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Common causes and symptoms of lower back pain

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Questions & Answers

1.     What are some common causes and symptoms of lower back pain?

Ans:

Causes of lower back pain:

v  Most commonly, mechanical issues and soft-tissue injuries are the cause of lower back pain.

v  Strains.

v  Disc injury.

v  Sciatica.

v  Spinal stenosis.

v  Abnormal spine curvatures.

The organs that are typically associated with this type of back pain can include:

v  Kidney problems

v  Appendicitis

v  Ulcerative colitis

v  Gallbladder dysfunction or inflammation

v  Gynaecological disorders.

v  Liver problems

v  Pancreatitis

v  Abdominal aorta.

Acute pain:

v  This type of pain typically comes on suddenly and lasts for a few days or weeks, and is considered a normal response of the body to injury or tissue damage.

v  The pain gradually subsides as the body heals.

Subacute low back pain:

v  Lasting between 6weeks and 3months, this type of pain is usually mechanical in nature but is prolonged.

v  At this point, a medical workup may be considered, and is advisable if the pain is severe and limits one’s ability to participate in activities of daily living, sleeping, and working.

Chronic back pain:

v  usually defined as lower back pain that lasts over 3 months, this type of pain is usually severe, does not respond to initial treatments, and requires a thorough medical workup to determine the exact source of the pain.

2.     What are the treatments for stomach pain from coughing?

Ans:

v Coughing is the body’s natural way of removing irritants from the throat. Sometimes, a forceful cough may hurt the chest and abdomen.

v When the stomach contents flow back into the oesophagus, they irritate the oesophagus and cause cough. this condition is known as Gastroesophageal reflux disease.

v When GERD gets to the chronic stage, reflux of stomach contents will happen at least twice a week.

v Chronic cough is often the result of gastroesophageal reflux disease.

GERD induced cough will often have the following symptoms:

v  Coughing happens usually in the night hours or after eating a heavy meal.

v  Lying down induces cough.

v  Smoking causes cough but when non-smokers experience chronic coughs, it might be GERD.

v  Chest X-Ray is normal but coughing continues.

v  When GERD manifests as a chronic cough alone without the other symptoms related to heart burn, its diagnosis becomes difficult.

 

Potential condition

Symptoms

Appendicitis

Abdominal swelling or bloating, fever, nausea or vomiting, constipation or diarrhoea, decreased appetite.

Cystitis

Frequent urination, cloudy or dark urine that’s also foul-smelling, blood in the urine, general feelings of unwellness.

Diverticular disease

Abdominal pain, bloating, nausea or vomiting, fever or chills, bowl changes, such as constipation or diarrhoea, blood in the stool (rare).

Endometriosis

Significant pain in the lower back, pelvis, and abdominal areas especially during menstruation, sex, urination and bowl movements.

Gallstones

Abdominal pain that’s severe and lasts for at least 30 minutes at a time, abdominal bloating, pain in the upper back or right shoulder, fever or chills, jaundice, gas or indigestion, especially after eating fatty foods, nausea or vomiting.

Hernia

Bulging in the belly or groin area along with pain that gets more severe when you cough, sneeze, lift heavy objects, or pass bowl movements.

Kidney stones

Severe abdominal pain, severe pain on one or both sides of the back, stomach ache, cloudy or foul-smelling urine, bloody urine, fever or chills, nausea or vomiting.

Ovarian cysts

Lower abdominal pain, sharp pain in the side of the stomach, abdominal bloating or swelling.

Pancreatitis

Abdominal pain that gets more severe over time, pain in the abdomen that spreads to the lower back, abdominal swelling, loose or foul-smelling stools, unintentional weight loss.

Weak pelvic muscles

Lower abdominal pain and urinary incontinence which may be worsened when you cough, sneeze, laugh, or exercise.

 

  

Treatment:

v  Take pain, cough medications.

v  Drink plenty of water.

v  Home remedies: Try licorice for gas, ginger for indigestion, or peppermint to help relax the intestinal muscles.

(Asana for back pain - Click Here)

3.     Is rheumatoid arthritis due to an infection?

Ans:

v Rheumatoid arthritis is a type of arthritis where the immune system attacks the tissue lining the joints on both sides of the body.

v You may have symptoms of pain and inflammation in the fingers, hands, wrists, knees, ankles, feet and toes.

Symptoms of rheumatoid arthritis:

v Pain, swelling, stiffness and tenderness in more than one joint.

v Pain and stiffness in the same joints on both sides of the body.

v Stiffness, especially in the morning or after sitting for long periods.

v Weakness.

v Fatigue.

v Fever.

How does a normal joint work?

v A joint is where two bones meet. Most of the joints are designed to allow the bones to move in certain directions and within certain limits.

v The knee joint is the largest joint in the body and one of the most complicated. It must be strong enough to take our weight and must lock into position, so we can stand upright.

v It also has to act as a hinge, so we can walk, and needs to twist and turn when we run or play sports.

v The end of each bone is covered with cartilage that has a very smooth, slippery surface. The cartilage allows the ends of the bones to move against each other, almost without rubbing.

v The joint is held in place by the synovium, which contains thick fluid to protect the bones and joint.

v The synovium has a tough outer layer that holds the joint in place and stops the bones moving too far.

v Strong cords called tendons anchor the muscles to the bones.

Causes of rheumatoid arthritis:

1.     Age:

v Rheumatoid arthritis affects adults of any age, although most people are diagnosed between the ages of 40 and 60.

2. Sex:

v Rheumatoid arthritis is two to three times more common among women than men.

3. Genetics:

v rheumatoid arthritis develops because of a combination of genetic and environmental factors, such as smoking and diet.

v It is unclear what the genetic link is, but it is thought that having a relative with the condition increases the chance of developing the condition.

4. Weight:

v If you are overweight, you have a significantly greater chance of developing rheumatoid arthritis than if you are a healthy weight.

v BMI is a measure that calculates if your weight is healthy, using your height and weight.

5. Smoking:

v Cigarette smoking significantly increases the risk of developing rheumatoid arthritis.

6. Diet:

v There is some evidence that if you eat a lot of red meat and don’t consume much vitamin C, you may have an increased risk of developing rheumatoid arthritis.

 

 

 

OMAD/ GM/ FODMAP/ Mediterranean diet

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Diet

OMAD Diet can be a hugely beneficial technique for people living with diabetes to reduce their blood glucose, body weight, and insulin concentrations, especially When a paired with a proper diabetes diet.

1.     OMAD Diet (One meal a day):

The one meal a day diet is, simply put, fasting from for 23 hours a day and eating whatever you’d like for one meal.

Foods to eat on OMAD Diet:

Veggies:

Ø Carrot.

Ø Cauliflower.

Ø Cabbage, Chinese cabbage.

Ø Beetroot.

Ø Scallions.

Ø Lettuce.

Ø Sweet potato.

Ø Spinach.

Ø Broccoli.

Fruits:

Fruits high in GI should be consumed in moderation.

Ø Grapes.

Ø Watermelon.

Ø Mangoes.

Ø Pineapple and

Ø Canned fruits.

Protein:

Ø Chicken breast.

Ø Lean cuts of pork and beef.

Ø Fish.

Ø Mushroom.

Ø Beans and legumes.

Ø Eggs.

Dairy products:

Ø Full-fat milk.

Ø Full-fat yogurt.

Ø Feta cheese.

Ø Buttermilk and

Ø Cottage cheese.

Whole Grains:

Ø Brown rice, Black rice.

Ø Millet.

Ø Barley.

Fats and Oils:

Ø Olive oil.

Ø Rice bran oil.

Ø Peanut butter.

Ø Edible grade coconut oil.

Nuts & Seeds:

Ø Almond.

Ø Walnut.

Ø Pine nuts.

Ø Sunflower seeds and

Ø Melon seeds.

Herbs and Spices:

Ø Cilantro.

Ø Mint.

Ø Fennel.

Ø Thyme.

Ø Garlic.

Ø Onion.

Ø Cumin.

Ø Turmeric.

Ø Black pepper.

Ø Chili flakes.

Ø Star anise.

Ø Cardamom and

Ø Clove.

Beverages:

Ø Water.

Ø Homemade lemonade.

Ø Coconut water.

Ø Freshly pressed fruit juice and Cold pressed juices.

Foods to avoid on OMAD Diet:

Fruit:

Ø Jackfruit.

Protein:

Ø Fatty cuts of pork and beef.

Dairy products:

Ø Low-fat milk.

Ø Low-fat yogurt and

Ø Cream cheese.

Whole Grain:

Ø White rice.

Fats and Oils:

Ø Hemp seed oil.

Ø Dalda.

Ø Vegetable oil.

Ø Butter and

Ø Mayonnaise.

Nut and Seed:

Ø Cashew nuts.

Processed foods:

Ø Sausages.

Ø Fries.

Ø Bottled jams and

Ø Jellies.

Beverages:

Ø Packaged fruit and vegetable juices.

Ø Soda and energy drinks.

2.     GM Diet plan for weight loss:

GM Diet: General Motors Corporation developed and endorsed this diet plan to help its employees lose weight.

Day 1

Eat cantaloupe and water melon, strictly avoid bananas, Fruits and ample of water (10glasses).

Day 2

Only vegetables, take a large boiled potato for breakfast, Avoid oil and coconut. Vegetables will increase your fiber intake and also help regulate the sugar content in your body from day 1.

Day 3

All fruits and vegetables except bananas and potatoes.

Day 4

Have milk and banana throughout. Eat dairy products for cravings. Lots of water again (12glasses).

Day 5

Vegetarian: 1cup brown rice + 6 tomatoes + 12 glasses of water.

 Non-vegetarian: 1cup brown rice + beef (skinless) / Chicken or eggs + 6 tomatoes + 12 glasses of water.

 Beef will help the body gain proteins it lacked in the first 4 days as well as iron. Tomatoes will also increase the fiber intake.

Day 6

1cup of brown rice + 300g of chicken breast or beef + vegetables.

Day 7

2cups of brown rice + 10glasses of water + Vegetables with no oil + Fruit juices.  

 

3.     Mediterranean Diet:

Day 1:

Breakfast

Fried egg in olive oil + Soft cheese + Flat bread.

Lunch

Whole-grain pita bread + A large green salad topped with a baked salmon fillet, red onion, feta cheese, quinoa, and fresh tomatoes.

Snack

1Banana + yogurt + 1tablespoon of chia seeds.

Dinner

Spicy lentil soup.

 

Day 2:

Breakfast

Steel cut or rolled oats topped with fresh fruit, sliced almonds or almond butter, and a drizzle of honey.

Lunch

Greek chicken grain bowls with olives, cucumbers and red onions. To increase the calorie content, add hummus.

Snack

1Cup chopped babe carrots + 1Orange.

Dinner

Baked cod served with garlic roasted potatoes and asparagus.

 

Day 3:

Breakfast

Sweet potato breakfast hash topped with a poached egg.

Lunch

Lentil and tuna salad.

Snack

A handful of nuts.

Dinner

Roasted chicken with roasted root vegetables and brussels sprouts.

 

Day 4:

Breakfast

Overnight oats made with nut butter and berries.

Lunch

A large green salad topped with fresh vegetables, lentils, sunflower seeds, and grilled shrimp

Snack

1Cup cherries, pitted & ketobark.

Dinner

Balsamic roasted chicken and vegetables.

 

Day 5:

Breakfast

Hummus toast.

Lunch

Lemon rice + Grilled scallops + Tomato salsa.

Snack

2 tablespoons of low-sugar peanut butter on a whole wheat cracker.

Dinner

Crusty bread + eggplant rollatii.

 

Day 6:

Breakfast

Avocado toast with eggs.

Lunch

Open-faced veggie Tuna salad sandwich.

Snack

Chocolate mint protein shake.

Dinner

Grilled fish with veggies and soup appetizer.

Day 7:

Breakfast

1Lemon blueberry, 2poached eggs, yogurt muffin.

Lunch

1Cup Brown rice Roasted vegetables with chicken sausage, 1/2cup gelato, iced tea or water. 

Snack

1Medium orange, 24 almonds.

Dinner

1 serving leftover lamb and eggplant pie, 1cup roasted fennel and leek, 3 squares of dark chocolate. 1glass of wine (Optional). 

4.     Fermentable oligosaccharides, disaccharides, monosaccharides and polyols diet:

FODMAP diet:

The low FODMAP diet may also benefit people with inflammatory bowel disease, which includes crohn’s disease and ulcerative colitis.

Low FODMAP foods:

Fruits:

Ø Strawberries.

Ø Grapes.

Ø Cucumbers.

Ø Pineapple.

Ø Oranges and

Ø Kiwifruit.

Vegetables:

Ø Lettuces

Ø Chives

Ø Eggplant

Ø Broccoli

Ø Green beans

Ø Carrot

Ø Fennel

Ø Zucchini and

Ø Baby spinach.

Fish:

Ø Crab.

Ø Salmon.

Ø Lobster.

Ø Tuna and

Ø Shrimp.

Proteins:

Ø Chicken

Ø Turkey

Ø Lamb

Ø Beef

Ø Cold cuts

Ø Eggs and

Ø Tofu.

Starches, cereals, and grains:

Ø Potatoes.

Ø Quinoa.

Ø Tortilla chips.

Ø Amaranth.

Ø Brown rice and

Ø Popcorn.

Fats:

Ø Oils

Ø Butter

Ø Macadamias

Ø Pumpkin seeds

Ø Peanuts and

Ø Walnuts.

High FODMAP foods:

Fruits:

Ø Blackberries.

Ø Prunes.

Ø Dates.

Ø Watermelon.

Ø Avocados and

Ø Peaches.

Vegetables:

Ø Garlic

Ø Onions

Ø Beans

Ø Shallots

Ø Asparagus

Ø Mushrooms and

Ø Scallions.

Fish:

Ø Breaded fish.

Ø Battered fish, and

Ø Fish served with garlic or onion-based sauces.

Meats:

Ø Battered meats

Ø Breaded meats and

Ø Meats served with garlic or onion-based sauces and fillings.

Starches, cereals, and grains:

Ø Beans.

Ø Wheat and gluten- based bread, rye, muffins, pastries, and pasta.

Ø Lentils.

Fats:

Ø Almonds

Ø Pistachios

Ø Cashews and

Ø Avocados.

 

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