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HYALURONIC ACID: YOUR NEW SKINCARE BFF

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If you keep a tab on the latest trends in the skincare industry, you would have certainly heard about hyaluronic acid — the skincare ingredient that has taken the skincare industry by storm in recent years. From moisturising creams to night serums to injectable procedures, hyaluronic acid is today a staple ingredient of multiple skincare products. Its popularity though is not without reason!

Hyaluronic acid is naturally found in abundance in human bodies, particularly in eyes, in connective tissues as well as the skin. The natural substance plays multiple roles in the body including the critical roles of keeping the joints lubricated and the skin healthy and firm.

Being a hydrophilic substance, hyaluronic acid can hold water multiple times its weight – the main reason for its lubrication properties. When it comes to the skin, hyaluronic acid helps retain moisture and keep the skin plump and supple. However, its role goes much beyond hydration and moisturisation.

HYALURONIC ACID AND ITS ANTI-AGEING ROLE

Let’s begin by understanding exactly what hyaluronic acid (HA) is. HA is a naturally found saccharide or sugar that performs the critical function of strengthening the skin’s extracellular matrix. This is why an abundance of HA is crucial for youthful and resilient skin. Hyaluronic acid also plays a vital role in stimulating the generation of collagen and elastin – two essential proteins that provide support and firmness to the skin’s scaffolding structure.

As we age, the skin gradually loses its natural reserves of hyaluronic acid. This has a series of effects on the skin’s health. Firstly, a reduction in HA reserves increases the appearance of dullness and dryness and may even cause the skin to lose some volume. Secondly, loss of HA also impacts the generation of collagen and elastin that are central to youthful, firm and tight skin.

The skin’s resilience, its firmness and tightness as well as its volume all depend on the strength of the skin’s extracellular matrix and HA plays a central role in strengthening it. This is why a series of skincare products and procedures are today focusing on replenishing the skin’s lost HA reserves to provide plumper and more hydrated appearance while also regenerating the overall health of the skin’s extracellular matrix.

HYALURONIC ACID PRODUCTS: WHICH ONE TO CHOOSE

As discussed above, hyaluronic acid plays a versatile role in maintaining skin health and vitality. This is why HA-based skincare products offer multiple skin care benefits such as hydration, suppleness, radiance, and anti-ageing benefits. There is no dearth of HA-based skincare products in the market today. So much so that consumers are often confused as to which kind of product they must choose to gain the maximum benefit. Will an HA-based night cream sufficient to do the job? Or should I go for a filler of injectable treatment for better results? Consumers often ask these questions as they struggle to make sense of the different offerings on the market shelves.

Actually, the choice of product depends on your requirement from it! If your primary need from an HA product is to address dullness, dryness and signs of dehydration on your skin, an HA-based moisturising cream or night serum will work well for you. HA-based serums help give the skin a soft, smooth and supple texture as they work as humectants. Regular use will result in smooth and plumper looking skin as the presence of HA allows it to attract and retain moisture and abundant hydration from the environment. If dehydration and dryness have resulted in the appearance of fine lines on your skin, regular use of HA-based creams may also help fill up some of these signs.

On the other hand, if you need an HA-based product to fill up the depleted volume of your cheeks or reshape your facial features such as plumping up the lips and restructuring the jawline, dermal fillers are what you need.

Lastly, if you are seeking deeper anti-ageing benefits for mature skin, you can try a new HA-based product Profhilo. It is an HA-based anti-ageing procedure that achieves skin bio-remodelling by administering a highly concentrated and pure form of HA into multiple strategic sites on the face. When injected uniformly, HA achieves widespread diffusion in multiple layers of the skin and has a series of beneficial effects. On the one hand, it brings hydration and radiance to the skin. On the other hand, it plays a vital role in stimulating fibroblast cells which in turn induce the generation of collagen and elastin proteins on completion of successive sessions. The result is an overall anti-ageing benefit that addresses the process of ageing at its roots.

The writer is a Leading New Delhi -based Dermatologist and Skin Specialist.

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Health & Wellness

ACUPUNCTURE FOR DIABETES: DEMYSTIFYING MYTHS AND FEARS

Dr Srividya Nandkumar

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An insulin disorder that affects over 450 million people across the world, Diabetes Mellitus is one of the leading causes of death worldwide. In India alone, over 70 million people are estimated to be living with diabetes. Poor disease management and ineffective blood sugar control is a major risk factor for a series of life-threatening conditions such as cardiovascular, strokes and renal disease. In fact, diabetes is a major cause of vision loss, kidney failure, heart attacks, stroke and amputations. Worrisomely, the incidence of this lifestyle disorder has grown tremendously over the past three decades largely due to unhealthy lifestyles, increasing consumption of processed foods and a dramatic drop in physical activity.

Naturopathic interventions such as diet management, yoga, lifestyle alterations and acupuncture can play a significant role in controlling the diabetes pandemic. Adopting a naturopathic way of life not only helps patients keep their blood sugar level under control, but also help them reduce their dosage of allopathic drugs.

Acupunture as a diabetes control intervention

The widely used alternative healing practice of acupuncture dates back to more than 3500 years. This ancient Chinese practice is based on the belief that life energy also known as qi flows through our bodies through certain pathways, thereby regulating health and vitality. When the flow of this vital energy is obstructed due to some reason, the body experiences diseases. Acupuncture uses the practice of inserting pins and needles on strategic points on the body to remove the obstruction and revive the flow of energy through our organs. There are around 1000 acupuncture points in the human body. 

Acupuncture is an effective therapy for diabetes, especially for type 2 diabetics. It helps regulate pancreatic function and control blood sugar levels in the body. The result is better glycemic control and improved overall health. A study published in the Journal of Traditional Chinese Medicines in 2019 found that when administered along with metformin drug, acupuncture treatment helped significantly reduce levels of both FPG and HbA1c – two critical diabetes indicators – in patients. The study, therefore, recommended the use of acupuncture as an adjuvant therapy among Type 2 diabetics. 

Mainly two types of acupuncture practices are used to treat diabetes — electroacupuncture and wrist-ankle treatment. The former is the most common form of treatment in which needles are pierced at trigger points. Then a low-frequency electrical variation is transferred from one needle to another that helps fight insulin resistance. Wrist-ankle treatment is most effective in bringing down the sugar levels and focuses on deep stimulation of the trigger points. 

However, several myths and misconceptions about acupuncture prevent many people from receiving its benefits. We demystify some common myths related to acupuncture here.

1. It’s painful

The mere thought of needles being pierced into the skin leaves many people petrified, but acupuncture isn’t as painful as you think it to be. The needles used for acupuncture are very thin and you feel very little or almost no discomfort while they are inserted. Many patients don’t even realise when the needles are being pierced into their body. 

2. Doctors don’t recommend this 

The World Health Organization and National Institutes of Health have recognised acupuncture as an effective therapy for treating not just pain but also several other conditions like diabetes. A number of modern medicine practitioners also prescribe acupuncture as an adjuvant therapy along with the regular medicines particularly to patients displaying poor glycemic control. A number of studies have found acupuncture to be effective in controlling blood sugar levels.

3. It has side effects 

Acupuncture is absolutely safe when performed by a certified acupuncture practitioner. Side effects are almost negligible or only minor such as soreness, minor bleeding in some cases or dizziness. However, no serious adverse effect is associated with this therapy.

4. The treatment is expensive

Acupuncture is affordable and does not burn a hole in your pocket. On average, it costs around 1500 to 2000 Rs per session. Overall, the therapy may also help reduce dosage of diabetes drugs. 

5. You get addicted to acupuncture

No, acupuncture is not addictive or dependence creating. The practice does help relieve stress and calm down people but it doesn’t create any dependence.

The writer is Sr. Naturopath at Jindal Naturecure Institute.

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REMEDIES TO BOOST IMMUNITY IN CHILDREN

Kamayani Naresh

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Over time, experts build a strong study of Rasayana – rejuvenation. They studied ingredients available in nature for well-being, immunity, and overall mental and physical health. Rasayanas are known to build the body to fight diseases of the mental and physical kind. These ingredients are also known to build immunity and protect the human body from infliction.

Here are remedies to boost immunity in your kids:

Golden milk: Children often fuss when drinking milk. Make it interesting for them and peg the usual haldi doodh or turmeric milk as Golden Milk. As you might know, Turmeric has anti-inflammatory properties and plays a crucial role in building immunity among children. It is also a staple in Indian cooking. As we use Turmeric in our daily cooking, an added supplement of Turmeric will positively impact your children’s health. 

Ashwagandha: It is one of the many researched Ayurvedic herbs. It is known to help with numerous serious diseases and ailments. It also has anti-inflammatory properties, which contribute to preventing autoimmune disorders, among others. Research has proven that it improves the functioning of brain cells and common mental health issues. Ideally, give your children this magic herb through warm and sweet milk. You can also add it with Turmeric milk to combine both herbs.  

Liquorice sweets: Liquorice or Mulethi is a herb that is commonly eaten as candy. You can find it at specialised stores or online. The candy is an acquired taste and has many health benefitting properties. The Glycyrrhizin – a saponin found in Liquorice is known for its anti-microbial action. Usually, this root is made into powder, mixed with honey and ghee, to improve immunity. It is a natural revitaliser and also effective as an anti-ageing remedy. 

Vegetable juices with ginger: Give your children vegetable juice with a generous amount of ginger. Ginger is used in Indian cooking, but may not be enough, to impact immunity. Ginger is efficacious in curing coughs and seasonal flu. Its anti-microbial compounds help fight infections and boost immunity. Local stores also stock a large amount of ginger candy that can also be made part of your children’s routine. 

Plant a Tulsi plant together: Tulsi, as you know, is a medicinal plant. It has healing properties and looks beautiful as part of the home decor. Involve your children in planting this plant with you, and together learn the importance of its medicinal properties. Use the plant leaves for wounds and burns. Show your kids how this plant can be used and also consume its juice daily. Allow your children to acquire the taste for it, and they will be build immunity to lead a healthy life. 

Observe your children, as every human body is unique therefore, your child will also respond suitably to different remedies. Preventika an immunity booster by Zyropathy is a combination of Tulsi Leaf, Turmeric, Bael leaf, Sheesham, Gudmar leaf, Arjuna Bark, Mint leaves, Motherwort and more ingredients. It is a healthy option for balancing a child’s immunity. The herbal medicine helps strengthen the internal systems, ensures health and works against 19-various ailments.. Many other remedies and herbs help in building immunity among adults and children. Ensure to learn and include them in your daily routine to protect your family from external harm. 

The writer is the founder of Zyropathy.

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Health & Wellness

HOW TO MANAGE PARKINSON’S AMID COVID-19 PANDEMIC

Top healthcare experts and doctors share their inputs on all you need to know about Parkinson’s and ways to cope with this condition.

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TIPS FOR MAKING YOUR DAILY LIFE WITH PARKINSON’S EASIER

• Have full awareness of their condition. Also, your caregiver must be equally educated about the same

• You can use the voice option in their phone for any work rather than text mode• Exercise regularly to maintain balance, go for massages, and movement therapies

• Take medications on time and listen to your therapist

• Simplify your tasks and set realistic goals

• Plan your tasks like exercising, chores, recreation in advance• Avoid extreme physical activity. Do not push, pull, or lift heavy objects (more than 10 pounds) that require you to strain

• Do not eat too many sugary foods and drinks as these can negatively impact your immune system. Opt for naturally sweetened food and reduce your sugar intake

• To help prevent accidents, install grab bars beside toilets, sinks, and in the tub or shower area depending on your need

—By Dr Rajnish Kumar, Sr. Consultant & Unit Head, Neurology, Paras Hospitals , Gurugram

ISSUES FACED BY PARKINSON’S PATIENTS DURING COVID TIMES

• Patients are unable to follow up with their neurologist; it is important that they continue to take their medicines regularly and if faced with worsening of symptoms or side effects related to the medicines they should try to contact the neurologist via telemedicine

• Patients with pre-existing Parkinson’s disease when affected with Covid-19 infection can have an exacerbation of the symptoms. They must be evaluated by a neurologist who can adjust the medicines and they should remain in touch with the neurologist whenever possible in person or if not via telemedicine

• Very rarely some patients with Covid-19 infection can present with features similar to Parkinson’s disease. These patients will need hospitalisation and thorough evaluation and treatment under the care of a neurologist.

April is Parkinson’s awareness month. It is the second most common degenerate disorder of the brain after Alzheimer’s disease that has devastating mental and physical implications on the patients who are left untreated otherwise. It is a progressive nervous system disorder that affects movement, says Dr Rajnish Kumar, Sr. Consultant & Unit Head, Neurology, Paras Hospitals, Gurugram.

Researchers suggest that Parkinson’s results from a combination of genetic factors and environmental factors such as exposure to toxins. It usually affects people aged 55 years and above.

—By Dr Prashant Makhija, Consultant, Neurology, Wockhardt Hospital Mumbai Central

DUAL CONCERN: PARKINSON’S & COVID-19 PANDEMIC 

On the challenges posed by the pandemic in treating Parkinson’s patients, Dr Anil Venkitachalam, Consultant, Neurology and Movement Disorders, Nanavati Super Speciality Hospital, Mumbai said, “Like every vulnerable section of society, Parkinson’s patients and their treatment was hugely impacted by the pandemic. An increase in requests for home visits was a particularly challenging task. Due to the co-morbidities and risks of infection, the patients were restricted to their homes. Despite the risks involved and the unavailability of necessary instruments and diagnostic paraphernalia, we took all safety precautions and honoured as many home visit requests as possible.”

 He adds, “The other challenge was the ‘loss to follow-up’ of our many patients. Several patients were on schedule H drugs such as anti-depressants or anti-psychotics etc. Due to movement restrictions, they couldn’t visit their physicians and renew the subscriptions. In the meantime, the pharmacies stopped honouring the old prescriptions or even new digital prescriptions and patients had to go on without medication for a long time. The hospital couriered hundreds of prescriptions to the patients so that they don’t stop the medication.”

Similarly, as February-March mark the financial year-end, many patients needed disability certification to avail the benefits announced by the government. Since they couldn’t get out of the house, the hospital team filled and mailed the necessary documents for the disability certification. Nanavati Super Speciality Hospital started online patient support group programs to offer holistic solutions and guidance to patients and caregivers.

 “Parkinson’s may not affect the patient’s immune system directly. However, in few cases, such patients may have other health conditions which may increase the risk of contracting the Covid infection. They are strongly advised to follow Covid appropriate behaviour,” asserts Dr Guruprasad H, Senior Consultant, Neurology, Columbia Asia Referral Hospital Yeshwanthpu, Bengaluru. 

SYMPTOMS

  What are the symptoms of Parkinson’s? Dr Rajnish replies the condition is characterised by four cardinal symptoms: tremor (trembling) mainly in hands, arms, legs, jaw, or head; stiffness in the limbs and trunk; generalised slowness of movements and stooped posture; and impaired balance and coordination. “Early symptoms of Parkinson’s are subtle and occur gradually. Symptoms often begin on one side of the body or even in one limb on one side of the body. As the disease progresses, it eventually affects both sides. However, the symptoms may still be more severe on one side than on the other,” he adds. Mental and behavioural changes sleep problems, depression and anxiety, memory difficulties (Parkinson’s associated dementia), chronic fatigue, severe constipation, difficultly in urination, persistent dizziness, altered sweating, excessive salivation, altered smell perception, and dramatic fluctuations in blood pressure are some of the prominent symptoms which may need treatment.

CAUSES

Parkinson’s occurs when nerve cells, or neurons, in the deeper areas of the brain called ‘substania nigra para compacta’, that controls the movement, tone and coordination of the body, become impaired and/or die. Normally, these neurons produce an important brain chemical known as Dopamine that helps send signals in your brain. When the neurons die or become impaired, they produce less dopamine, which causes the disease, informs Dr Rajnish. He points out that since many other diseases have similar features but require different treatments, it is important to make an exact diagnosis as soon as possible. 

DEBUNKING COMMON MYTHS

There are several myths associated with Parkinson’s. Talking about it, Dr Guruprasad says, “It is believed that everyone with the condition will have tremors, there is no treatment for Parkinson’s, and it is a mental disorder among others. It is a neurological condition and not everyone will experience tremors. Few patients may show other symptoms like balance issues. The advancement of technology has given way to new treatment techniques like deep brain stimulation with directional leads and pump delivered therapy for the management of the condition. Parkinson’s can be managed with medications and lifestyle changes.”

MANAGING PARKINSON’S

On how to manage this condition, Dr Guruprasad says, “Exercise, balanced diet, rest, speech therapy and physical therapies will aid in the management of Parkinson’s. The patients should follow Covid appropriate behaviour. Medications are the important factors to control physical and mental symptoms affecting the people with this condition. Taking the medications regularly, following an indoor physical activity regimen, and engaging in hobbies will be beneficial for them.”

TREATMENT 

Early detection of the disease and starting treatment is very essential, as it drastically changes the quality of life of a patient and arguably, also impedes the rate of progression of the disease. Although there is no cure for Parkinson’s, medicines, surgical treatment, and other therapies can often control the symptoms, informs Dr Rajnish.

Adding to it, Dr Prashant Makhija, Consultant, Neurology,Wockhardt Hospital Mumbai Central says, “Since Parkinson occurs due to progressive loss of nerve cells in the brain which produce Dopamine, the treatment is directed towards external replacement with Dopamine in the form of tablets or with medications that facilitate the action of internally produced Dopamine. The non-motor symptoms (such as sleep disturbances, constipation, memory as well as mood and behaviour changes) are symptomatically managed. Patients also require gait/balance training and speech/swallow therapy. Owing to the multiple issues the patients face, they need to be periodically evaluated by a neurologist who can titrate the medicines to provide them optimum benefit while minimising the adverse effects related to the medicines.”

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WHY PARENTS SHOULD PUT FLU VACCINE ON THEIR CHECKLIST

Dr Prakash Desai

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Have you, as a parent, thought about vaccines your child might need? Making your child get flu shots every year is a great idea, but even more this year as the Covid-19 virus continues to spread. Many parents don’t realise it, but the flu can be a very serious illness and the highest risk group are children up to the age of 5 years and above, senior citizens and can lead to long term health conditions. It is even more important to protect your child from viruses like influenza by giving them an annual flu shot. Vaccinating children not only prevents them from catching flu, it also prevents them from spreading it. 

As a paediatrician and neonatologist, I often come across parents who ask many questions like “my child had the flu vaccination last year” Do they need another one this year? Yes; flu viruses change every year so the vaccine may be updated. For this reason, we recommend that your child is vaccinated against flu again this year, even if vaccinated last year. In young children, flu can cause pneumonia (lung infection) and bronchiolitis (infection of the tiny airways that lead to the lungs causing wheezing and difficulty breathing) and sometimes the resulting high fever can lead to febrile fits. 

Below are some Q&A’s which will help you in deciding to consider vaccinating your child with flu vaccine if not done already? 

Influenza or flu is a respiratory infection caused by an influenza virus. In India, limited influenza activity is usually seen throughout the year with a clear peaking during the changing weather seasons and mostly during the rainy season all over the country. Parents need to understand, Influenza isn’t just in schools — it’s also out in our communities, in stores and in parks and in individuals around you. It’s still very important for kids to get vaccinated to protect themselves and everybody else around them from influenza. Considering the seriousness of influenza, and the susceptibility of young kids to this illness, doctors and specialists have all been motivating parents to get the seasonal influenza vaccinations to be better equipped for the flu seasons.

Always remember from age 4 through 6, your child needs additional doses of some vaccines, as well as a flu vaccine every year. If your child has missed any vaccines, work with your doctor to make sure he or she gets them on time. 

How does influenza spread?

Influenza viruses are found in the nose and throat. Children can catch influenza from siblings, parents, other family members, playmates or caregivers.

Germs usually spread in one of three ways:

• Direct contact — such as touching or holding hands with an infected person. 

• Indirect contact means touching something a toy, doorknob or a used tissue, that has been touched by an infected person and now has germs on it and can stay on surfaces for many hours. 

• Some germs spread through the air via droplets when a person coughs or sneezes.

How do I know if my child has influenza?

The flu strikes more quickly than a cold, and makes children feel worse typical influenza symptoms include:

• sudden fever and chills 

• headache or muscle aches,

• extreme fatigue

• dry cough and sore throat and,

• loss of appetite

What are the benefits of the vaccine? 

Having the vaccine will help protect your child from what can be a very nasty illness in children. Children under the age of 5 years have the highest rate of hospital admissions due to flu. It will reduce the chance of others in your family, who could be at greater risk from flu, such as grandparents or those with long term health conditions, getting flu from your child. 

Does taking the flu vaccine stop you from getting the flu?

Flu illness can be caused by several viruses. As the flu vaccine given has been derived from four prevalent viruses for that time of the year, the circulating virus has to match the virus strain for the best protection. It also depends on an individual’s immune response to produce antibodies. Though it might not provide complete protection, there is a good chance that the incidence of Flu illness will reduce and chances of complications and hospital admissions due to flu illness will come down. 

Can all children get a flu vaccine?

Yes, the minimum age is 6 months. Only in the first year, two doses of Flu vaccine need to be given 1 month apart to reinforce the immunity and subsequently once every year to provide maximum immunity as the circulating strain and the matching vaccine strain keeps changing.

Ideally, it’s recommended until the child is 5 years old but children with recurrent respiratory illness, asthma and other long-term conditions would benefit from yearly vaccination to be continued till later. 

Are there side effects of the flu vaccine?

The influenza vaccine is very safe. It cannot cause the flu. Side effects are usually mild and could include:

• Mild soreness where the needle went into the arm for 1 to 2 days.

• A mild fever or aching for the first day or two after immunisation

Precautions

Apart from immunisations, there are some simple ways to protect yourself and your child from flu:

· Good hand hygiene is the most important factor to prevent the spread of flu. Wash your and anyone who will be looking after the baby hands often with soap and water or an alcohol-based sanitiser.

· If your baby is already reaching out for toys and crawling around, be sure to wash her hands as well and clean the surfaces which are frequently handled.

· Breastfeeding your baby helps to protect her health in more ways than one. Breastmilk contains antibodies that will pass on to your baby. Breastfed babies have a lesser incidence of colds and other respiratory and gut infections. 

· Avoid close contact with persons who may already be showing signs of Flu symptoms if possible. 

There has been a surge of flu vaccinations in the current Covid pandemic and vaccines are available at your local paediatrician or can be arranged through hospitals that provide home vaccination services. Don’t forget to protect your kids, and others, take a Flu jab for your children. 

The writer is Consultant – Pediatrician & Neonatologist, Cloudnine Group of Hospitals, Bangalore (Malleshwaram).

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ALL YOU NEED TO KNOW ABOUT MULTIPLE MYELOMA

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Multiple myeloma is a type of blood cancer in which there is excess production of white blood cells, especially plasma cells. Plasma cells are the end-stage or most mature variant of B-Cells, the latter being responsible for the antibody formation in the body and for immune response. The B-Cells originate in the bone marrow and hence Multiple Myeloma starts commonly in the bones, however may later affect other organs as well. Actress -politican Kirron Kher was recently diagnosed with multiple myeloma.

COMMON SYMPTOMS

a) Bone pains, commonly affecting the central or axial bones of the vertebral column, pelvis and hips, skull bones, followed by ribs, sternum, clavicles, long bones of arms and legs

b) Weakness, fatigue, weight loss with low haemoglobin (anaemia), high calcium levels in the blood

c) Mental fogginess

d) Constipation

e) Kidney failure in advanced stages due to the breakdown of myeloma proteins and blockage of kidneys

f) Frequent infections due to reduced immunity

g) Bone fractures with minor trauma

h) Paralysis of upper or lower limbs or loss of bladder and bowel control in case the Myeloma is growing inside the vertebra and pressing the spinal cord

CAUSES

The definite causative factors for Multiple Myeloma are not

known, however the risk factors include

a) Age >60 years

b) Male gender

c) Family history of multiple myeloma

d) Pre-existing Monoclonal Gammopathy of un- determined significance (MGUS)

HOW TO DIAGNOSE IT?

The recommended tests for diagnosing Multiple Myeloma are

a) Complete blood counts – can pick up anaemia, high white cell count, low platelets

b) Serum electrophoresis – a special blood test to identify the monoclonal (M) band of myeloma protein/s and the type of Myeloma and estimate the quantity of Myeloma protein production

c) Kidney function tests may show a high level of creatinine, urea, calcium or uric acid

e) Liver function tests may show a reversal of albumin and globulin ratio with a high globulin level

f) Bone marrow biopsy is a test done to find out the number of plasma cells in the bone marrow

g) Radiology imaging- Total body X-Rays may show punched out bones where the myeloma has affected the bone. A CT scanner PET-CT can show the whole body myeloma involvement at an earlier stage than an X-RAY.

Sometimes the physician may ask for an MRI of the affected vertebra to see the level of the collapsed vertebra and whether a patient needs surgery /radiation to improve the neurological function.

The treatment of Multiple myeloma depends upon the stage of the disease and it is classified into 3 stages I, II, III.

The treatment includes symptom relief, reduction in bone pain, preventing complications like kidney failure, fractures and paralysis.

It includes Targeted therapies, chemotherapy, steroids, immunotherapy, Bone marrow transplant, renal dialysis, surgery, and radiation therapy.

Besides the disease directed therapy the common things recommended for a patient are adequate water intake to remove the Myeloma proteins by proper flushing of kidneys (urination) and keeping up a good mobility/exercise program to avoid bone loss.

The writer is Chairperson Radiation Oncology, Cancer Institute, Medanta – The Medicity.

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Health & Wellness

HOW SOCIAL MEDIA ADDICTION IS SEVERELY AFFECTING TEENS

Is excessive social media use among teenagers in the ongoing pandemic leading to anxiety, burnout, depression, and other mental health issues? Mental health experts and psychologists share their take on it.

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The Covid-19 pandemic has led to a major surge in social media usage among teenagers in addition to other age groups. Although social media has been a life-saver during the pandemic when it comes to being updated with health-related information and other news from reliable sources, killing boredom, loneliness or taking a break by consuming light and humourous content, spending too much time on it can have a deleterious effect on the mental health and wellbeing of teenagers. There can be harmful consequences of over-use including poor sleep, irritability, stress, anxiety, depression, low self-esteem and difficulty in concentration. Therefore, it becomes important to unplug from time to time and engage in productive and recreational activities. Mental health experts and psychologists share their opinions on how excessive social media use is affecting adolescent minds. 

LIVING A VIRTUAL LIFE CAN HARM THE HEALTHY STATE OF MIND OF TEENAGERS

For most adolescents, more time spent at home during the pandemic has meant increased hours of being glued to a screen. While social media can prove to be an invaluable tool, living a virtual life can harm their healthy state of mind. Heavy social media dependence has been linked to emotional issues like negative wellbeing, low self-esteem, experiencing feelings of depression, disturbed sleep patterns, and an impaired attention span. Bothering yourself with the feelings of the thousands of your social media followers can indeed make you feel anxious. It is a common sight to witness teenagers constantly scrolling their phones. Parents need to be mindful of this activity since it tends to keep the brain on high alert, averting the child from falling asleep and can destroy the release of melatonin, a hormone that makes us feel tired. Parents must ensure to shorten the time spent on virtual mediums by engaging the child in mind-boosting activities like concentration games, breathing exercises, or brain-body coordination workouts. A pause in social media usage can help them connect with their real life, making them emotionally happier and healthier. The younger generation seems to be the hardest hit by the pandemic. Hence it is more important than ever that they can access support with their emotional health during such critical times.

Kanchan Rai, Mental & Emotional Wellbeing Coach, Founder, Let Us Talk

MODERATE USE OF SOCIAL MEDIA IS AN ENABLER OF HEALTHY RELATIONSHIPS

It has been well established that human beings are social creatures and the ongoing pandemic has made most of us crave a social life. Studies suggest that boredom and loneliness are strong predictors of social media use among teenagers. It helps teenagers self-regulate emotional mood states, feel aroused when they are bored as applications such as Instagram, YouTube, etc. provide entertaining content, it also helps boost self-esteem among them as 66% of Indian teens feel acceptance on social media. Studies also suggest that during the Covid pandemic, browsing through social media and interacting with friends help teenagers reduce their feelings of loneliness. Teenagers in India are spending the majority of their online activity on Instagram or YouTube and consuming humour-based content to feel happier. However, the problem arises when the time spent on social media exceeds the four hours per day limit. It has been noticed that with excessive use, 70% of teens share sensitive information about themselves, and 66% of teens experience some amount of cyber-bullying. Psychologists and researchers agree that excessive social media usage during this time is also causing discontentment in physical appearance, reducing levels of happiness, leading to anxiety, depression, and even lower self-esteem among teenagers. Thus, impacting the mental health of the youth. 

  The best way to thus manage the harmful impact of social media is by limiting the use of social media and including exercise as a part of one’s daily regime. The time spent on social media should not be more than four hours per day, parents should understand if their child is feeling anxious or upset and even help them improve their self-esteem by reminding them that social media is not real, it is simply a virtual world. In certain cases, professional help must be sorted. Moderate and controlled use of social media is an enabler of healthy relationships, when it becomes excessive and addictive it becomes a deterrent to positive mental health.

Dr Prerna Kohli, eminent Psychologist, Founder, MindTribe.in

PARENTS SHOULD SAFEGUARD THEIR CHILDREN FROM SOCIAL MEDIA ADDICTIONS BY ENRICHING THEIR ENVIRONMENT

The challenging times of the Covid-19 pandemic created tremendous turbulence through all walks of life. The global lockdown led to the shutting of many important physical settings, one of them being schools. The schools were operating online, allowing the children an increase in the usage of mobiles, laptops, computers, and other electronic gadgets. As the parents also went online with their occupation, they were unable to provide supervision concerning the amount of screen time and the content watched by the children. With the provision of interesting social media platforms like Instagram, Twitter, Facebook, and Whatsapp, there is a constant urge and impulsivity in the children to post or watch the content on these social media sites. This excessive usage is likely to bring up issues like body image concerns, peer pressure, cyberbullying, exploitations, low self-esteem and many others.

  Here comes the responsibility of the parents to supervise their children. They can divide this into two categories, mandatory and recreational. Since mandatory cannot be avoided, recreational usage can be altered. The parents must fix a time discussing with their children regarding the usage and should also make verbal contracts with them to make them feel responsible. Positive and negative reinforcements can be applied by the parents. Being friendly will help them open up with the kids. The possibility of exploitative content available on the media should be conveyed by the parents. 

Further, a cognitively stimulating environment will help them avoid engagements in such platforms. We often blame our children for using the internet but as parents, it is important to safeguard our children from such addictions by enriching their environment.

Prachi Kohli, counselling psychologist, Apollo spectra hospital, Karol bagh

WHILE TEENS HAVE ACCESS TO NEW MEDIA, THEY MUST BE MADE AWARE OF THEIR RIGHTS AND RESPONSIBILITIES AND THE LEGAL IMPLICATIONS

The Covid pandemic has impacted the lives of children from toddlers to teenagers in a major way. They seem to spend more time at home due to restrictions; learning is happening on screens, chatting with friends and peers is also happening on various social media platforms. While social media has become a major medium of entertainment, flaunting one’s skills and looks, it has also turned into a major source of information for teenagers who spend their major time on phones or laptops. However, they need to know that no child can have a personal social media account before 13 years of age. They must refrain from sharing their friends’ pictures or content. Bullying can happen on social media and teenagers need to be aware of that. For any news, do not refer to social media rather perform a detailed search on their own as the information on social media can be personal views and may not be reliable. While our teenagers have access to this new media, they must be made aware of their rights and responsibilities and their legal implications.

Dr Himani Narula, Developmental Pediatrician and Co-Founder, Continua Kids

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