Lower your cholesterol without drugs

Health problems due to high cholesterol is on rise due to change in lifestyle and food habit.

To lower your cholesterol the following measures are available 

Dietary changes

Regular exercise

Drug

Here are few tips that will help to lower your cholesterol without drugs.

1. Reduce the intake of fried food especially fried meat and fish.

2. Do not reuse the oil that is once used to fry the food.

3. Reduce the oil intake as far as possible.It is better to use olive oil or sunflower oil for cooking.

4. Vegetables and fruits contain large amount of dietary fibers, that will inhibit the cholesterol absorption.Increase the daily intake of vegetables and fruits.

5. Oats.barley,cashew nuts also help to lower cholesterol.

6. Daily intake of Green tea will help to control cholesterol.

7. Fish such as sardine contain omega three fattyacid which can lower the cholesterol level.

8. Eating curry leaves ,and garlic are also useful.

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Why exercise is advised in diabetic patients

Diabetes mellitus is a condition characterized by elevated blood sugar value. Apart from that there is alterations in blood lipid value and blood pressure. In diabetic patients exercise will help to decrease the blood sugar and also increases the sensitivity to insulin.

Other positive effect of exercise in diabetic patients

1. Decrease the heart attack risk

2. Decrease the blood pressure.

3. Exercise will help to reduce the muscle mass.

4. Reduce the body fat.

5. Produce weight loss.

Recommend exercise in diabetes

Diabetic people are advised exercise 150 minutes/week that is distributed at least over 3 days, moderate aerobic physical activity and resistance training.

Precaution before starting exercise in diabetic patients.

Since  diabetic patients are at high risk for heart disease without pain exercise tolerance test may be done in the following situations.

1. Age  more than 35 yrs

2. Duration of diabetes more than 15 yrs in type 1 diabetes and more than 10 yrs in type 2 diabetes.

3. If the patient has complications of diabetes such as kidney disease ,eye disease

4. Blood vessel occlusion in limbs.

5. Other risk factors for heart disease.

Those patients who have proliferative diabetic retinopathy should avoid vigorous exercise because of the chance of bleeding in to eye. 

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How to make your Eyes most beautiful and attractive

The most beautiful part of our face is eyes, with make up you can make it more bigger and attractive and you need not spend much time for it, this will create wonder to your face.

For Eye make up you need the following.

1. Deep colors eyeshadow

2. Kajal

3. Brush 

4. Mascara 

5. Ice cubes 

6. Translucent powder

7. Rose-water

8. Cotton ball

9. Foundation / concealer

How to do it?

1. With ice cubes gently massage around the eyes - This will reduce the puffiness around the eyes and decrease the dark circles.

2. Dip the cotton ball in the rosewater, then clean the area around the eye. This removes dirt and gives a glow. 

3. Apply some moisturizer around the eye.

4. Apply the creamy concealer to area around the eye, the concealer should be one or two shade lighter than the skin tone. With fingertip or brush, gently blend it around the eye in circular movements.

5. If you apply some translucent powder on the top of concealer that will give smooth finish and help to keep the concealer for long time.

6. Apply eye shadow, better color are deep brown or burgundy. First apply the eye shadow on your eyelid then extend to the creases and outer part of creases. "V" area of the eye is covered with an eye shadow that is one shade darker. This will give you glamorous look. 

7. Line the upper eyelid with a black pencil or liquid eyeliner.

8. Use gel black eye shadow or kajal to line lower eyelid slightly extend the line upward.

9. Curl your eyelashes with eyelash curler.

10. Apply mascara on to  eyelashes to  thickens your eyelashes.

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How to get glowing radiant skin with Honey

Glowing skin is a dream of every women and it is a sign of beauty. Honey is the delicious golden liquid that will help you to get a glowing awesome skin with minimum efforts. This is why it is a content of many skincare products.

Contents of Honey

A rich source of fructose and glucose. 

Essential vitamins. 

Minerals.

Antioxidants.

Honey can produce wonders to your skin why?

1. Moisturizing effect honey can absorb water from air and retain it in the skin layers so skin become soft and supple which help to give better appearance to dry skin.

2. Help to fight acne due to its antibacterial effect.

3. Honey is a great anti ageing that reduces the fine lines and age spots which give young and radiant  appearance to skin.

4. Honey protect skin from harmful UV rays.

5. Help the skin to rejuvenate.

6. It act as a facial cleanser, Honey can unplug the skin pores.

7. Because of the anti-inflammatory action it helps to treat sunburn.

8. Honey has skin lightening effect that help to reduce the skin pigmentation.

9. Honey reduces the scars.

Honey is cheap and easily available, preparation of honey mask doesn't require much time

Lemon honey facial mask for glowing youthful skin 

1 teaspoon honey.

1 teaspoon fuller’s earth (multanimitti).

1 teaspoon lemon juice.

Mix the above contents and make a paste apply it to the face wash after 20 minute with lukewarm water.

You will get glowing  radiant skin 

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Do you have acidity ? Omeprazole to reduce acidity.

Omeprazole Proton pump inhibitor is a common drug used for acidity and ulcer disease. Ulcer occur in that part of gut exposed to acid from stomach. Omeprazole inhibit the last stage of acid secretion. Depending upon the dose the strength of action vary. It can even completely stop the acid secretion from stomach. Omeprazole does not inhibit the mobility of stomach.

It is orally given and 50% is absorbed, excretion from the body is through  liver and kidney. No dose reduction is required in elderly and in renal impairment.

After intake, action start in 1 hour and reach maximum in 2 hours and last for 3 days.

Dosage

Available as 10 mg and 20 mg capsules.Capsules should not be opened or chewed.It should be taken before meals.

Side effects

Side effects are minimal

Following side effects are seen in 3 to 5 percentage of people.

1. Nausea (a tendency to vomit)

2. Loose stool

3. Headache.

4. Abdominal pain.

5. Dizziness.

Rare side effects

1. Rash

2. Liver function changes.

3. Low blood count

4. On prolonged treatment atrophic gastritis occurs.

Precaution should be taken by patients who are on the following drug.

1. Diazepam

2. Phenytoin

3. Warfarin.

Uses of Omeprazole

1. Ulcer disease-it produce fast pain relief. Fast healing is seen  at dose 40 mg per day. Stomach ulcer require treatment for 4 to 8 weeks. But ulcer in the intestine need only 2 weeks.

2. Gastroesophageal reflux (heartburn) - 20 to 60 mg per day.

3. Zollinger Ellison syndrome-60 to 120 mg per day.

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Association of age and sex with osteoarthritis

Age and osteoarthritis : Osteoarthritis is a common problem in the community. It has several important risk factors of which one of the most important risk factor is age. Association between age and osteoarthritis is as below.

1. Osteoarthritis is less prevalent in people below 45 years. Type of osteoarthritis seen in this group usually affect single joint. The most common cause  of this is trauma and injury.

2. As the age advances the chance of getting osteoarthritis also increases this is seen up to 65 years .

3. In elderly more joints are involved compared to young people who predominantly show affection of single joint.

4. Radiological evidence of osteoarthritis is seen  in people under 40 years even if they do not have symptom.

5. In people aged over 70 years more than 50 percentage will have osteoarthritis of hand.

6. Joint are protected from osteoarthritis by several mechanism, these protectors fails with age.

7. One of the important protective mechanism is cartilage in the joint, as age advances there is thinning of cartilage in the joint. So the joint experience increased stress with load.

8. Muscle that bridge the joint protect the joint from increasing stress, as age advances there is weakening of the muscle strength.

9. As a part of  ageing ligaments stretch, so they cannot absorb the stress.

Sex difference in osteoarthritis

1. In mild osteoarthritis there is no gender difference

2. Female predilection is seen in severe grades of osteoarthritis

3. Severe disease is seen in older age groups in knee and hand osteoarthritis.

4. Older women are at increased risk for osteoarthritis of all joints ,it is seen in sixth decade,this is due to loss of female sex hormone after menopause.

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