Health Tips
Stay healthy by reading wellness advice from our top specialists.
Published  
Dr. HelloDox Care #
HelloDox Care
Consult

Sunburn
You lie out in the sun hoping to get a golden tan, but instead walk away from your lounge chair looking like a lobster that's been left in the pot too long.

Despite health warnings about sun damage, many of us still subject our skin to the sun's burning rays.

More than one-third of adults and nearly 70% of children admit they've gotten sunburned within the past year, according to the CDC.

Here's what you need to know about how to keep your skin safe and where to find sunburn relief if you do linger on your lounger too long.

What Causes Sunburn
You already know the simple explanation behind sunburn. When your skin is exposed to the sun for a period of time, eventually it burns, turning red and irritated.sunburn

Under the skin, things get a little more complicated. The sun gives off three wavelengths of ultraviolet light:

UVA
UVB
UVC
UVC light doesn't reach the Earth's surface. The other two types of ultraviolet light not only reach your beach towel, but they penetrate your skin. Skin damage is caused by both UVA and UVB rays.

Sunburn is the most obvious sign that you've been sitting outside for too long. But sun damage isn't always visible. Under the surface, ultraviolet light can alter your DNA, prematurely aging your skin. Over time, DNA damage can contribute to skin cancers, including deadly melanoma.

How soon a sunburn begins depends on:

Your skin type
The sun's intensity

Signs of Sunburn
When you get a sunburn, your skin turns red and hurts. If the burn is severe, you can develop swelling and sunburn blisters. You may even feel like you have the flu -- feverish, with chills, nausea, headache, and weakness.

A few days later, your skin will start peeling and itching as your body tries to rid itself of sun-damaged cells.

Sunburn Relief
Sunburn treatment is designed to attack the burn on two fronts -- relieving reddened, inflamed skin while easing pain. Here are a few home remedies for sunburn:

Compresses. Apply cold compresses to your skin or take a cool bath to soothe the burn.

Creams or gels. To take the sting out of your sunburn, gently rub on a cream or gel containing ingredients such as:

Menthol
Camphor
Aloe
Refrigerating the cream first will make it feel even better on your sunburned skin.

NSAIDs. Nonsteroidal anti-inflammatory drugs, like ibuprofen or naproxen, can relieve sunburn swelling and pain all over your body.

Stay hydrated. Drink plenty of water and other fluids so that you don't become dehydrated.

Avoid the sun. Until your sunburn heals, stay out of the sun.

You may be able to treat the sunburn yourself. But call for a doctor's help if you notice any of these more serious sunburn signs:

Fever of 102 degrees or higher
Chills
Severe pain
Sunburn blisters that cover 20% or more of your body
Dry mouth, thirst, reduced urination, dizziness, and fatigue, which are signs of dehydration
Preventing Sunburn
Here are some tips for keeping your skin safe when you're outside:

Watch the clock. The sun's rays are strongest between 10 a.m. and 4 p.m. If you can't stay indoors during that block of time, at least stick to shady spots.

Wear the right clothes. When you have to be outdoors, wear sun-protective clothing, such as:

A broad-brimmed hat
A long-sleeved shirt and pants
UV-blocking sunglasses
Use sunscreen. Cover any exposed areas of skin liberally with at least 1 ounce of broad-spectrum sunscreen. That means sunscreen that protects against both UVA and UVB rays.

The sunscreen should have a sun protection factor (SPF) of at least 30. Follow these tips for applying sunscreen:

Apply sunscreen about 30 minutes before you go outside.
Use sunscreen even on overcast days because UV rays can penetrate clouds.
Reapply sunscreen every two hours -- or more often if you're sweating heavily or swimming.

Published  
Dr. HelloDox Care #
HelloDox Care
Consult


A subconjunctival hemorrhage (sub-kun-JUNK-tih-vul HEM-uh-ruj) occurs when a tiny blood vessel breaks just underneath the clear surface of your eye (conjunctiva). The conjunctiva can't absorb blood very quickly, so the blood gets trapped. You may not even realize you have a subconjunctival hemorrhage until you look in the mirror and notice the white part of your eye is bright red.

A subconjunctival hemorrhage often occurs without any obvious harm to your eye. Even a strong sneeze or cough can cause a blood vessel to break in the eye. You don't need to treat it. Your symptoms may worry you. But a subconjunctival hemorrhage is usually a harmless condition that disappears within two weeks or so.

Symptoms
The most obvious sign of a subconjunctival hemorrhage is a bright red patch on the white (sclera) of your eye.

Despite its bloody appearance, a subconjunctival hemorrhage should cause no change in your vision, no discharge from your eye and no pain. Your only discomfort may be a scratchy feeling on the surface of your eye.

When to see a doctor
If you have recurrent subconjunctival hemorrhages or another bleeding, talk to your doctor.

Causes
The cause of a subconjunctival hemorrhage isn't always known. The following actions may cause a small blood vessel to rupture in your eye:

Violent coughing
Powerful sneezing
Straining
Vomiting
In some cases, a subconjunctival hemorrhage may result from an eye injury, including:

Roughly rubbing your eye
Trauma, such as a foreign object injuring your eye
Risk factors
Risk factors for a subconjunctival hemorrhage include:

Diabetes
High blood pressure (hypertension)
Certain blood-thinning medications, such as warfarin (Coumadin, Jantoven) and aspirin
Blood-clotting disorders
Complications
Health complications from a subconjunctival hemorrhage are rare. If your condition is due to trauma, your doctor may evaluate your eye to ensure you don't have other eye complications or injury.

Prevention
If the bleeding in your eye has a clearly identifiable cause, such as a bleeding disorder or blood-thinning medication, ask your doctor if you can take any steps to reduce the risk of a subconjunctival hemorrhage.

If you need to rub your eyes, rub your eyes gently. Rubbing your eyes too hard can cause minor trauma to your eyes, which may lead to a subconjunctival hemorrhage.

Published  
Dr. HelloDox Care #
HelloDox Care
Consult


A stroke occurs when the blood supply to part of your brain is interrupted or reduced, depriving brain tissue of oxygen and nutrients. Within minutes, brain cells begin to die.

A stroke is a medical emergency. Prompt treatment is crucial. Early action can minimize brain damage and potential complications.

The good news is that strokes can be treated and prevented, and many fewer Americans die of stroke now than in the past.

Symptoms
Watch for these signs and symptoms if you think you or someone else may be having a stroke. Pay attention to when the signs and symptoms begin. The length of time they have been present can affect your treatment options:

Trouble with speaking and understanding. You may experience confusion. You may slur your words or have difficulty understanding speech.
Paralysis or numbness of the face, arm or leg. You may develop sudden numbness, weakness or paralysis in your face, arm or leg. This often happens just on one side of your body. Try to raise both your arms over your head at the same time. If one arm begins to fall, you may be having a stroke. Also, one side of your mouth may droop when you try to smile.
Trouble with seeing in one or both eyes. You may suddenly have blurred or blackened vision in one or both eyes, or you may see double.
Headache. A sudden, severe headache, which may be accompanied by vomiting, dizziness or altered consciousness, may indicate you're having a stroke.
Trouble with walking. You may stumble or experience sudden dizziness, loss of balance or loss of coordination.
When to see a doctor
Seek immediate medical attention if you notice any signs or symptoms of a stroke, even if they seem to fluctuate or disappear. Think "FAST" and do the following:

Face. Ask the person to smile. Does one side of the face droop?
Arms. Ask the person to raise both arms. Does one arm drift downward? Or is one arm unable to rise up?
Speech. Ask the person to repeat a simple phrase. Is his or her speech slurred or strange?
Time. If you observe any of these signs, call 911 immediately.
Call 911 or your local emergency number right away. Don't wait to see if symptoms stop. Every minute counts. The longer a stroke goes untreated, the greater the potential for brain damage and disability.

If you're with someone you suspect is having a stroke, watch the person carefully while waiting for emergency assistance.

Causes
A stroke may be caused by a blocked artery (ischemic stroke) or the leaking or bursting of a blood vessel (hemorrhagic stroke). Some people may experience only a temporary disruption of blood flow to the brain (transient ischemic attack, or TIA) that doesn't cause permanent damage.

Ischemic stroke
About 80 percent of strokes are ischemic strokes. Ischemic strokes occur when the arteries to your brain become narrowed or blocked, causing severely reduced blood flow (ischemia). The most common ischemic strokes include:

Thrombotic stroke. A thrombotic stroke occurs when a blood clot (thrombus) forms in one of the arteries that supply blood to your brain. A clot may be caused by fatty deposits (plaque) that build up in arteries and cause reduced blood flow (atherosclerosis) or other artery conditions.
Embolic stroke. An embolic stroke occurs when a blood clot or other debris forms away from your brain — commonly in your heart — and is swept through your bloodstream to lodge in narrower brain arteries. This type of blood clot is called an embolus.
Hemorrhagic stroke
Hemorrhagic stroke occurs when a blood vessel in your brain leaks or ruptures. Brain hemorrhages can result from many conditions that affect your blood vessels. These include:

Uncontrolled high blood pressure (hypertension)
Overtreatment with anticoagulants (blood thinners)
Weak spots in your blood vessel walls (aneurysms)
A less common cause of hemorrhage is the rupture of an abnormal tangle of thin-walled blood vessels (arteriovenous malformation). Types of hemorrhagic stroke include:

Intracerebral hemorrhage. In an intracerebral hemorrhage, a blood vessel in the brain bursts and spills into the surrounding brain tissue, damaging brain cells. Brain cells beyond the leak are deprived of blood and are also damaged.

High blood pressure, trauma, vascular malformations, use of blood-thinning medications and other conditions may cause an intracerebral hemorrhage.

Subarachnoid hemorrhage. In a subarachnoid hemorrhage, an artery on or near the surface of your brain bursts and spills into the space between the surface of your brain and your skull. This bleeding is often signaled by a sudden, severe headache.

A subarachnoid hemorrhage is commonly caused by the bursting of a small sack-shaped or berry-shaped aneurysm. After the hemorrhage, the blood vessels in your brain may widen and narrow erratically (vasospasm), causing brain cell damage by further limiting blood flow.

Transient ischemic attack (TIA)
A transient ischemic attack (TIA) — sometimes known as a ministroke — is a temporary period of symptoms similar to those you'd have in a stroke. A temporary decrease in blood supply to part of your brain causes TIAs, which may last as little as five minutes.

Like an ischemic stroke, a TIA occurs when a clot or debris blocks blood flow to part of your nervous system — but there is no permanent tissue damage and no lasting symptoms.

Seek emergency care even if your symptoms seem to clear up. Having a TIA puts you at greater risk of having a full-blown stroke, causing permanent damage later. If you've had a TIA, it means there's likely a partially blocked or narrowed artery leading to your brain or a clot source in the heart.

It's not possible to tell if you're having a stroke or a TIA based only on your symptoms. Even when symptoms last for under an hour, there is still a risk of permanent tissue damage.

Risk factors
Many factors can increase your stroke risk. Some factors can also increase your chances of having a heart attack. Potentially treatable stroke risk factors include:

Lifestyle risk factors
Being overweight or obese
Physical inactivity
Heavy or binge drinking
Use of illicit drugs such as cocaine and methamphetamines
Medical risk factors
Blood pressure readings higher than 120/80 millimeters of mercury (mm Hg)
Cigarette smoking or exposure to secondhand smoke
High cholesterol
Diabetes
Obstructive sleep apnea
Cardiovascular disease, including heart failure, heart defects, heart infection or abnormal heart rhythm
Personal or family history of stroke, heart attack or transient ischemic attack.
Other factors associated with a higher risk of stroke include:

Age —People age 55 or older have a higher risk of stroke than do younger people.
Race — African-Americans have a higher risk of stroke than do people of other races.
Sex — Men have a higher risk of stroke than women. Women are usually older when they have strokes, and they're more likely to die of strokes than are men.
Hormones — use of birth control pills or hormone therapies that include estrogen, as well as increased estrogen levels from pregnancy and childbirth.
Complications
A stroke can sometimes cause temporary or permanent disabilities, depending on how long the brain lacks blood flow and which part was affected. Complications may include:

Paralysis or loss of muscle movement. You may become paralyzed on one side of your body, or lose control of certain muscles, such as those on one side of your face or one arm. Physical therapy may help you return to activities affected by paralysis, such as walking, eating, and dressing.
Difficulty talking or swallowing. A stroke might affect control of the muscles in your mouth and throat, making it difficult for you to talk clearly (dysarthria), swallow (dysphagia) or eat. You also may have difficulty with language (aphasia), including speaking or understanding speech, reading, or writing. Therapy with a speech-language pathologist might help.
Memory loss or thinking difficulties. Many people who have had strokes experience some memory loss. Others may have difficulty thinking, making judgments, reasoning and understanding concepts.
Emotional problems. People who have had strokes may have more difficulty controlling their emotions, or they may develop depression.
Pain. Pain, numbness or other strange sensations may occur in the parts of the body affected by stroke. For example, if a stroke causes you to lose feeling in your left arm, you may develop an uncomfortable tingling sensation in that arm.

People also may be sensitive to temperature changes, especially extreme cold, after a stroke. This complication is known as central stroke pain or central pain syndrome. This condition generally develops several weeks after a stroke, and it may improve over time. But because the pain is caused by a problem in your brain, rather than a physical injury, there are few treatments.

Changes in behavior and self-care ability. People who have had strokes may become more withdrawn and less social or more impulsive. They may need help with grooming and daily chores.
As with any brain injury, the success of treating these complications varies from person to person.

Prevention
Knowing your stroke risk factors, following your doctor's recommendations and adopting a healthy lifestyle are the best steps you can take to prevent a stroke. If you've had a stroke or a transient ischemic attack (TIA), these measures might help prevent another stroke. The follow-up care you receive in the hospital and afterward also may play a role as well.

Many stroke prevention strategies are the same as strategies to prevent heart disease. In general, healthy lifestyle recommendations include:

Controlling high blood pressure (hypertension). This is one of the most important things you can do to reduce your stroke risk. If you've had a stroke, lowering your blood pressure can help prevent a subsequent TIA or stroke.

Exercising, managing stress, maintaining a healthy weight and limiting the amount of sodium and alcohol you eat and drink can all help to keep high blood pressure in check. In addition to recommending lifestyle changes, your doctor may prescribe medications to treat high blood pressure.

Lowering the amount of cholesterol and saturated fat in your diet. Eating less cholesterol and fat, especially saturated fat and trans fats, may reduce the plaque in your arteries. If you can't control your cholesterol through dietary changes alone, your doctor may prescribe a cholesterol-lowering medication.
Quitting tobacco use. Smoking raises the risk of stroke for smokers and nonsmokers exposed to secondhand smoke. Quitting tobacco use reduces your risk of stroke.
Controlling diabetes. You can manage diabetes with diet, exercise, weight control and medication.
Maintaining a healthy weight. Being overweight contributes to other stroke risk factors, such as high blood pressure, cardiovascular disease and diabetes. Losing as little as 10 pounds may lower your blood pressure and improve your cholesterol levels.
Eating a diet rich in fruits and vegetables. A diet containing five or more daily servings of fruits or vegetables may reduce your risk of stroke. Following the Mediterranean diet, which emphasizes olive oil, fruit, nuts, vegetables, and whole grains, may be helpful.
Exercising regularly. Aerobic or "cardio" exercise reduces your risk of stroke in many ways. Exercise can lower your blood pressure, increase your level of high-density lipoprotein cholesterol, and improve the overall health of your blood vessels and heart. It also helps you lose weight, control diabetes and reduce stress. Gradually work up to 30 minutes of activity — such as walking, jogging, swimming or bicycling — on most, if not all, days of the week.

Published  
Dr. HelloDox Care #
HelloDox Care
Consult

A stiff neck is typically characterized by soreness and difficulty moving the neck, especially when trying to turn the head to the side. It may also be accompanied by a headache, neck pain, shoulder pain and/or arm pain. In order to look sideways or over the shoulder, an individual may need to turn the entire body instead of the stiff neck common Causes of Stiff Neck
By far the most common cause of a stiff neck is a muscle strain or soft tissue sprain. In particular, the levator scapulae muscle is susceptible to injury. Located at the back and side of the neck, the levator scapulae muscle connects the neck’s cervical spine with the shoulder. This muscle is controlled by the third and fourth cervical nerves (C3, C4).

Most people are familiar with the pain and inconvenience of a stiff neck, whether it appeared upon waking up one morning or perhaps developed later in the day after some strenuous activity, such as moving furniture. In most cases, pain and stiffness go away naturally within a week. However, how an individual manages and cares for the stiff neck symptoms can affect pain levels, recovery time, and the likelihood of whether it will return.

The levator scapulae muscle may be strained throughout the course of many common, everyday activities, such as:

Sleeping with the neck at an awkward position
Falling or sudden impact that pushes the head to the side, such as sports injuries
Turning the head side to side repeatedly during an activity, such as swimming the front crawl stroke
Slouching with poor posture while viewing the computer monitor or looking downward at a mobile phone for prolonged periods (sometimes referred to as "text neck")
Experiencing excessive stress or anxiety, which can lead to tension in the neck
Holding the neck in an abnormal position for a long period, such as cradling a phone between the neck and shoulder

The cause of the stiff neck may be obvious if symptoms start right away, such as after falling during a sporting event. If a stiff neck seems to develop out of nowhere, however, it could be difficult to pinpoint the exact cause.

Uncommon Causes of Stiff Neck
Sometimes neck stiffness is a reaction to an underlying disorder of the cervical spine, which helps support and move the neck in addition to protecting the spinal cord. Several examples of cervical spine disorders that can cause neck muscles to painfully spasm or tighten include

Cervical herniated disc. The protective outer portion of a disc in the cervical spine breaks down, and the inner portion leaks out, causing compression and inflammation in nearby tissues.
Cervical degenerative disc disease. As discs lose hydration and height over time, pressure increases on nearby joints, nerves, and soft tissues, such as ligaments and muscles. This process can result in neck pain and stiffness.
Cervical osteoarthritis. Arthritic breakdown of the cervical facet joints between vertebral bones often occurs along with other degenerative conditions, such as spinal stenosis, and anatomical changes, such as bone spurs.

Dos and Don’ts for a Stiff Neck
Oftentimes, making it easy for a day or two is all that is needed to give the neck’s soft tissues a chance to heal. In cases where the pain is significant, an individual may want to use over-the-counter pain medication or apply ice and/or heat therapy.

Wearing a cervical collar to immobilize a stiff neck is not advised. Rather, an individual with a stiff neck should try to stick to normal activity levels if possible, especially after the first day or two.

When to See a Doctor for a Stiff Neck
If a stiff neck has not shown improvement after a week, it should be checked by a doctor. Also, regardless of how long it has lasted, a stiff neck accompanied by any red flag symptoms—such as a fever, headache, nausea or vomiting, or unexplained sleepiness—should be seen by a medical professional immediately.

Published  
Dr. HelloDox Care #
HelloDox Care
Consult

Overview

A sprain is a stretching or tearing of ligaments — the tough bands of fibrous tissue that connect two bones together in your joints. The most common location for a sprain is in your ankle.

Initial treatment includes rest, ice, compression, and elevation. Mild sprains can be successfully treated at home. Severe sprains sometimes require surgery to repair torn ligaments.

The difference between a sprain and a strain is that a sprain injures the bands of tissue that connect two bones together, while a strain involves an injury to a muscle or to the band of tissue that attaches a muscle to a bone.


Pain
Swelling
Bruising
Limited ability to move the affected joint
Hearing or feeling a "pop" in your joint at the time of injury
When to see the doctor
Mild sprains can be treated at home. But the injuries that cause sprains can also cause serious injuries, such as fractures. You should see a doctor if you:

Can't move or bear weight on the affected joint
Have pain directly over the bones of an injured joint
Have numbness in any part of the injured area
Causes
A sprain occurs when you overextend or tear a ligament while severely stressing a joint. Sprains often occur in the following circumstances:

Ankle — Walking or exercising on an uneven surface, landing awkwardly from a jump
Knee — Pivoting during an athletic activity
Wrist — Landing on an outstretched hand during a fall
Thumb — Skiing injury or overextension when playing racquet sports, such as tennis
Children have areas of softer tissue, called growth plates, near the ends of their bones. The ligaments around a joint are often stronger than these growth plates, so children are more likely to experience a fracture than a sprain.

Risk factors
Factors contributing to sprains include:

Environmental conditions. Slippery or uneven surfaces can make you more prone to injury.
Fatigue. Tired muscles are less likely to provide good support for your joints. When you're tired, you're also more likely to succumb to forces that could stress a joint.
Poor equipment. Ill-fitting or poorly maintained footwear or other sporting equipment can contribute to your risk of a sprain.
Prevention
Regular stretching and strengthening exercises for your sport, fitness or work activity, as part of an overall physical conditioning program, can help to minimize your risk of sprains. Try to be in shape to play your sport; don't play your sport to get in shape. If you have a physically demanding occupation, regular conditioning can help prevent injuries.

You can protect your joints in the long term by working to strengthen and condition the muscles around the joint that has been injured. The best brace you can give yourself is your own "muscle brace." Ask your doctor about appropriate conditioning and stability exercises. Also, use footwear that offers support and protection.



Dr. Abhijit Kamble
Dr. Abhijit Kamble
BAMS, Family Physician General Surgeon, 14 yrs, Pune
Dr. Sairandhri Shinde
Dr. Sairandhri Shinde
MBBS, Gynaecologist Infertility Specialist, 10 yrs, Pune
Dr. Sanjay  Babar
Dr. Sanjay Babar
BAMS, Ayurveda General Surgeon, 15 yrs, Pune
Dr. Mahesh Yadav
Dr. Mahesh Yadav
BAMS, Ayurveda, 25 yrs, Pune
Dr. Himashree Wankhede
Dr. Himashree Wankhede
MBBS, Ophthalmologist Cataract surgeon, 5 yrs, Pune
Hellodox
x