Amazing Facts

It is nearly impossible to lick your elbow.

Our eyes are always the same size from birth, but our nose and ears
never stop growing.

An ostrich's eye is bigger than its brain.

  A duck's quack doesn't echo, and no one knows why.
 
Only one person in two billion will live to be 116 or older.

The cigarette lighter was invented before the match.

In Cleveland, Ohio, it's illegal to catch mice without a hunting license.

A roach will live nine days without its head.

The only reason it doesn't live longer is it's unable to eat.

Rats can't vomit - that's why rat poison works.

Vatican City is the smallest country in the world,

with a population of 1000 and a size 108.7 acres.

More than 50% of the people in the world
have never made or received a telephone call.

Rats multiply so quickly that in 18 months,
two rats could have over a million descendants.

Most lipstick contains fish scales.

Like fingerprints,
everyone's tongue print is different.

Over 75% of people who read this
will try to lick their elbow.

FOOD POISONING

Introduction:

Food poisoning is an acute gastroenteritis caused by the consumption of a food material or a drink which contains the pathogenic micro organism or their toxins or poisonous chemicals.Food poisoning is common in hostels,hotels,communal feedings, and festivel seasons.

A group of persons will be affected with same type of symptoms ,and they give a history of consumption of a common food before few hours.

Types of food poisoning

1) Bacterial food poisoning:

Here the micro organisms called bacteria are responsible.The food material may contain the pathogenic bacteriae or their toxin and will be ingested along with the food.

2) Non bacterial food poisoning:

Due to the presence of toxic chemicals like fertilizers,insectisides,heavy metals and ect.

Since bacterial food poisoning is common it is discussed here.

Bacterial food poisoning:

All bacteria are not harmful.There are some pathogenic bacteria which secrete toxins and cause clinical manifestations.These organisms enter the human body through food articles or drinks.

How food poisoning occures:

1) Presence of bacteria in the water.

2) The raw materials for the food may contain toxins.

3) Premises where the food is prepared may contain micro organisms or toxins.

4) Food handlers may have some infectious diseases.

5) Some animals like dogs,rats may contaminate the food.

6) If prepared food is kept in the room temperature for a long time and heated again can make a chance for food poisoning.

7) Purposely some body mixing toxins in the food.


Some common bacterial food poisonings.

1) Salmonella food poisoning:

There are three different varieties of salmonella bacteria.(salmonella typhimurium,salmonella cholera suis,salmonella enteritidis) These bacteria are present in milk, milk products and eggs.  Symptoms of this food poisoning include nausea, vomiting and diarrhoea.  Fever is also common.

2) Botulism:

This is the dangerous type of food poisoning caused by clostridium botulinum.   The spores of these organisms are seen in the soil and enters the human body through pickles and canned fish ect.Compared to other food poisonings here vomiting and diarrhoea are rare Mainly the nervous system is affected.The symptoms starts with double vision,numbness with weakness.Later there will be paralysis with cardiac and respiratory failure ending in death.

3) Staphylococcal food poisoning:

It is caused by staphylo coccus aureus. These organisms usually cause skin troubles like boils and eruptions.It causes mastitis in cow.Through the milk and milk products it enders and causes gastroenteritis.There will be vomiting,abdominal cramps with diarrhoea.

4) Closteridium food poisoning:

This is caused by closteridium perfringens.They are present in stool,soil and water. They enter the body through,meat,meat dishes and egg ect.If food articles are cooked and kept in room temperature for a long time and heated again before eating can result this food poisoning.Symptoms include vomiting ,diarrhoea and abdominal cramps.

5) Bacillus cereus:

The spores of these organisms can survive cooking and causes enteritis.  Diarrhoea and vomiting is common in this infection.


How to investigate food poisoning?

1) Examine each and every person affected.

2) Water sample should be tested.

3) Kitchen, store room and food samples should be examined.

4) The cook and food handlers should be questioned and examined.

5) Samples of vomitus and stool of all victims should be tested to identify the bacteria.


How to prevent food poisoning:-

1) Only purified water should be used.

2) Hygiene should be maintained by all persons keeping contact with food.

3) Workers should use masks, cap and gloves during cooking and serving.

4) Sick individuals should not come in contact with food materials.

5) Kitchen and premises should be neat and clean.

5) Vessels should be washed with soap and hot water.

6) Should not keep the prepared food for a long time in room temperature.

7) All food materials should be kept in closed containers.

8) Animals like dog, cat, rat ect should not come in contact with food materials.

9) Vegetables should be washed before cooking.

10) Meat should be fresh and should be purchased from recognised slaughter house.

HERNIA

Introduction

Hernia is an abnormal protrusion of internal organs through an abnormal opening in the wall of the cavity.A combination of increased pressure inside the body with weakness in the wall is responsible for this condition.In this condition internal organs or parts of organs are protruded out forming a swelling which will increase the size with coughing and lifting weight,and while passing stool and urine.In lying down position the swelling goes inside except in strangulated and irreducible hernia.

Causes:-

1, Weakness in the body wall:--

a) Congenital weakness.

b) Acquired weakness due to injuries,wasting of muscles,suppurative lesions in the wall and presence of weak natural openings,obesity,lack of exercise,repeated pregnancy.

c) Surgical operation with improper suturing or sepsis of operated site.


2) Increased pressure inside the body.
  
a) Chronic constipation.

b) Recurrent cough.

c) Weight lifting.

d) Stricture of urethra.

Common sites for hernia:--

Hernia can occure anywhere in the body.However there are some common sites for hernia.Due to the presence of hard bony covering chest wall is normally not affected.Hernia in the lower back is also rare due to spine and back muscles and tough ligaments and sheeths.The common site for hernia is abdominal wall.Compared to other parts the abdominal wall is weak due to the presence of some natural orifices.There are some areas wherein the abdominal muscles are weaker and thin and all these factors make a chance for herniation.The common sites for hernia are following.

a) Inguinal hernia:

Here the abdominal contents protrude through the inguinal canal (passage in the lower abdominal wall just above the inguinal ligament.It is seen on either side).This type is common in males.Initially the swelling comes only while straining and goes back while lying down. Later the large portion of intestine may come out which may not go back easily.
   
b) Femoral hernia:

This type of hernia is more in females.Here the abdominal contents pass through the femoral canal which is seen just below the junction between the thigh and lower abdominal wall(Inside the femoral triangle).The contents pass downwards and comes out through saphenous opening in the thigh and forms a swelling under the skin.

c) Umbilical hernia:

This is common in children.The umbilicus is the weaker part of the abdomen.The contents of the abdomen may protrude as a bulb like swelling while crying and defecating.

d) Incisional hernia:

These hernias are seen in operated sites. Due to improper suturing or sepsis the operated site becomes weak resulting in hernia.
   
e) Epigastric hernia:

Here the hearniation occures in the epigastrium. It is a rare type.

f) Lumbar hernia:

Here the hernia appear in the lumbar area on either side of the lumbar spine(in the lumbar triangle).This is also a rare type.

g) Obturator hernia:

This is a rare type of hernia. Here the contents pass through obturator foramen in the pelvic bone.


Complications of hernia:--

1) Strangulation:

If the hernial orifice is narrow the abdominal contents may not go back easily, and later the blood flow to the herniated tissues may be blocked due to constricition.This can cause death of protruded intestine.

2) Intestinal obstruction:

This occures when the whole portion of the intestine is protruded in to the hernial sac. The narrow hernial orifice will block the passage of bowels.

3) Infection and peritonitis:

If there is strangulation with death of a portion of intestine there will be spread of infection to the abdomen resulting in peritonitis.

Treatment of hernia:--

Initial treatment: In the initial stages of hernia the following steps may be useful

1) Use of hernia belt:

Special types of hernia belts are available for each type of heania.This will prevent the protrusion and will reduce pain.

2) Constipation,recurrent cough,urinary obstruction ect should be treated.

3) Fat reduction will increase the strength of abdominal wall.

4) Abdominal exercises to increase the muscle tone.

5) Take plenty of leafy vegetables, fruits and fibrous diet for easy bowel movements.

6) Try other systems like Homoeopathy,Herbal medicine and ect

If no relief by the above steps consult a general surgeon for surgical management.

Surgical treatment.

The following operations are done depending up on the type and nature of hernia.

1) Hertniotomy : In this operation the contents of hernial sac is pushed in to the abdomen and neck of the sac is ligated with transfixion ligature and the sac is cut off.

2) Herniorrhaphy: Here along with herniotomy the posterior wall is repaired.

3) Hernioplasty: This operation is done if herniotomy is not possible due to wide neck of the sac.Here the repair is done with the healp of non absorbable materials like tantalum gauze,polypropylene mesh or stainless steel mesh.

PILES

BRIEF IDEA ABOUT PILES (Hemorrhoids)

What is piles ?
 
Dilatation of radicles of rectal veins within the anal canal is called piles.The medical term for piles is hemorrhoids.Compared to arteries veins are weak due to thin walls and hence any backpressure in the veins can make them tortuous.There are three rectal veins namely superior, middle and inferior rectal veins.Any obstructions or increase of pressure in these veins can predispose piles.

Depending upon the situation there are two types of piles.

1) External piles.         2) Internal piles.

1) External piles:-

This type of piles is seen outside the anal opening and is covered by skin.It is black or brown in colour.This type of piles is very painful due to rich nerve supply in this area.

2) Internal piles:-

It is inside the anal canal and internal to the anal orifice.It is covered by mucous membrane and is red or purple in colour.These piles are painless.

Some times internal and external piles occure in same individual.

Factors responsible for piles:--

1) This is a familial disease.

2) Piles is seen only in animals maintain an erect posture. This is due to congestion in the rectal veins due to the effect of gravity.

3) It is common in individuals having chronic constipation.Those who have a habit of visiting the toilet due to frequent urge for stool may develop piles in future.

4) Piles is common in those who take excess of chicken, prawns, spicy food ect.Those who take vegetables and fibrous food are rarely affected.

5) Some ladies get piles during pregnancy due to compression of rectal veins by the uterus.

6) Cancerous lesions in the rectum can obstruct blood flow and result in piles.

Signs and symptoms of piles:--

1) Pain:-

Pain is common in external piles which will be worse while straining at stool.

2) Bleeding:-

Bleeding comes in splashes while pressing for stool.Bleeding may be profuse in some cases.

3) Protruding mass:-

In external piles the swelling can be felt around the anal orifice.In case of internal piles initially it can not be felt.When the disease progresses the piles protrude during stool and will go inside automatically.When the condition becomes worse the protruded piles will not go back in to the anus.

4) In some cases there will be discharge of mucus with itching around the anal orifice.

Complications of piles:--

1,Infection: The infection can spread to deep veins resulting in septicaemia.
2,Fibrosis: Here the piles become fibrosed with hardening of anal orifice.
3,Thrombosis: Here the blood inside the piles will form clots and can obstruct blood flow.
4,Gangrene: Here the tissues in the piles and nearby skin die due to lack of blood supply.
5,Suppuration: When the piles suppurate it can produce abscess with discharge of pus.

Treatment of piles:--

Initially it is treated on the basis of symptoms.Constipation should be treated.If there is anaemia iron should be give.Homoeopathic medicines can give good results. If medicinal treatment is not giving any result the following can be tried.

1) The thrombosed external pile is excised under local anaesthesia.

2) Sclerosant injection therapy can reduce the size of piles.

3) Rubber band ligation around the neck of piles is useful in some cases.

4) Cryosurgery is very effective.

5) Anal dilatation can reduce constipation and pain.

6) Haemorrhoidectomy is the surgical removal of piles.


How to prevent piles?

1) Eat plenty of fruits and vegetables.

2) Take fibrous food.

3) Avoid excess intake of meat,prawns,crabs ect.

4) Keep a regular timing for food.

6) Drink sufficient quantity of water.

7) Keep a regularity in bowel habits.

8) Take treatment for constipation.

COMBING HAIR

Precautions to be taken while combing hair

Hair combing is a routine activity of almost all people.Some people keep a particular hair style throughout their life and some especially younger generation adopt new styles according to new trends and fashion.Hair styles has got close relation with the personality of a person.The hair of an unhygeinic person is usually tangled and dirty because of lack of washing and combing.To have a healthy scalp hair proper nutrition is needed.General health has got direct relation with the quality and quantity of hair.Regular washing,use of hair oil,proper combing ect are also needed to make the hair beautiful.General hints for combing is discussed here.

1) Different varieties of combs are available in the market.The best comb is selected by considering the nature of hair(hard or soft,long or short) ,style and convenience.
 
2) Combing should be done with utmost care and concentration.Some people especially gents think about some other matters and comb without any care which may be harmful to the hairs.

3) Combing should be gentle .A vigorous combing can increase hairfalling.

4) Do not comb if the hair is wet.  First dry it with a towel and then put some oil and gently massage it.Now the combing will be easy and harmless.

5) Should not be combed in the opposite direction of hairs.This can increase hair falling.

6) Vigorous combing in backward direction can produce traction baldness.

7) Frequent combing can damage the scalp and the hair follicles.Those who carry pocket comb use it frequently and make it a habit.Combing two or three times in a day is sufficient.

8) The tooth of the comb should not be sharp and it should not be pressed too tightly on the scalp.

9) Always clean the comb before and after use because hair and dirt deposited in the gap will make combing diffucult and painful.

10) Others comb should not be used.This helps to prevent fungal and bacterial infections.Head lice can also spread from one person to other by sharing the combs.

11) Combing the tangled hair is difficult and painful.Hence use some shampoo for cleaning and after drying  put oil and make the hairs free for an easy combing.

BAD BREATH Part3

Homoeopathy  for bad breath

Offenssive smell from the mouth is a common complaint in the day to day medical practice.It mainly affects those who mingle with others very closely. Bad breath is noticed mainly by the friends & family members or some times person himself feel it and come to the doctor.Many badbreathers develop depression which forces them to be away from the society which in turn hampers their activities.
                               
The protein in the food debris are degraded by the anaerobic bacteria present in the mouth.Offenssive odor is produced due to release of  some gases like hydrogen sulphide,skatol ect due to bacterial activity.Formation of a thin sticky membrane on the tongue favoures bacterial growth.Bactrera are also seen in the crypts of tonsils ,dental caries,dental pockets ect.Bad breath is associated with oral hygiene,caries,gingivitis,tonsillitis,tonsillar plaques,food habits,water intake ,tobacco chewing,stomach and liver diseases and ect.

Homoeopathy is a system of medicine introduced by a german physician Dr Samuel Hahnemann.Homoeopathy treats the diseased individual as a whole rather than treating diseased parts or organs.The physical,mental,emotional,social spheres of a person is considered for a permanent cure.This system believes that the diseases are caused due to the derangement of vital force which is an invisible power in every individual.In a healthy state the vital force maintains the equilibrium of mind body and soul .During this man will have normal sensations and functions.When the vital force gets affected there will be external manifestations in the form of signs and symptoms.The imbalance in the body functions makes a shelter for forign organisms(bacteria,viruses,fungi,protozoa ect) and allow them to proliferate &produce so called diseases.Homoeopathy believes thet the real desease comes before the bacteria & viruses,hence the root cause of the disease has to be treated for a permenent cure.The antibacterial and antiviral agents only remove the secondary causes mentioned above.

Diseases are produced by noxious morbific agents called Miasms which are dynamic influences which affect the vital force.There are mainly three miasms PSORA ,SYPHILIS&SYCOSIS. These three causes are accepted by other schools of medicine but called by different names. Psora causes functional disturbances, syphilis cause structural changes in the form of destructions and sycosis causes changes in the form of overgrowth.These three miasms can act individually or in combined form producing different disease conditions.

To treat bad breath with homoeopathic medicine is easy if correct remedy in suitable dose is given. In the homoeopathic medical repertory by Dr Robin Murphy there are 140 homoeopathic drugs mentioned for bad breath.So just giving one drug for bad breath may not give good result.To come to a correct remedial diagnosis we should have the symptomatology of the person .It is the total symptoms of a person which includes mental generals,physical generals,particular symptoms ect.Bad breath is considered as a physical general symptom .Eventhough it comes only from a part of the body it affects the whole individual.

Symptoms related with appetite,thirst,bowels ect are included in physical generals.
All signs and symptoms (mental&physical)of the person is taken in detail.Knowledge about past illneses,family history of diseases,food & bowel habits,relation to climatic changes and constitution ect are noted down in a systematic order.

Mental symptoms:

example: fear,anxiety,depression,anger,jealousy and ect....

Physical symptoms:

example: Body makeup,appetite,thirst,desires,aversions,bowels,urination,sleep,taste, nature of smell,discharges any abnormal sensations like pain, burning ,climatic changes,thermal relations, and ect....

Peculiar uncommon symptoms:

This is the speciality of homoeopathic system of medicine.For the selection of a suitable remedy these symptoms are very important.common symptoms which are seen almost in all patients are least important.

particular/local signs&symptoms:

This include signs &symptoms related to body parts &organs.

example: Coating on the tongue,nature of mucus membrane of  oral cavity, tonsils, gums, teeth, ulcers, discolourations ect are considered here.

Systemic & general physical examination:-

Bad breath can be due to various systemic and disorders.Hence all systems ( respiratory system ,digestive system,nervous system, cardio vascular system and ect )and parts from head to foot should be examined.

provisional disease diagnosis;  Here probable diseases are diagnosed. In homoeopathy disease diagnosis is not that much important for the selection of a  remedy,but needed for general management and to know the prognosis.

Investigations:

This includes lab investigations and other methods to find  out any other major illnesses.
                                                                                                                         
Final disease diagnosis:

After doing all investigations the disease is diagnosed.

Remedial diagnosis:

This is the most importnant part as far as homoeopathy is concerned. For this the selected symptoms are arranged in a systematic order on the basis of importance.                            
symptoms are analysed to find out the importance of each symptom for the selection of a remedy.Remedies are selected on the basis of similarity.[the basic principle of homoeopathy is 'similia similibus curenter' means like cures like.A medicine which can produce some symptoms in a healthy man can be used as a remedy to trea the similar symptoms in a diseased person.Each homoeopathic drug is proved on healthy human beings and the symptoms collected by this process(drug proving) is written in meteria medica.]

Suitable remedies are diagnosed by a process called repertorisation. Here books called repertories are used. Repertory is the index of symptoms of materia medica(books which  contain the symptoms of drugs).Nowadays computer softwares are used for repertorisalion.By this process we will get the remedies covering  maximum important symptom of the patient.

Amoung this group of remedies  the most suitable remedy is selected by referring various books and history of the patient..The selected medicine is given in suitable potency & dose.

ANTI MIASMATIC TREATMENT:

The root cause of disease is miasms which should be eradicated using suitable anti miasmatic drugs.Every drug can eradicate the miasm if there is symptom similarity.there are anti psoric drugs,anti syphilitic drugs and anti sycotic drugs.After diagnosing the miasm suitable anti miasmatic drug has to be given to complete the cure.

[In homoeopathy medicines are prepared from different sources like minerals, plants, animals, toxins, diseased parts ect. Medicines are prepared from these substances by a special process called potentisation.Here the soluble  substances are potentised by diluting with spirit and insoluble substances by grinding with sugar of milk.The crude drug substance is first mixed with a calculated quantity of spirit and water and kept for few days .From this mixture extract is taken and is called mother tincture(denoted as Q).From this mother tincture dilutions are prepared by potentisation.Potentisation is a mathematical process by which the quantity of original drug substance reduces but medicinal power increases. Depending upon the ratio of quantity of drug substance and vehicle(spirit or sugar of milk)there are different scales for this process.Each scale has got different potencies which indicate power of medicine.Example in decimal scale 3x,6x.12x ect.in centisimal scale there is 30c,200c ect,in LM poteny there are 0/1,0/2,0/3 ect.potency is written after the name of every medicine]

Same medicine is available in different potencies. Suitable potency is selected according to so many facters like sevearity,depth of disease,condition of the patient ,nature of disease ,type of symptoms,age of patient and ect.

Some useful homoeo drugs for bad breath.

Arnica montana, Antim crude, Ars alb, Asafoetida, Aurum met, Baptisia,    Bryonia,Borax,Calc carb, Carbo veg, Cinchona, Chelidonium, Graphites,  Kali bich ,Kreosotum, Lachesis, Lycopodium, Merc sol, Natrum mur,  Nitricum acidum, Nux vomica, Plantago, Pulsatilla, Phos, Pyrogen, Sulphur etc.

1) Arnica montana:

This medicine is useful for fetid breath.Mouth is very dry with thirst for water.Bad breath associated with fever.There is bleeding from the gum,may be after tooth extraction or after injury.Offenssive gas pass upwards and downwards from stomach.Petient is very sensitive to touch with sore and bruised feeling allover the body.

2) Antim crude:

Useful for bad breath with gastric complaints and coated tongue.This medicine act mainly on filthy persons with aversion to bathing.Tongue is coated white like fur.Nostrils and lips are cracked .Eructations are putrid.Very useful for badbreath in children


3) Ars alb:

All discharges are having cadeveric smell.Saliva is bloody with bad odor.Thirst for  warm water is well marked. This medicine act well in debilitated and emaciated persons.Bad  breath associated with gastric disorders.Vomiting from slightest food or drink and intolerance of  vegetables and watery fruits.Mentally these patients are fastidious with an insecurity  feeling.They are having fear of death or serious disease with restlessness and anxiety.

4) Asafoetida:

Useful for bad breath associated with eructations.Great distension of abdomen with sensation of a ball rising in throat.All discharges are offenssive.Reverse peristalsis with loud eructations.This medicine act well on hysterical persons.

5) Aurum met:

Useful for bad breath in girls at puberty. There is ulceration in gums with putrid or bitter taste. Destruction in body tissues like bone is noticed in these patients.This medicine act well on persons who are tired of life with suicidal thoughts.They also have a feeling that they have done an unpardonable crime.


6) Baptisia:

Breath fetid with bitter taste.Gums sore and ulcerated.Yellowish brown coating on centre of tongue with glistening edges.Surface of the tongue is cracked.These patients feel difficult to swallow solid food.Tonsils are enlarged without pain.Useful for painless tonsillitis &   pharyngitis with putrid smell.All discharges are offenssive.This medicine act well on persons having besoted look.There is a tendency for stupor and delirium in these persons.
                                       
7) Borax:

Useful for bad  breath associated with apthous ulcer in the mouth.Also effective for fungal infection of the mouth.Mouth is very hot and tender.Ulcers bleed on touch.Very useful for  bad breath in children with ulcers in the mouth.Child is having fear of doward motion.

8) Bryonia:

Irritable persons who always talk about business.Lips parched dry and   cracked.Tongue coated dark brown with bitter taste in the mouth.Thirst for large quantity of  cold  water is well marked.Heaviness in abdomen after eating.Usually constipated with hard  dry  stools.


9) Calcarea fluor:

Plugs of mucus are continually forming in the crypts of the tonsils.Unnatural looseness of the teeth with or without pain.Prone to get caries with discolouration.Tonsils are    enlarged with recurrent infection.


10) Carbo veg:

These patients are weak and debilitated .All body discharges are profuse with   cadeveric smell.Gums are retracted and bleed easily.Frequent putrid eructations with distention   of  abdomen.Complaints ameliorted by passing flatus.Can't tolerate meat and fat.Involuntary    diarrhoea at night.Wants to be fanned from a close distance.


11) Chelidonium:

Tongue yellow with imprint of teeth.Bad odor with bitter taste in the  mouth.Useful for bad breath with liver complaints.Thirst for hot liquids.Patient feels better by eating.  Constipation with hard round stools.Constipation alternating with diarrhoea.

12) Graphites:

This medicine act well on obese patients with skin troubles.Breath smells like urine.Rotten odor with salivation and blisters in the mouth.Sour eructations with gastric complaints.Skin complaints with sticky discharges.Gastric pain ameliorated by eating .

13) kali bich:

Bad breath with gastric ulcer.There are round ulcers in the mouth.Saliva viscid.  Vomiting with bitter taste.Tongue is smooth .Craves bear.Gastric complaints alternating with rheumatism.

14) kreosotum:

Teeth dark and crumbly.Bitter taste in the mouth with putrid odour.Very rapid decay of teeth.All discharges are very offenssive.Gums spongy and bleed easily.Bad breath associated with caries and gastric complaints.

15) Lachesis:

This medicine act on dark restless patients with jelousy.Tongue is black  coloured.   Complaints are aggravated during sleep.Wants fanning from a long distance.Cannot tolerate tight cloathing around body.Complaints aggravated in hot climate.

16) Lycopodium:

Act well on intelligent people who are physically weak.They have lack of self confidence.Useful for badbreath associated with sour eructations with burning in throat.  Teeth excessively painful to touch.There are blisters on the tongue.Wants warm food and drinks.These   people are usually constipated .Craving for sweets well marked.

17) Merc sol:

Sweetish metallic taste in the mouth with bloody viscid saliva. Gum is spongy and  bleed easily.Mouth is moist with increased thirst.Teeth indented. Crown of the teeth decay.Fetid odor from the mouth can be felt all over the room.Ulcerations in the mouth with bleeding.All body discharges are offenssive.All complaints are aggravated at night.

18) Nux vomica:

This medicine act well on people who lead a sedentery life.They are very short tempered and become angry very easily.They are very busy in their occupation and enjoy modern civilised life with all types of food and drink.Bad breath is more after meals and in the morning. Posterior part of the tongue is coated and anterior part is clean.Sour taste in the mouth with nausea in the morning.They have got frequent urge for stool.Heavy feeling in abdomen after food is noticed.

19) Plantago:

Dental caries with severe toothache.Pain better by eating.Salivation is better by eating.  Toothache with swelling of gums.Gargling plantago Q is useful to get relief from   toothache due to caries.

20) Pulsatilla:

Act well on mild and gentle ladies with a yielding disposition.Patient is very timid with a weeping tendency.Bad breath is noticed mainly in the morning.Mouth is very dry but dosn't want to drink water.  Yellow or white tongue covered with a  tenacious mucus.Taste is altered.Taste of food remains in the mouth for a long  time.Patient wash the mouth frequently.

21) Psorinum:

Act well on unclean patients with bad odor.  Hawking up of cheesy, pea like balls of   disgusting smell and taste is the main cause for bad breath in these patients.Tonsils are swollen with profuse offenssive saliva.Quinsy with tough mucus in throat.All body secretions are filthy.Eructations taste like bad eggs.Very hungry and getup even at midnight for food.Swallowing is painful with pain in ears.

22) Pyrogen:

Bad breath of septic origin is cured with this medicine.Taste terribly fetid with horrible breath,tongue red ,dry ,smooth asif varnished.Bad breath associated with high fever and   coffeground vomiting. In general patients body is very sensitive to touch,can't rest on bed because of bruinsed pain.All discharges are offenssive.  

23) Sulphur:

This medicine act best on dirty & filthy people with offenssive odor and a tendecy for skin diseases.Lips dry bright red with burning sensation..Tongue white with red tip & borders.Bitter taste in the morning. Eructations are putrid.Burning in all parts of the body. Aversion to bathing  is well marked.Not bothered about hygiene ,still they believe that they are having superhuman powers.  These individuals are very selfish.

Some homoeo mother tinctures (Q) useful for bad breath.

[mother tincture should not be taken directly because it can produce burning sensation,hence 10 drops should be mixed in half glass of water and taken internally or used for gargling]


1) Cinnamon  Q : This mother tincture can be used for gragling after diluting with  water.Also useful for bleeding from gums.

2) Eucalyptus  Q : This tincture can be used as a mouth wash after mixing with water.Internal use of this medicine can remove mucus from the respiratory tract.Also useful for cold and coryza.
 
3) Zingiber  Q : Useful for bad breath associated with gastric complaints.  This medicine can improve digestion.Also used for gargling.

4) Rhus glabra Q : Gargling of this tincture is very useful for ulcerative lesions in the mouth like aphthous ulcer.Internal use of this tincture can reduce the bad smell of stool & flatus.

5) Oleum caryophyllum Q : Gargling of this tincture can reduce toothache.Due to it's fregrant quality very useful to reduce bad breath.

6) Balsamum peru Q : This medicine can remove the mucus from respiratory tract hence very useful in chronic bronchitis and lung abscess.Can heal the ulcers in the mouth by gargling  this tincture,it can also produce pleasent smell from the mouth.

7) Menthol Q  : This is a main ingradient in tonics and syrups.Gargling of this tincture reduces  bad breath.
 
               

BAD BREATH Part 3

Homoeopathy  for bad breath

Offenssive smell from the mouth is a common complaint in the day to day medical practice.It mainly affects those who mingle with others very closely. Bad breath is noticed mainly by the friends & family members or some times person himself feel it and come to the doctor.Many badbreathers develop depression which forces them to be away from the society which in turn hampers their activities.
                               
The protein in the food debris are degraded by the anaerobic bacteria present in the mouth.Offenssive odor is produced due to release of  some gases like hydrogen sulphide,skatol ect due to bacterial activity.Formation of a thin sticky membrane on the tongue favoures bacterial growth.Bactrera are also seen in the crypts of tonsils ,dental caries,dental pockets ect.Bad breath is associated with oral hygiene,caries,gingivitis,tonsillitis,tonsillar plaques,food habits,water intake ,tobacco chewing,stomach and liver diseases and ect.

Homoeopathy is a system of medicine introduced by a german physician Dr Samuel Hahnemann.Homoeopathy treats the diseased individual as a whole rather than treating diseased parts or organs.The physical,mental,emotional,social spheres of a person is considered for a permanent cure.This system believes that the diseases are caused due to the derangement of vital force which is an invisible power in every individual.In a healthy state the vital force maintains the equilibrium of mind body and soul .During this man will have normal sensations and functions.When the vital force gets affected there will be external manifestations in the form of signs and symptoms.The imbalance in the body functions makes a shelter for forign organisms(bacteria,viruses,fungi,protozoa ect) and allow them to proliferate &produce so called diseases.Homoeopathy believes thet the real desease comes before the bacteria & viruses,hence the root cause of the disease has to be treated for a permenent cure.The antibacterial and antiviral agents only remove the secondary causes mentioned above.

Diseases are produced by noxious morbific agents called Miasms which are dynamic influences which affect the vital force.There are mainly three miasms PSORA ,SYPHILIS&SYCOSIS. These three causes are accepted by other schools of medicine but called by different names. Psora causes functional disturbances, syphilis cause structural changes in the form of destructions and sycosis causes changes in the form of overgrowth.These three miasms can act individually or in combined form producing different disease conditions.

To treat bad breath with homoeopathic medicine is easy if correct remedy in suitable dose is given. In the homoeopathic medical repertory by Dr Robin Murphy there are 140 homoeopathic drugs mentioned for bad breath.So just giving one drug for bad breath may not give good result.To come to a correct remedial diagnosis we should have the symptomatology of the person .It is the total symptoms of a person which includes mental generals,physical generals,particular symptoms ect.Bad breath is considered as a physical general symptom .Eventhough it comes only from a part of the body it affects the whole individual.

Symptoms related with appetite,thirst,bowels ect are included in physical generals.
All signs and symptoms (mental&physical)of the person is taken in detail.Knowledge about past illneses,family history of diseases,food & bowel habits,relation to climatic changes and constitution ect are noted down in a systematic order.

Mental symptoms:

example: fear,anxiety,depression,anger,jealousy and ect....

Physical symptoms:

example: Body makeup,appetite,thirst,desires,aversions,bowels,urination,sleep,taste, nature of smell,discharges any abnormal sensations like pain, burning ,climatic changes,thermal relations, and ect....

Peculiar uncommon symptoms:

This is the speciality of homoeopathic system of medicine.For the selection of a suitable remedy these symptoms are very important.common symptoms which are seen almost in all patients are least important.

particular/local signs&symptoms:

This include signs &symptoms related to body parts &organs.

example: Coating on the tongue,nature of mucus membrane of  oral cavity, tonsils, gums, teeth, ulcers, discolourations ect are considered here.

Systemic & general physical examination:-

Bad breath can be due to various systemic and disorders.Hence all systems ( respiratory system ,digestive system,nervous system, cardio vascular system and ect )and parts from head to foot should be examined.

provisional disease diagnosis;  Here probable diseases are diagnosed. In homoeopathy disease diagnosis is not that much important for the selection of a  remedy,but needed for general management and to know the prognosis.

Investigations:

This includes lab investigations and other methods to find  out any other major illnesses.
                                                                                                                         
Final disease diagnosis:

After doing all investigations the disease is diagnosed.

Remedial diagnosis:

This is the most importnant part as far as homoeopathy is concerned. For this the selected symptoms are arranged in a systematic order on the basis of importance.                            
symptoms are analysed to find out the importance of each symptom for the selection of a remedy.Remedies are selected on the basis of similarity.[the basic principle of homoeopathy is 'similia similibus curenter' means like cures like.A medicine which can produce some symptoms in a healthy man can be used as a remedy to trea the similar symptoms in a diseased person.Each homoeopathic drug is proved on healthy human beings and the symptoms collected by this process(drug proving) is written in meteria medica.]

Suitable remedies are diagnosed by a process called repertorisation. Here books called repertories are used. Repertory is the index of symptoms of materia medica(books which  contain the symptoms of drugs).Nowadays computer softwares are used for repertorisalion.By this process we will get the remedies covering  maximum important symptom of the patient.

Amoung this group of remedies  the most suitable remedy is selected by referring various books and history of the patient..The selected medicine is given in suitable potency & dose.

ANTI MIASMATIC TREATMENT:

The root cause of disease is miasms which should be eradicated using suitable anti miasmatic drugs.Every drug can eradicate the miasm if there is symptom similarity.there are anti psoric drugs,anti syphilitic drugs and anti sycotic drugs.After diagnosing the miasm suitable anti miasmatic drug has to be given to complete the cure.

[In homoeopathy medicines are prepared from different sources like minerals, plants, animals, toxins, diseased parts ect. Medicines are prepared from these substances by a special process called potentisation.Here the soluble  substances are potentised by diluting with spirit and insoluble substances by grinding with sugar of milk.The crude drug substance is first mixed with a calculated quantity of spirit and water and kept for few days .From this mixture extract is taken and is called mother tincture(denoted as Q).From this mother tincture dilutions are prepared by potentisation.Potentisation is a mathematical process by which the quantity of original drug substance reduces but medicinal power increases. Depending upon the ratio of quantity of drug substance and vehicle(spirit or sugar of milk)there are different scales for this process.Each scale has got different potencies which indicate power of medicine.Example in decimal scale 3x,6x.12x ect.in centisimal scale there is 30c,200c ect,in LM poteny there are 0/1,0/2,0/3 ect.potency is written after the name of every medicine]

Same medicine is available in different potencies. Suitable potency is selected according to so many facters like sevearity,depth of disease,condition of the patient ,nature of disease ,type of symptoms,age of patient and ect.

Some useful homoeo drugs for bad breath.

Arnica montana, Antim crude, Ars alb, Asafoetida, Aurum met, Baptisia,    Bryonia,Borax,Calc carb, Carbo veg, Cinchona, Chelidonium, Graphites,  Kali bich ,Kreosotum, Lachesis, Lycopodium, Merc sol, Natrum mur,  Nitricum acidum, Nux vomica, Plantago, Pulsatilla, Phos, Pyrogen, Sulphur etc.

1) Arnica montana:

This medicine is useful for fetid breath.Mouth is very dry with thirst for water.Bad breath associated with fever.There is bleeding from the gum,may be after tooth extraction or after injury.Offenssive gas pass upwards and downwards from stomach.Petient is very sensitive to touch with sore and bruised feeling allover the body.

2) Antim crude:

Useful for bad breath with gastric complaints and coated tongue.This medicine act mainly on filthy persons with aversion to bathing.Tongue is coated white like fur.Nostrils and lips are cracked .Eructations are putrid.Very useful for badbreath in children


3) Ars alb:

All discharges are having cadeveric smell.Saliva is bloody with bad odor.Thirst for  warm water is well marked. This medicine act well in debilitated and emaciated persons.Bad  breath associated with gastric disorders.Vomiting from slightest food or drink and intolerance of  vegetables and watery fruits.Mentally these patients are fastidious with an insecurity  feeling.They are having fear of death or serious disease with restlessness and anxiety.

4) Asafoetida:

Useful for bad breath associated with eructations.Great distension of abdomen with sensation of a ball rising in throat.All discharges are offenssive.Reverse peristalsis with loud eructations.This medicine act well on hysterical persons.

5) Aurum met:

Useful for bad breath in girls at puberty. There is ulceration in gums with putrid or bitter taste. Destruction in body tissues like bone is noticed in these patients.This medicine act well on persons who are tired of life with suicidal thoughts.They also have a feeling that they have done an unpardonable crime.


6) Baptisia:

Breath fetid with bitter taste.Gums sore and ulcerated.Yellowish brown coating on centre of tongue with glistening edges.Surface of the tongue is cracked.These patients feel difficult to swallow solid food.Tonsils are enlarged without pain.Useful for painless tonsillitis &   pharyngitis with putrid smell.All discharges are offenssive.This medicine act well on persons having besoted look.There is a tendency for stupor and delirium in these persons.
                                       
7) Borax:

Useful for bad  breath associated with apthous ulcer in the mouth.Also effective for fungal infection of the mouth.Mouth is very hot and tender.Ulcers bleed on touch.Very useful for  bad breath in children with ulcers in the mouth.Child is having fear of doward motion.

8) Bryonia:

Irritable persons who always talk about business.Lips parched dry and   cracked.Tongue coated dark brown with bitter taste in the mouth.Thirst for large quantity of  cold  water is well marked.Heaviness in abdomen after eating.Usually constipated with hard  dry  stools.


9) Calcarea fluor:

Plugs of mucus are continually forming in the crypts of the tonsils.Unnatural looseness of the teeth with or without pain.Prone to get caries with discolouration.Tonsils are    enlarged with recurrent infection.


10) Carbo veg:

These patients are weak and debilitated .All body discharges are profuse with   cadeveric smell.Gums are retracted and bleed easily.Frequent putrid eructations with distention   of  abdomen.Complaints ameliorted by passing flatus.Can't tolerate meat and fat.Involuntary    diarrhoea at night.Wants to be fanned from a close distance.


11) Chelidonium:

Tongue yellow with imprint of teeth.Bad odor with bitter taste in the  mouth.Useful for bad breath with liver complaints.Thirst for hot liquids.Patient feels better by eating.  Constipation with hard round stools.Constipation alternating with diarrhoea.

12) Graphites:

This medicine act well on obese patients with skin troubles.Breath smells like urine.Rotten odor with salivation and blisters in the mouth.Sour eructations with gastric complaints.Skin complaints with sticky discharges.Gastric pain ameliorated by eating .

13) kali bich:

Bad breath with gastric ulcer.There are round ulcers in the mouth.Saliva viscid.  Vomiting with bitter taste.Tongue is smooth .Craves bear.Gastric complaints alternating with rheumatism.

14) kreosotum:

Teeth dark and crumbly.Bitter taste in the mouth with putrid odour.Very rapid decay of teeth.All discharges are very offenssive.Gums spongy and bleed easily.Bad breath associated with caries and gastric complaints.

15) Lachesis:

This medicine act on dark restless patients with jelousy.Tongue is black  coloured.   Complaints are aggravated during sleep.Wants fanning from a long distance.Cannot tolerate tight cloathing around body.Complaints aggravated in hot climate.

16) Lycopodium:

Act well on intelligent people who are physically weak.They have lack of self confidence.Useful for badbreath associated with sour eructations with burning in throat.  Teeth excessively painful to touch.There are blisters on the tongue.Wants warm food and drinks.These   people are usually constipated .Craving for sweets well marked.

17) Merc sol:

Sweetish metallic taste in the mouth with bloody viscid saliva. Gum is spongy and  bleed easily.Mouth is moist with increased thirst.Teeth indented. Crown of the teeth decay.Fetid odor from the mouth can be felt all over the room.Ulcerations in the mouth with bleeding.All body discharges are offenssive.All complaints are aggravated at night.

18) Nux vomica:

This medicine act well on people who lead a sedentery life.They are very short tempered and become angry very easily.They are very busy in their occupation and enjoy modern civilised life with all types of food and drink.Bad breath is more after meals and in the morning. Posterior part of the tongue is coated and anterior part is clean.Sour taste in the mouth with nausea in the morning.They have got frequent urge for stool.Heavy feeling in abdomen after food is noticed.

19) Plantago:

Dental caries with severe toothache.Pain better by eating.Salivation is better by eating.  Toothache with swelling of gums.Gargling plantago Q is useful to get relief from   toothache due to caries.

20) Pulsatilla:

Act well on mild and gentle ladies with a yielding disposition.Patient is very timid with a weeping tendency.Bad breath is noticed mainly in the morning.Mouth is very dry but dosn't want to drink water.  Yellow or white tongue covered with a  tenacious mucus.Taste is altered.Taste of food remains in the mouth for a long  time.Patient wash the mouth frequently.

21) Psorinum:

Act well on unclean patients with bad odor.  Hawking up of cheesy, pea like balls of   disgusting smell and taste is the main cause for bad breath in these patients.Tonsils are swollen with profuse offenssive saliva.Quinsy with tough mucus in throat.All body secretions are filthy.Eructations taste like bad eggs.Very hungry and getup even at midnight for food.Swallowing is painful with pain in ears.

22) Pyrogen:

Bad breath of septic origin is cured with this medicine.Taste terribly fetid with horrible breath,tongue red ,dry ,smooth asif varnished.Bad breath associated with high fever and   coffeground vomiting. In general patients body is very sensitive to touch,can't rest on bed because of bruinsed pain.All discharges are offenssive.  

23) Sulphur:

This medicine act best on dirty & filthy people with offenssive odor and a tendecy for skin diseases.Lips dry bright red with burning sensation..Tongue white with red tip & borders.Bitter taste in the morning. Eructations are putrid.Burning in all parts of the body. Aversion to bathing  is well marked.Not bothered about hygiene ,still they believe that they are having superhuman powers.  These individuals are very selfish.

Some homoeo mother tinctures (Q) useful for bad breath.

[mother tincture should not be taken directly because it can produce burning sensation,hence 10 drops should be mixed in half glass of water and taken internally or used for gargling]


1) Cinnamon  Q : This mother tincture can be used for gragling after diluting with  water.Also useful for bleeding from gums.

2) Eucalyptus  Q : This tincture can be used as a mouth wash after mixing with water.Internal use of this medicine can remove mucus from the respiratory tract.Also useful for cold and coryza.
 
3) Zingiber  Q : Useful for bad breath associated with gastric complaints.  This medicine can improve digestion.Also used for gargling.

4) Rhus glabra Q : Gargling of this tincture is very useful for ulcerative lesions in the mouth like aphthous ulcer.Internal use of this tincture can reduce the bad smell of stool & flatus.

5) Oleum caryophyllum Q : Gargling of this tincture can reduce toothache.Due to it's fregrant quality very useful to reduce bad breath.

6) Balsamum peru Q : This medicine can remove the mucus from respiratory tract hence very useful in chronic bronchitis and lung abscess.Can heal the ulcers in the mouth by gargling  this tincture,it can also produce pleasent smell from the mouth.

7) Menthol Q  : This is a main ingradient in tonics and syrups.Gargling of this tincture reduces  bad breath.
 
               

BAD BREATH Part 2

CURE OF BAD BREATH

Bad breath is a common health problem in the society.Offenssive smell from the mouth may be due to various reasons.The main reason is the presence of anaerobic bacteria in the biofilm formed on the tongue .These bacteria degrades the proteins present in the food resulting in the production of some offenssive gases like hydrogen sulphide,skatol ect.

Bad odor from the mouth in the early morning is seen in almost all individuals.This can be controlled by maintaining oral hygiene.Even after cleaning the mouth some individuals may suffer from bad breath due to some problem in the mouth or in the nearby areas.Some general disease condition can also produce bad breath.Exact cause has to be identified and should be treated accordingly.Some common measures to cure or reduce bad breath are discussed here.

1) Oral hygiene:

Mouth should be kept clean every time to reduce the bacterial action.After food gargling with lukewarm water is very essential.Even after small food articles like snacks,sweets,buscuits cleaning with water is needed.Brushing should be done twice daily.It is said that early morning brushing is for beauty and bed time brushing is for good health.

2) Brushing techniques:

Normal brushing technique should be followed for better result.Many people brush vigorously causing damage to the gums.Brushing after every food and drink can damage the enamel .Bristles of the tooth brush should be smooth but hard enough to remove the food particles from the gaps.The direction of brushing is the most important thing.The upper teeth should be brushed in a downward direction and the lower in upward direction.This is applicable to both inner and outer surfaces.Next comes the crown of the teeth;here brushing is done in anterior and posterior direction keeping the brush in same direction.This applicable to both upper and lower set of teeth.

3) Tongue cleaning:

White or yellowish coating on the tongue can cause bad breath.This is more well marked in the morning and should be removed twice daily with the healp of a tongue cleaner.  Tongue cleaner must be used gently without damaging the taste buds on the tongue.

4) Tooth pick:

Tooth pick is a small strip of wood or plastic with a pointed end.This is used to remove food particles lodged between the gaps.Very useful after eating meat and fish.Should be used gently to avoid damage to gums.

5) Gargling:

After every meal gargling with lukewarm water is useful.For better result little common salt is dissolved in the lukewarm water .Different types of mouth wash is available in the market in different trade names.Gargling with mouth wash can also reduce bad breath.

6) Food habits:

Protein containing food articles are known to produce bad breath.  Example; meat, milk, fish, egg etc.  If these food articles are taken proper cleaning is essential.Some food articles are known to produce particular smell which may be unpleasent for others.  Raw onion is the best example.It is said that an apple a day keeps the doctor away and a raw onion a day keep every body away.Small food articles taken in between can also cause bad smell(nuts,fried items etc).Maintaining regularity in food timing is the most important thing.

7) Water intake:

Dryness in the mouth can make a favourable condition for the bacterial activity resulting in bad odor.saliva is needed to keep the mouth moist and to reduce the bacterial proliferation.Production of saliva is closely related with water balance of the body and hence sufficient quantity of water should be taken to maintain the production of saliva.

8) Mouth freshners:

Natural and artificial mouth freshners can reduce the intensity of bad breath to some extent.Spicy articles are commonly used for this purpose.Chewing spices like clove,cumin seed,cardomom,cinnamon,ginger ect are useful. All citrus fruits can reduce bad odor.Mouth freshners and chewing gums are available in the market.these products are also helpful ,but some may cause damage hence should be used with caution.

If the above things doesn't work then what to do ?

Consider the following:-
     
1) Remove the cause:

Bad breath is common in some general and systemic diseases like  diabetes,fevers,gastric disorders,liver diseases and ect.By removing or reducing the primary  cause the bad breath will go automatically.

2) Modern medicine:

If bad breath is due to any infection suitable antibiotics,anti fungal or anti  viral medicines will help.If it is due to any autoimmune or chronic inflamatory conditions steroids   may also be used.Saliva producing tablets can also be used.
                           
3) Dental cleaning:

Dental cleaning done by a dentist can remove the dental plaques and tartar. This can reduce the severity of bad breath.Visit your dentist atleast once in a year.

4) Filling of caries:

Since caries are one of the main cause for bad breath it should be filled by a dentist.Earlier silver amalgam was used ,nowadays it is replaced by synthetic materials.If the pulp cavity is affected by the caries root canal treatment can be done.

5) Tooth extraction:

If caries are deep with destruction of teeth with bad smell extraction is the better choice and a dental implant can be kept in the gap.

6) Tonsillectomy:

Patients with recurrent tonsillitis can have bad breath due to offenssive discharges and release of pasty materials from the crypts of tonsils.Such patients get great relief after tonsillectomy(removal of tonsils).

7) Psychological counselling:

Those who suffer from bad breath may be very much depressed and they be away from the public .This isolation hampers their daytoday activities.Such people should understand the fact that all humanbeings are having bad breath, but with slight differences in intensities.Mostly all people control it by taking personal care.Every human body has got it's own smell,that may or may not be tolerable for others.They should be adviced to do all hygienic meashures to reduce the intensity of smell.Improving the quality of life by all possible means can also help.Moral support from friends and family members are needed for such people.

Some individuals visit the doctor for bad breath without any real problem.It is included under somatisation disorder.They usually complain about pain, breathlessness,abdominal discomfort,bad smell ect.proper diagnosis is needed to rule out any real causes.These patients should be managed with a psychological approach.

8) Homoeopathy:

In Homoeopathy medicines are selected on the basis of physical ,mental,emotional,and social aspects of the diseased person.Considering the whole aspects a constitutional homoeopathic medicine is selected and given in suitable potency and dose.By this all health related problems including bad breath will be solved.On the basis of coating on the tongue,type of smell,cause for bad breath,and other associated complaints a medicine can be given to get relief from bad breath.In the homoeopathic medical repertory by Dr Robin Murphy there are 140 homoeopathic drugs mentioned for bad breath.On the basis of signs and symptoms of the individual a suitable medicine is given.Commonly used drugs are arnica, antim crud, pulsatilla, sulphur, psorinum, nux vomica, ars alb, merc sol, kreosot, hekla lava, silicea, asafoitida, graphites, kali bich, acid nitric etc.

Homoeopathic mother tinctures like cinnamon Q,kreosot Q,zingiber Q,rhus glabra Q,menthol Q  and ect can be used  for gargling after diluting in water.

[POINTS MENTIONED IN THIS ARTICLE IS FOR GENERAL AWARENESS.  ANY BODY SUFFERING FROM BAD BREATH SHOULD CONSULT A DOCTOR.]


               






                                 

BAD BREATH Part 1

Causes of bad breath ?

Bad breath is a common health problem which greately affects the daytoday activities of somany people. The offenssive odor from the mouth is unpleasent to those who come in close contact with bad breathers. The problem will be doubled by psychological trauma leading to depression. The sufferers from this problem wil be isolated from the society. This can even lead to marital disharmony.

Literally speaking all humanbeings are badbreathres. Oral cavity contains millions  of  anaerobic bacteria like fusobacterium and actinomyces which acts on the protein of food materials and putrifies them. This process results in the formation of offenssive gases like hydrogen sulphide,methyl mescaptan,cadaverin,skatol,putrescine ect causing bad odor. If oral hygiene is not maintained properly all will suffer from  bad breath. Most of us control this by regular brushing,tongue cleaning and gargling. Even after maintining cleanliness in the mouth some individuals suffer from offenssive smell due to various causes which has to be diagnosed and treated properly.

Some common causes of bad breath.

1) Poor oral hygiene:

If oral hygiene is not maintained properly the mouth becomes the seat for millions of bacteria which produce offenssive gases by degrading the food debris. Bad breath is severe in those who do not brush their teeth regularly and clean their mouth after every food. Snacks taken inbetween meals can also produce bad breath because of improper cleaning.
Badbreath is common in almost all people in the morning on waking. During sleep there is less production of saliva .Saliva  has got some antibacterial properties which help to keep the mouth clean. Saliva conains oxygen molecules which is needed to make oral cavity aerobic. So the reduction in it's quantity during sleep makes a favourable condition for anaerobic bacteria.

2) Food habits:

The main cause of bad smell is due to degradation of protein by the bacteria and hence all food products rich in protein favours bad breath. Meat,fish,milk products, eggs,cakes,nuts,pear and ect can cause bad breath. Some food articles can produce particular type of smell which may be unpleasent. Raw onion can produce typical bad smell. It is said that an apple a day keeps the doctor away,a raw onion a day keeps everybody away. Eating groundnuts can also produce bad smell. However if proper cleaning is done smell can be reduced irrespective of the nature of food.  Irregularity in timing of food can also produce bad breath. Small food articles taken in between the meals can also produce bad smell.

3) Biofilm:

There is formation of a thin sticky coating  called biofilm on the tongue and oral mucosa. This coating is thick on the posterior aspect of the tongue where millions of gram negative bacteriae are seen .The thick coating on the tongue is always associated with badbreath. Even a  thin biofilm can make anaerobic condition favourable for bacterial proliferation.

4) Dental caries:

This is a destructive process causing decalcification with distruction of enamel and dentine resulting in cavitisation of the tooth. These are produced mainly by the lactobacilli . Food particles are deposited inside these cavities and are putrified by the anaerobic bacteria producing bad smell. Normal brushing will not remove the food debris easily and hence they are putrified completely. Caries are common in schoolgoing children and in those who donot maintain proper oral hygiene .Calcium and vitamin deficiency can also predispose caries.

5) Gingivitis:

Gum is a mucus membrane with supporting connective tissue covering the tooth bearing borders of the jaw .The main function of gum is protection .Gingivitis is the inflammation of the gum .Due to various causes gum tissue get infected resulting in swelling,pain and discharge. If the condition become worse the infection spread towards peridontal area leading to continuous discharge called pyorrhoea. Some times the infection goes deep producing alveolar abscess with discharge of pus. Infection can even reach the bone causing osteomyelitis.All these conditions can produce offenssive smell.

6) Gum retraction:

When the gums retract from the teeth a gap is developed which will lodge food particles and cause bad breath.

7) Dental plaques and tartar deposits; Plaques and tartar is deposited mainly in the gaps  between the teeth and gum. This will provide shelter for the food debris and bacteria causing  bad breath.

8) Ulcerative lesions& coatings:

Almost all ulcerative lesions of the mouth are associated with bad breath. These lesions may be caused by bacteria,viruses,food allergies or due to autoimmune disorders. Apthous ulcer is the commonest amoung ulcerative lesions. Others are herpes,fungal infections,vincents angina,infectious mononucleosis,scarlet fever,diphtheria,drug reactions  and ect. Cancerous ulcers produce severe bad breath. All fungal infections produce white coating(candidiasis). Leucoplakia is a white thick patch on the mucus membrane of the mouth & tongue. It is considered as a precancerous condition. Offenssive breath is associated with these conditions.

9) Diseases of the salivary glands:

Saliva is very useful to supply oxygen to all parts of the oral cavity. Even a thin film of coating called biofilm can provide an anaerobic condition in the mouth. Saliva can wet these layers and make an aerobic condition which is unfavourable for the bacteria .Any condition which reduces the production of saliva can increase bacterial activity.  Some times the salivary duct is obstructed by stones or tumors.Cancer of the salivary gland is associated with offenssive odor. In suppurative parotitis purulant dischrge in to the mouth causes bad breath.

10) Tonsillitis:

Tonsils are a pair of lymphoid tissue situated  in the lateral wall of oropharynx. Inflammation of the tonsil is called tonsillitis. Bad breath is seen in both acute and chronic tonsillitis. Quinsy or peritonsillar abscess can also produce bad breath.

11) Tonsillar plaques & tonsillar fluid:

If bad breath persists even after maintaining proper oral hygeine there is possibility of this condition. Serous fluid secreated from the folds of tonsil is very offenssive. Some patients complain that they hawk some cheesy materials from the throat;which are very offenssive in nature. These are formed inside the tonsillar crypts which contain thousands of bacteriae. In such conditions tonsillectomy gives noticiable relief from bad breath.              

12) Pharyngitis& pharyngial abscess:

Pharynx is a fibromuscular tube which forms the upper part of the digestive & respiratory tract. Inflmmation of the pharynx is called pharyngitis, caused mainly by bacteria and viruses. Bad breath is present in pharyngitis along with other signs like cough and throat irritation. Abscesses in the wall of pharynx can also produce offenssive discharge of pus in to the throat.

13) Dentures:

Denture users may complain about bad smell due to lodgement of small food debris in between. Proper brushing may not be possible in denture users especially fixed dentures.

14) Tobacco:

Tobacco chewing is associated with bad breath. The smell of tobacco itself is unpleasent for others. Tobacco can irritate the mucus membrane and cause ulcers and coatings. Gingivitis and pyorrhoea are common in tobacco chewers. Tartar is deposited on the teeth mainly near the gums. Tobacco chewers get gastric acidity with eructations. All these causes offenssive smell.

15) Smoking:

Smokers always have  bad smell. It can also produce lesions in the mouth & lungs causing bad breath.Smoking increases carbon dioxide in the oral cavity & reduces oxygen level,causing a favourable condition for bacteria. Smoking reduses appetite & thirst hence acid peptic disease is common in chain smokers.

16) Lesions in the nose & ear:

Bad breath is occasionally seen in sinusitis(infection of para nasal sinuses). In case of post nasal dripping bad breath is common due to the presence of protein in the discharges. These proteins are degraded by the bacteria. Infection in the middle ear with discharge of pus in to the throat through the eustachian tube(passage from middle ear to the throat)can also cause offenssive odor. Chronic rhinitis(infection of mucus membrane of nose) and forign bodies in the nose can also produce bad smell in the expired air.

17) Diabetes mellitus:

Mostly all diabetic patients suffer from bad breath. Coated tongue,ulcers &coatings in the mouth ,increased sugar level in tissues ect are responsible for bad breath.Bacterial growth in diabetic patient is very faster than non diabetic individuals.

18) Fevers:

Bad breath is common in almost all fevers. Even an acute fever can produce bad breath. Severe bad breath is seen in typhoid .Other infectious diseases like Tuberculosis , AIDS ect produce bad smell.
 
19) Fasting & dehydration:

Dry mouth favours bacterial activity. So any condition which produce dryness in the mouth makes the breath offenssive. Eventhough the food particles are known to produce bad breath, fasting can also produce the same. Production of saliva is also reduced during fasting. Chewing and swallowing also helps to keep the mouth clean.

20) Bedridden patients:

Bedridden patients suffer from offenssive breath due to thick coating on the tongue. water intake is also limited in these patients. Regurgitation of food aggravates the condition. Since they talk less aeration in the oral cavity is reduced which favours anaerobic bacteria to become active.

21) Diseases of stomach & esophagus:

Eructation of gas and food produce unpleasent smell. Abnormality in the function of lower sphincter can allow the food to regurgitate upwards causing bad breath. Bad breath is also common in gastritis,gastric ulcer and cancer of stomach.

22) Intestinal diseases:

Bad breath is common in patients suffering from ulcerative lesions of intestine like ulcerative collitis..Other diseases are malabsorption syndrome intestinal tuberculosis, peritonitis ect.

23) Diseases of lungs:

Lung diseases like pneumonia, lung abscess,chronic bronchitis,bronchiectasis,tuberculosis, lung cancer ect can produce bad odor during expiration.

24) Liver disorders:

Liver diseases like hepatitis, cirrhosis,can  cause bad breath.Gall bladder diseases with vomiting also causes unpleasent odor.    

25) Psychiatric  patients:

Bad breath is common in psychotic patients due to poor hygiene,irregular food habits,less water intake and ect.


26) Somatisation disorder:

This is a psychiatric disorder charecterised by the presence of a physical symptom that suggest a medical illness .These patients come with physical complaints like pain,nausea difficult respiration, bad smell ect. This condition is diagnosed after detailed examination of the patient with all investigations.Since this is a psychiatric disorder it has to be managed with a psychological approach.

[ THE POINTS MENTIONED IN THIS ARTICLE IS FOR GENERAL INFORMATION. ANY PERSON HAVING BAD BREATH SHOULD CONSULT  A QUALIFIED DOCTOR ]

CAUSES OF LOW BACK PAIN.

Low back pain is a usual symptom amoung the modern civilised people.It affects mainly the middle aged and young adults of both sexes.People who work on the chair with out exercise and those who carry heavy loads regularly are prone to get this complaint.We can hardly find a person who has not suffered from back pain atleast once in life.The causes of  low backpain ranges from simple reasons like muscular strain to cancer of spine and hence backache should not be ignored.The pain is felt in lumbar and sacral region and may radiate to nearby sites.

The following are some causes for backache.

1) Backache due to diseases in the back.

2) Backache due to gynaecological problems.

3) Backache due to problems in other parts of the body.


1) Backache due to diseases in the back:--
                           
a) Injuries :-

     1) Compression fracture of the vertebral column.
     2) Rupture of intervertebral discs.
     3) Injuries to ligaments and muscles of back.
     4) Lumbosacral strain.
     5) Intervertebral joint injuries.
     6) Fracture of processes of vertebra.

b) Functional backache due to imbalance:-

     1) During pregnancy.
     2) Pot belly.
     3) Diseases of the hip joint.
     4) Curvature in the spine due to congenital defect.
     5) Short leg in one side.
 
c) Backache due to inflammatory conditions:-

     1) Infection of the bone due to bacteria.
     2) Tuberculosis of the spine.
     3) Arthritis.
     4) Brucellosis.
     5) Lumbago or fibrositis.
     6) Inflamation of the muscles.
     7) Anchylosing spondylitis.

d) Backache due to degenerative diseases in the back.

     1) Osteoarthritis.
     2) Osteoporosis in old people.
     3) Degenaration of the intervertebral disc.

e) Tumour in the spine:--

     1) Primory tumour of the bones in the spine.
     2) Metastatic tumours from other sites like prostate,lungs,kidneys,intestine ect.

2) Backache due to gynaecological problems:-

     a) After childbirth.
     b) After gynaecological operations.
     c) Prolapse of the uterus.
     d) Pelvic inflammatory diseases.
     e) Cancerous lesions of the pelvic organs.
     f) Endometriosis.

3) Backache due to problems in other parts of the body.

     a) Renal stones.
     b) Ureteric stone.
     c) Cancer of prostate.
     d) Pancreatitis.
     e) Biliary stones.
     f) Peptic ulcer.
     g) Inflammations of pelvic organs.
     h) Occlusion of aorta and illiac arteries.


Investigation of a case of backache:-

1) Complete blood count.

2) Routine urine examination.

3) Ultrasonography of the abdomen and pelvis.

4) X-ray of the lumbar and sacral region.

5) MRI of the spine.

5) CT scan of abdomen and pelvic region.

6) Examination of rectum,prostate,genito urinary organs.


Treatment of back ache:-

1) Removing the cause for backache.

2) Symptomatic treatement.

2) Back exercises.

3) Traction.

3) Yoga.

5) Surgery.

7) Homoeopathy.

How Diamonds Are Cut

In their most natural form, diamonds are –
well – quite ugly. They have no luster or shine,
 and in fact, look like nothing more than
broken glass. A diamond must be cut, and
then polished before it actually becomes a
thing of beauty.

Diamonds are cut with saws, into round
shapes. From the rounded shape, other
shapes may be cut, such as heart shapes
– but the shape is less important than the
quality of the cutting that is being done. If
the diamond is poorly cut, it will lose light,
and it will not sparkle and shine very well.
Each facet of the diamond must be
carefully cut into the geometrical shapes
that allow the diamond to sparkle and
shine, then the entire diamond is cut into
a specific shape, such as an emerald cut
or a princess cut diamond.

Once the cut is done, the diamond is put into
a dop, which resembles a cup with another
diamond – only a diamond is strong enough
to smooth the edges of another diamond.
Once the diamond has been cut and shaped,
and had the edges smoothed in the dop, it is
polished on a scaif or a diamond polishing
wheel.

Blogging

Blogging 101 is mostly about the blogging
  vocabulary. To understand blogs, you need to know
  the terms blog, platform, domain, and web host.
  Once you have mastered these key elements of
  blogging, you can enter any conversation about
  blogging with confidence. After you know what
  exactly a blog is, you will be on your way to
  passing the final exam of blogging 101.
 
  Blog is short for weblog, which simply means a
  series of online posts presented in reverse
  chronological order. That's all! Most blogs are text,
  but there are also photo blogs and video blogs. The
  rest of blogging 101 has to do with the technical
  side of things. If you are setting up a blog, you will
  need a platform, a web host, and a domain. A
  blogging platform is a computer software program
  that allows you to write posts and to update your
  blog. Your platform is also what you use to design
  the look of your blog, from color scheme to font
  size. The web host is sort of like the virtual file
  cabinet where your blog is stored. Your computer
  communicates with the host when you upload or
  edit a post. The domain is the online address of
  your blog, and usually ends in ‘dot com'. Now that
  you know what a blog is, what a platform is, and
  what domains and hosts are, congratulate yourself!
  You have passed blogging 101.        

Reading activities

In a world that is slowly but surely turning away from books and getting
glued to monitors or television screens, the importance of developing a
passion for reading cannot be overlooked. Reading is a habit and should be
established when the child is relatively young. What can you do to foster
this habit?

Enroll your child for reading classes:
There are many well structured after school reading classes that aim to
draw the children to books. They help kids with diction, idioms and
phrases. For young children, these classes can be fun with animated
characters and pictures. Illustrated picture books, rhymes, silly songs
and pretend stories all attract the young child. Use creativity to capture
the child's vivid imagination.

Pique your child's interest:
If your child has a favorite character, pick a series of books that
features this character. For my son, it was Spiderman. Thanks to friendly
neighborhood spidey, my son latched on to comics fairly early in his
childhood.

Build a home-library:
A skill like reading cannot be learnt in isolation. Do not leave all the
hard work to the after school program. Pick up books that you think your
child will like. The Internet is also a rich resource of reading games
that will attract little children to the fine art of reading.

The Learning Environment

There is often a trap in the words 'after school activities'. One may
easily believe that since these activities are after school, they are not
of much importance. But, one couldn't be more wrong. Research suggests
that children pick up some of their most important skills from after
school programs. That is why children who do not participate in any extra
curricular activities are generally slow and less vibrant.

The learning environment that one fosters in after school activities must
be as disciplined and as functional as that found in the school. This is
especially true of educational after school programs. This is the best
place to teach the child important skills like time-management and goal
setting. Time-management is a vital skill, but it is not achieved easily.
Children need to feel the discipline that is needed to finish a task and
the happiness of finishing the allotted work in a specific time frame.

Children look for different things in an after class program. The learning
environment should be attractive, colorful and informative. Use charts,
pictures, posters and drawings to liven up a class. Additional resources
(resources that are not easily available in the school) will make the
classes interesting. For instance, when teaching a biology lesson, allow
the child to see through a microscope or see slides of bacteria. This
will add to his knowledge and also make him more enthusiastic about his after school program.

Discipline is a must in after school activities. In fun or sport-based
activities, it is easy for children to step out of line and wreck havoc.
While children should be allowed to have fun, they should be curtailed
from unacceptable behavior. The best way to enforce discipline is to lay
down the rules at the very beginning. Let the children know what is
unacceptable, right at the beginning.

Rewards are an important part of any learning process. The reward can be a
simple pat on the back or a token of appreciation. Motivate your children
to aspire for higher things by rewarding their achievements. Holding
competitions or sport activities where the children can show their
proficiency is a reward in itself.

Children can get bored easily, especially in the case of an educational
program. The main thrust of an academic program is to repeat what has been
taught in class and to allow the child to learn it quickly. It is
difficult to pique the child's interest a second time, especially when the
child is already tired of one dose of the same lesson. It is best to
thwart boredom by using creative techniques like an impromptu extempore on
any topic, a quiz program or a slideshow.

After school activities are becoming more popular by the day. Parents want
their kids to learn more. Children too have an insatiable quest for
knowledge. In an after school program, it is possible to pay individual
attention and quench this thirst using various effective techniques.

How Much Is Too Much

Should your child go for the football practice 5 days a week?  Are 3 days
enough? It is common for parents to be a little confused when it comes to
deciding how much is too much with reference to after school activities.
They argue that since most of the activities are fun (as different from
studies), children will simply lap up these classes. But, too much of fun
can also make a child sick. Here is a simple guide that will help you
decide how much is too much for your child.

Kindergarten:
Your child is just beginning to learn to interact and get used to
discipline. His or her after-school life should be simple and carefree.
One or two classes per week are enough at the beginning. Once the child
settles down, look for more challenging activities like a music program.

Grade 1:
One or two activities per week, play dates and playground visits are
recommended. Avoid competitive sports activities. The child is still too
young to have to worry about winning and losing. After the rigors of a
full day at school, he or she needs a healthy outlet for pent up energy.
Physical activities and noncompetitive sports are best for this age.

Grade 2:
Your child is old enough to voice opinions on what activities he or she
wants. Sports, skating, swimming or computers - steer him towards things
he likes. Many children begin lessons on a musical instrument around this
age. But, allow your child some 'alone time' during which he can unwind
and just do whatever he wishes.

Grade 3:
Socialization begins to take center stage. Team sports are a good choice.
Developing motor skills, painting, drawing etc are good too. Let the child
explore areas of interests. But leave aside enough time for the family and
for fun activities.

Grade 4:
At this age, the child will tell you what he likes. He needs to get
involved in activities that will boost his confidence. This will also help
him manage stress as this is the time when social pressure is beginning to
build. But, beware of the homework demon. Your child needs more time with
his studies. Balancing his schoolwork with other activities is very
important.

Grade 5:
The fifth grader is bubbling with energy and will want to do just
about everything. But she or he may conveniently push studies to the
background. So, close supervision is needed. Keep one or two days free for
family time and other activities. Now is a great time to get your child
interested in community service.

Middle school:
Steer him away from TV. Get him engaged in activities that reinforce
learning. Academic performance can be improved by encouraging your preteen
to join clubs like the Girl/Boy Scouts program, language clubs, chess
clubs etc. As a thumb rule, 16-20 hours a week of extra activity should be
more than enough. But look out for signs of burnout.

What you select for your child and how long he should work at it is
basically decided by the child's temperament. As a parent, you should
closely observe your child and base your decisions on feedback from the
child himself.