of gluten-free rice Krispies cereals. 2 cups of chocolate chips 2 tablespoons of coconut oil Recipe In a large bowl mix peanut butter and the vegan butter substitute. Mix them thoroughly for about one minute. Next, add sugar and rice krispies. Keep mixing it altogether till it acquires a thick consistency. You can use a hand mixer for this purpose. Now with your hand make small size balls of this mixture and put them on a pan that is lined with parchment paper. Put this in the refrigerator for about 30 minutes. Take a medium sized bowl and on it melt the chocolate chips and cocnut oil. Keep stirring in between till the ingredients are completely melted. Take out the peanut butter balls and dip each one of them in the melted chocolate and oil mixture. You can use a fork to do this. After covering all the peanut butter bowls in chocolate, put them back in the refrigerator. If you have any remaining melted chocolate, drizzle them over the peanut butter balls. Thus, your peanut butter ball with rice krispies is ready. They are sure to taste delicious to everyone. After you get the hang of making these gluten free chocolate peanut butter balls, you can try its different variants. The other most popular way to enjoy peanut butter treats is to make gluten free peanut butter balls with oatmeal. Check out its recipe below. How to Make Gluten Free Peanut Butter Balls with Oatmeal Peanut butter oatmeal balls, Credit: Pixabay The ingredients you will need are: 5 cups peanut butter ½ cup of honey or maple syrup Gluten free oats Hemp, chia, or flax seeds Recipe Take all the dry ingredients and mix them thoroughly. Now take all the wet ingredients like peanut butter and honey and warm them up. Mix the wet and dry mixtures and allow them to cool slightly. Cover them and refrigerate for around 15 minutes. Take them out of the refrigerator and start to fold them into balls. Voila! Your peanut butter balls with oatmeal are ready! Not only are they healthy, but they will also keep you full throughout the day and provide you tons of energy. Both these kinds of peanut butter balls can be consumed as a post-workout snack or whenever you feel the craving of something sweet. They are a lot better than the store bought processed food items.
- 5 At-Home Football Workouts for Gaining Strength
Football players need to perform at their peak on the field. For it, they need to work on their strength and speed continually. Usually, they do this by making use of various types of equipment available at the gym. However, the basic speed and agility that is so important for a football player can also be achieved by an average person using their body weight. There are many football workouts at home that can be leveraged by you if you intend to enhance your strength and muscle power. Bodyweight speed workouts for football at home offer you the benefit of increasing your strength without incurring the expenses of a gym membership or a certified trainer. Read on to know what exercises you can do. Football Workouts at Home Without Equipment Woman doing exercise at home, Credit: Pixabay For doing football workouts, you need to be familiar with basic compound exercises like squats, lunges, dips, pullups and pushups. These workouts are performed in the format of a superset. Superset means performing two types of exercises back to back. You should not pause for rest in between your superset. These superset workouts are: 25-30 squats followed by 25-30 pulse squats 15 tricep dips followed by 15 tricep pushups 20 lunges in the right leg leg followed by 20 of those in the left leg 20 leg raises followed by 25-30 seconds plank 10 pushups followed by 10 clap pushups If you’re a beginner, then you dont need to follow a superdet format in performing these exercises. You can do single sets of exercises like squats, tricep dips, lunges, leg raises, planks, and pushups. All these exercises should be repeated at least 10 times. Football Workouts at Home for Speed Person doing exercise at home, Credit: Pixabay There are many high school football workouts at home that can help you to enhance your speed and agility. Apart from muscle power, endurance, and speed is also a crucial aspect of a footballer’s fitness. It can be accomplished by doing the following workouts. All these exercises can be done without the help of any weights or equipment. What’s more, they will allow you to enhance your speed and quickness on the field, and you won’t feel the need of hitting the gym to complete these workouts. High knees Burpees Fast feet And, Fast feet into burpees Fast feet side to side touch 1. High Knees Man performing high knees exercise, Credit: Pixabay Stand straight and keep your legs hip width apart. Now start running in place, pumping your arms in the motion of your legs. Your legs should reach high above the ground, at least till your chest level. Do it for at least 30-50 seconds, as fast as you can. 2. Burpees Woman performing burpees, Credit: Pixabay Place your hands on a floor and jump into a plank position. Now do a pushup, i.e, bend your arms towards the floor. Next, jump your legs inwards, stand up and jump. This is one repetition. Do at least 15-20 reps of this exercise at one go. 3. Fast Feet Person performing fast feet, Credit: Pixabay Stand in a squat position. You weight should be on your toes. Keep your core engaged and do quick stepping motions with your legs. Do it for about 30-50 seconds. 4. Fast Feet into Burpees Man performing fast feet to burpees, Credit: Pixabay Do fast feet for about five seconds, immediately launch into a burpee. Do at least ten repetitions of this exercise. This exercise is very effective in enhancing your speed and agility. You will be able to move quickly at the field if you practice it often. 5. Fast Feet Side to Side Touch Woman performing lateral lunges, Credit: Pixabay Do fast feets and move from side to side while doing it. Do it as quickly as you can. Count your reps in a 30-40 second duration and try to beat it the next time you do it. These american football workouts at home will not only improve your overall physique, muscle power, and speed but will also keep you fit and healthy for life. As they work your whole body, it also helps you burn more calories in the process. Start with a strength workout and follow it up with a speed workout to get the maximum benefit.
- HB Electrophoresis Test: All you need to know about this test
Hemoglobin is present in the red corpuscles of our body and its function is to carry oxygen from the lungs to other organs and parts of the body. In a way, it acts like an oxygen carrier. There are two main types of haemoglobin found. Haemoglobin A which is the most commonly found and haemoglobin F which is the fetal haemoglobin that occurs in newborn babies. But after a while Hb F gets replaced with Hb A. if the haemoglobin levels in our blood is low then the person suffers from anemia. There are some abnormal variety of haemoglobin seen like haemoglobin S which is found in case of sickle cell disease that leads to the formation of sickle shape of the red blood cells. These sickle shaped cells tend to get stuck in the blood vessels and cause pain and lack of oxygen leading to further complications. Haemoglobin C also is an abnormal type which is unable to deliver oxygen efficiently. Haemoglobin E also is seen in Asian race which lead to no or mild anemia. Hemoglobin electrophoresis or hb electrophoresis is a test used to measure different types of haemoglobin be it normal or abnormal in our blood. In this an electric current passes through the blood sample. This differentiates the normal from abnormal haemoglobin. In which conditions is the hb electrophoresis carried out? Hb electrophoresis test can look up for abnormal variety of haemoglobin in the blood. So it is most useful in cases like anemia, sickle cell anemia, thalassemia, and other haemoglobin related disorders. So who should take this test? hemoglobin electrophoresis If haemoglobin disorders struck you and you suffer from the below listed symptoms: Tiredness Yellow skin Sickle cell disease Growth related issues in children Usually newborn babies are tested for any abnormality in their haemoglobin. This is done to rule any abnormality if it exists at an early stage. Newborns undergo a lot of tests to check if any form of disease or abnormality exists in them. You should also get yourself checked in case you have a family history of haemoglobin related disorders like thalassemia, sickle cell disease, specially if you are greek, belong to middle east, or Asian, African. Hb electrophoresis in pregnancy can also be done to rule out any abnormal haemoglobin present in the child. hemoglobin electrophoresis procedure Blood test Tube The blood sample is collected by a lab technician or a healthcare professional from your vein in the arm. You will feel the prick of the needle, but this will be only for a few minutes and would go away quickly. For newborns the prick is made from the heal by rubbing alcohol on it. then after taking the blood that area is covered by a bandage. Since electrophoresis is widely used for fractionation of various hemoglobin fractions, mainly because of differences in electric charge, the customary techniques of electrophoresis have been adapted for use with very small (pico- gram, 10-12 g) quantities in order to analyze hemoglobin mixtures. An electrophoresis method for picogram quantities has been developed by Edstrom for the analysis of RNA-DNA bases of single cells. The degree of separation of various haemoglobin fractions compares favourably with the separation obtained by polyacrylamide electrophoresis on a large scale. The electrophoresis was conducted under direct microscopic observation in a special chamber. This chamber is made from a normal glass slide with glass tubes glued on the surface of it. a semicircular opening is present on the middle of the slide. Around one fourth volume of the tubes are filled with agarose solution in a buffer composed of glycine and HCL-tris. The agarose was connected through a semi-circular opening with a layer of agarose solution in the same buffer, which covers the slide surface between the tubes. After complete gelation of the agarose a slot was cut perpendicularly to the long axis of the agarose layer. The agarose gels can be used as a buffer bridge to provide electrical connection with the extremities of acrylamide fibre. This fibre is represented by the track remaining in the middle of a collodion-coated coverslip after a thin stainless steel wire is pulled across a drop of acrylamide-erythrocyte suspension placed in the middle of the coverslip. Another drop of the same suspension is placed at the extremity of the track on the opposite edge of the coverslip. The acrylamide-erythrocyte suspension was prepared from a solution containing 20 percent acrylamide monomer (Eastman); 1 percent N, N’ methylenebis- acrylamide (Eastman), 10 percent glycerol. The erythrocytes are distributed at random in the fibre, and the number of cells per unit length of the fibre should be limited to avoid the overlapping of the haemoglobin fractions from various erythrocytes during the electrophoretic run. What is the price of this test? This test is very economical and can be done from any pathology lab from 500-1000 Rs. Do you need to do any special preparations before the test? No, no such special preparation or fasting is required for this test. hemoglobin electrophoresis risks hb electrophoresis test you may feel a slight pinch in the area where the needle is put to withdraw blood and after that it might leave some bruise on that spot. This will heal in a few days. Newborns might also feel the pinch of the needle. How to interpret the results? The result will depict which type of abnormal haemoglobin exists. Thalassemia is a condition where the overall production of haemoglobin is affected. Sickle cell disease is where there are s shape cells. A sickle cell gene is present. Haemoglobin C also is a form of mild anemia.
- Budd Chiari Syndrome: Symptoms, Diagnosis, Treatment And Prognosis
BCS is a heterogeneous disorder related to the obstruction of the hepatic venous outflow tract, where secondary involvement of the portal venous system plays a major aggravating role. Most affected patients carry underlying thrombophilias, whether acquired or inherited. Increased awareness of clinicians and radiologists on the multiple aspects of this disease should allow early recognition using the highly effective noninvasive imaging that currently is available. Current outcome is improved, likely as a result. The so-called membranous obstruction of the inferior vena cava (MOVC), in effect, also blocks blood flow from the hepatic veins, and is included in BCS. Although MOVC has been reported from the West, it occurs much more frequently in developing countries such as South Africa and India. What Causes of budd chiari syndrome Budd Chiari syndrome The role of thrombosis in causing primary BCS is still a matter of debate. Primary endophlebitis and congenital malformation have been proposed as alternative explanations. Indeed, explanted livers. Rather, fibrous subendothelial thickening is found, involving various length of the veins, with or without superimposed thrombosis. Short-length stenosis can take the aspect of a membrane, suggesting a congenital anomaly. However, short-length stenoses are now observations: the transformation of recent thrombi into short-length stenoses; the presence of venous wall remnants within the stenosed segment; the similarly high prevalence of underlying thrombophilias in patients with and without short-length stenoses; and presentation of most patients with short-length stenoses in adulthood, arguing strongly against a congenital malformation. Short-length stenoses are found in about 25% of patients with inferior vena cava (IVC) obstruction. Indeed, IVC thrombosis is generally associated hepatic veins, or may follow hepatic vein thrombosis. Moreover, comprehensive investigations show similar underlying thrombophilias for both sites. BCS is preferably used for both entities, although the level of obstruction in the hepatic venous. Portal hypertension arises. What remains to be elucidated is why the IVC is involved so frequently in the far East and relatively spared in the West. Consistent with current views on deep vein thrombosis, has become increasingly clear that several thrombophilias are commonly combined in BCS patients. The differences can be explained by heterogeneous diagnostic criteria, different background ethnicity, and small patient samples. Symptoms Budd Chiari illustration The manifestations are thought to result from 3 interrelated, and variously associated, phenomena: (1) acute phlebitis producing pain and fever; (2) increased sinusoidal pressure upstream. Presentation varies from a fulminant picture to an asymptomatic condition recognized fortuitously. Several classifications into acute, subacute, and chronic presentation Presentation appears to depend both on the extent and on the speed of the obstructive process. Thus, obstruction of only one major hepatic vein usually develops without symptoms; slow obstruction of 2 or 3 major veins produces a chronic presentation or, when accompanied with extensive collaterals, no symptoms at all; both rapid obstruction of at least 2 major veins, and a fresh thrombus superimposing on a long-standing but partial obstruction, give rise to an acute presentation. Extrahepatic portal vein thrombosis is found in up to 20% of patients with BCS. Two factors may precipitate portal venous thromboses in BCS patients: the underlying thrombophilia and stagnant portal flow caused by outflow. Large regenerative nodules have been the presenting manifestation in some BCS patients. Bleeding from, or malignant transformation of, these large regenerative nodules has not been reported. Depending on whether only hepatic veins or both hepatic veins and portal veins are obstructed, bridging fibrosis can be found in a venovenous or in a portovenous or portoportal disposition, respectively. A frequent, and odd, feature of long-standing BCS is the development of multiple large regenerative nodules, some of them resembling focal nodular hyperplasia. These nodules can be viewed as a response to a focal loss of portal perfusion and hyperarterialization in areas with preserved hepatic venous outflow. Diagnosis of budd-chiari syndrome Color-Doppler imaging combined with pulsed Doppler as first-line testing, and magnetic resonance as second-line testing, can be recommended. In a minority of patients, mostly individuals with cirrhosis, in whom uncertainty persists, the third-line investigation can be liver biopsy as it is expected to provide information for important differential diagnoses: sinusoidal obstruction syndrome, cirrhosis of other origins, and diffuse spreading of malignant cells within the microcirculation. Direct venography is no longer considered necessary for establishing the diagnosis. In planning treatment, however, direct venography remains the gold standard, permitting a precise delineation of outflow obstruction, which is facilitated by prior noninvasive imaging. Therefore, venography can be reserved for patients in whom interventional therapy is deemed necessary, while being ready perform a decompressive intervention in the same session. In the absence of extrahepatic involvement or marked changes in peripheral blood counts, indications for the specific treatment of myeloproliferative disorders, paroxysmal nocturnal hemoglobinuria, or primary antiphospholipid syndrome are unclear. Moreover, the use of screening asymptomatic relatives for inherited disorders is controversial. However, a consensus has emerged in which the well-established causes of BCS should be investigated at the time of initial diagnosis because awareness will permit better monitoring, earlier recognition of subsequent complications of the underlying disease, and counseling relatives with inherited thrombophilia. Prognosis budd chiari syndrome Recently, multivariate analyses have permitted adjustment for treatment variables. in dependent younger age and a lower Child-Pugh score. The independent value of impaired renal function (including refractory ascites) and evidence for ischemic injury (i.e., increased aminotransferase levels) have been found to be less predictable. The significance of histopathologic findings has been debated. In recent large cohort studies, the extent of fibrosis, congestion, or necrosis had no independent value after adjustment for age and Child-Pugh score whereas they were associated significantly with a poor outcome at univariate analyse. These lesions can be regarded as indices of severity, but age and Child-Pugh score perform better to predict outcome. Other features require additional assessment. Portal vein thrombosis is associated with a poor outcome. Moreover, intrahepatic or extrahepatic portal vein obstruction, are found consistently at the terminal stage. Therefore, be checked in multivariate analyses. Differentiating chronic outflow obstruction from that without acute presentation also may be of prognostic significance. For portal hypertension and ascites in cirrhotic patients also apply to BCS patients, albeit with some caution. Anticoagulant therapy increases the risk for bleeding from paracentesis. During active bleeding from esophageal varices, the reduction in splanchnic blood flow induced by exogenous vasoconstrictors might precipitate portal venous thrombosis. Anticoagulation therapy may make endoscopic therapy for esophageal varices highly problematic. Can Budd Chiari syndrome be cured? Liver Decompression. Decompression aims at decreasing sinusoidal pressure by restoring the outflow of hepatic blood via recanalization of the obstructed venous outflow, or side-to-side portacaval shunting. Recanalization can be attempted using thrombolytic therapy for recent thrombosis, or percutaneous angioplasty, or surgery. thrombolysis combined with angioplasty for a pre-existing stenosis appears superior to thrombolysis delayed patchy enhancement and prolonged retention of in their collaterals, and in the intrahepatic or extrahepatic the contrast medium in the periphery of the liver. This portal venous system aims at preventing deterioration, perfision is compromised. Liver Transplantation The year survival rate is about is below 55% in patients with severe BCS in recent studies. Further cohort studies including transplant and nontransplant patients are needed to evaluate the results according to baseline prognostic factors. The risk for recurrence is acceptably low when anticoagulant therapy is instituted early. The apparently low risk for exacerbating malignant transformation of an underlying myeloproliferative disorder requires further assessment First, treatment for the underlying condition and life-long anticoagulation therapy should be initiated without delay. Second, patients in a stable condition without symptoms should not have any interventional therapy proposed. Third, portosystemic shunting or transplantation should not be proposed to patients whose condition improves rapidly on medical therapy, as judged from recovery in liver function and easy control of ascites on low-salt diets and diuretics. In these patients, finding a short-length stenosis in the IVC or a large hepatic vein may prompt angioplasty with or without stenting. Reasonably, in patients with an acute presentation and severe liver disease, the healing should be a matter of days, whereas in patients with a chronic presentation it could be a matter of weeks. Fourth, patients that do not improve steadily, or whose symptoms recur on medical therapy, should be considered for decompression. The order, or the combination, in which the various options for decompression should be proposed remains matter of debate. Still, there appears to be some further areas of consensus. First, the possible need for prompt transplantation should be kept in mind because deterioration in the patient’s condition can be rapid. Stent placement should be in a position that it will not hamper subsequent transplantation if needed. Preservation of good renal function deserves attention so that optimal immune suppression regimens can be used early post transplant. Patients are better managed at, or in close connection with, centres where all possible treatment options, including transplant, are readily available.
















