Thursday, November 7, 2013
VEG OR NON-VEG : "TO EAT OR NOT TO EAT
Wednesday, November 6, 2013
SARVENDRIANAAM NAYANAM PRADHANAM: COMMON EYE PROBLEMS IN ELDERLY PEOPLE
COMMON EYE PROBLEMS IN ELDERLY PEOPLE
Human eye compared with a Camera
•Eye lidswith the Lens cap.•Pupilwith the Shutter of the camera.
•Corneaand the Crystalline lenswith the lens of the camera.[The lens system of the eye and Camera focus and project an upside down image on the Photo sensitive layer.]
•Retinawith the film of camera.
Common changes in your vision as you age are
•Reduced sensitivity to light:you might notice that you need brighter lighting near your favourite reading chair.•Decreased visual acuity:Colours appear dim and glare , when light shines directly at you .This might cause you to avoid night driving.
* Difficulty in reading small print. The lens in your eye becomes less elastic and loses its ability to focus. A condition called Presbyopia. You might require reading glasses to read smaller print.
•Dryness of your eyesmight increase with age.Increase of lid laxity,harmonal changes cause tear instability.
Common eye problems faced by elderly people
BLINDING CAUSES
•Glaucoma
•Diabetic Retinopathy
•Age Related Macular Degeneration[ARMD]
NON BLINDING CAUSES
•Dry eye syndrome [itching,dryness,grittyness,watering,eye strain]
What is CATARACT?
•Is a clouding that develops in the Crystalline Lensof the eye.
•Affects both the sexes and all the ages but common in the Elderly people
•Common in Diabetics.
•Trauma.
•Secondary eye diseases like uveitis
•The Crystalline lens appears opaque when light is thrown on the eye.
Symptoms of Cataract
•Night glare
•Double /poly vision.
•Frequent change of glasses.
•Improvement of Near vision (index Myopia).
•Fading of colours.(yellowing of the lens blocks blue light.)
Treatment for Cataract
•No medical Treatment, only Surgical.•Not an emergency,can take time,plan well.
•Good control of Bloodsugars in Diabetics.
•To stopantiplatelet agents before surgery.
(Asprin,Clopitab,etc).
•A-scanto know the axial length of eye ball.
•Keratometryto know the power of eyeball.
•IOL power calculation is done with advanced formulae.
Surgeries for cataract.
•. ICCE[intracapsular cataract extraction].•ECCE with IOL implantation[Extracapsular cataract extraction]with sutures.
•SICS with Posterior chamber IOL [small incision cataract surgery]without sutures.
•Phaco Emulsification with Foldable IOL implantation[key hole,no stitch,no pad,no prick]is todays modern surgery.
Cataract Surgery with IOL implantation
Small Incision Cataract Surgery
•SuturelessMicroscopic surgery.
•Require anaesthetic injection.
•Manuallydone.
•Incision of 6.5mm.
•Rigid PMMA IOL placed in the eye.
•Less Expensive
Phaco emulsification
•No Prick,No suture,No pad,Keyhole surgery[2.5mm]
•The Cataract is emulsified in the eye and sucked out.
•Involves a probe vibrating with ultrasound frequency-emulsifying lens.
•Placement of a FoldableIOL(Acrylic,Hydrophobic lenses) in the eye.
What is Glaucoma?
•Blindness prevalence for all types of Glaucoma was estimated at more than 8million people.(responsible for 15% of blindness in the population.)
What happens in Glaucoma?
•Prolonged Increase in IOP damages the back part of the eye[the optic nerve head]leading to cupping of the disc and visual field damage.
What is IOP?
•It is determined by the Aqueous humour secreted with in the eye.
•It circulates from the posterior chamber to the anterior chamber.
•Normal range of IOP :10 –22mmHg.
•Excess pressure cause damageto the Optic nerve head.
•The balance between production & drainage of the Aqueous determines IOP.
Who are at the risk of developing Glaucoma?
•The risk raises by 3 –8 times by age of 70
•Women has a higher risk in getting Glaucoma.
•Positive Family History of Glaucoma increases the risk 3-6 times.
•Blacks have higher risk than whites.
•Diabetics
•Myopia
•Drugs—Corticosteriods,antidepressants.
Types of Glaucoma
•Primary Closed angleGlaucoma.
•Secondary Glaucomas.
•Traumatic
•Pigmentary Glaucoma.
Symptoms of Glaucoma
•Visual field loss could be late symptom.
•Severe eye pain,Headache,Nausea,Vometing with colored Haloes could be an acute attack.
•Coloured Haloesin the early mornings
•Decreased Visual acuity-late stage.
Investigations In Glaucoma
•Measuring Intra Ocular Pressure by Gold man Applanation tonometry.
•Gonioscopy:applying a contact lens with mirrors on the eye to know the angles.Normal angles should be 45`
•Fundoscopy:for clinical evaluation of the optic nerve head.
•Visual Field Examination:Humphrey automated perimeter. [para central scotomas,arcuate scotomas,nasalstepping,temporal wedge.]
How often should some one get checked for Glaucoma
•In high risk people:during the age 30-39 one or two times.•General Population:
Age40-64:should get checked once every one to two years.
After Age 65:every one year.
In order to preserve vision in glaucoma, early detection and thus disease control.
What is Treatment for Glaucoma?
Though it doesn’t get reversed,can be controlled.1.Medical treatment:eye drops that reduce IOP by lowering the secretion or increasing the drainage of aqueous fluid.
2.Laser: to create an alternate drainage channel with in the eye.
3.Surgery:Trabeculectomy,Shunt devices are available.
GLAUCOMA CAN ONLY BE PREVENTED BY EARLY DIAGNOSIS,EFFECTIVE TREATMENT AND COMPLIANCE WITH TREATMENT.
What is Diabetic Retinopathy?
•A common longterm complication of Diabetes affecting the blood vessels of Retina [eye].•If left untreated,it may lead to blindness.
•If checked promptly,blindness is mostly Preventable.
•It occurs in patients of bothInsulin dependent and NonInsulin Dependent Diabetes mellitus.
Risk factors effecting the Progression of the disease.
•Patients with longterm Uncontrolled blood sugars.•Hypertention
•Smoking
•Anaemia
•Hyper lipidemias
•Effects both the sexes equally.
What happens in DR?
•Narrowingof the lumen of the Blood vessels of retina—Hypoxia (reduced oxygen supply)—Leaky walls of the blood vessels-Edema of the retina.•Proliferationof fragile blood vessels perpendicularly in to the Vitreous body in response to the hypoxia.
•Bleedingof the fragile bloodvessels cause gross blurring of the vision.
•The process of repeated bleeding and healing stimulates fibrous tissue to proliferate.This fibrous tissue cause tractionon the retinal surface leading to Retinaldetachment.(total loss of vision.)
Types of Diabetic RetinopathyNonproliferative Proliferative DR
•Micro aneurisms.•Dot & Blot Heamorrhages
•Macular edema.
•Heamorrhages with Hard exudates.
•In Proliferative stage new vessels proliferate in to the vitreous body & bleed.
How to Diagnose?
•1.Fundus examinationby Direct ophthalmoscopy,Indirect ophthalmoscopy,Slitlamp biomicroscopy with use of special lenses.•2.Fundus Flouroscein Angiographycaptured by a Fundus camera.
Treatment of Diabetic Retinopathy
Lasers:-nature of laser treatment depends on the stage of the disease. -Depending on the stage of the disease single or multiple sittings should be given.-Aim is to reduce the oxygen demand of the retina hence decrease vascular proliferation.
Intraocular injections:-
Anti VeGF (avastin)is given to reduce the macular edema & Vascular proliferation.
Surgical:-
Vitrectomy removing the traction elements and giving Endolaser to the damaged retina.
Follow up in patients with Diabetes.
•Screening of all the diabetic people irrespective of age and sex every year.•Patients with DR needs to be examined every 3-6 monthsdepending on the requirement.
Age related Macular Degeneration [AMD]
•AMD is a disease associated with aging, that gradually destroys sharp and central vision.•It is an eye disease with its onset usually after age of 60 yrs.
Which part of the eye is effected in AMD?
•Macula is the most sensitive region of the retina responsible for Central,Sharp & day vision.•It does not have any Blood vessels.
[ Injury to the macula can impair the ability to see straight ahead clearly.Making it difficult to read,drive and perform daily activities that require central vision.]
TYPES OF AMD
Dry AMD
•More common type.•Light sesitive cells of macula slowly get degenerated.
•Usually effects unequally in both eyes.
•Central vision is reduced.
Wet AMD
•Less common type•Usually rapid in onset.
•Abnormal vessels grow under the macula causing fluid accumilation.
Types of AMD
DRY AMD
•Straight lines appear wavy.
•Distortion of the vision.
•Visual loss is rapidin wet type of AMD.
•Patient requires extra light for reading and near work.
•Some patients might notice a blind spot centrally.
Vision in AMD
Who is at risk for AMD?
•Greatest risk factor is Age(>60yrs).The risk increases to nearly 30% by the age 70yrs.•Smoking.
•Obesity.
•Racial—Whites are at more risk than blacks.
•Immediate family membersare at increased risk of getting AMD.
•Women have a little higher risk than men in getting AMD.
How is AMD diagnosed?
•By an Ophthalmologist looking for1. Visual acuity
2.Fundusexamination
3.Amsler Grid:
The pattern appears as a checker board.
Look with one eye for any wavy patternor any missingportions of the lines.
How is AMD treated?
1.LASERS2.Photo Dynamic Therapy.
3.Inta ocular injections[Anti VeGF].
None of these treatments is a cure for wet AMD.The disease and loss of vision may progress despite treatment.
4.Medical treatment:[For Intermediate and Advanced AMD]
Taking of specific high dose of Antioxidants and Zinc reduces the riskof advanced AMD and its visual loss.
[vit c 500mg,vit E 400IU,15mg Betacarotene,80mg Zinc]
PREVENTION OF A M D
•Eating healthy food rich in Greens.•Weight control
•Control of Blood pressure.
•Regular Exercise.
•Non Smoking
Monday, November 30, 2009

Calcium rich food should be taken during pregnancy. Calcium prevents high blood pressure in a pregnant woman. A woman should drink two to three glasses of low fat milk during pregnancy. She should take it before, during pregnancy and after delivery.
Cook rice or barley in milk instead of water to get sufficient amount of calcium. Eat calcium rich things, as during pregnancy 1000 mg of calcium is required everyday.
The pregnant woman should avoid constipation and therefore she should drink more water, as it is also beneficial for the child growing inside the womb. Drink at least eight glasses of water during the day. Drink water before and after meals. Skimmed milk or fruit juice is also beneficial.
A pregnant woman also requires iron during these days. She should take protein rich food, dry beans, green peas etc. Iron is difficult to add in the food but it is very important. Eat iron rich food as much as possible. Cook vegetables in iron pans and take, iron tablets etc.
Avoid fish, and meat during pregnancy, as it could be harmful for the child. Reduce tea and coffee or completely avoid it as it reduces the weight of the child and leads to several other problems.
Different types of meat contain bacteria called hysteria, which could be dangerous for the health of the child growing inside the womb.
Fat is useful only when it is prepared from pasteurized milk. The child growing inside the womb depends on the food intake of its mother. Do not eat such foods which will have an adverse affect on the child’s health in order to reduce the intake of carbohydrates. The child will not get sufficient nutrition. Eat green leafy vegetables and a variety of things during pregnancy to get all types of minerals and vitamins.
Anaemia during pregnancy:
The hemoglobin level reduces in the blood, and brings down the oxygen level in the body causing a lady to feel fatigued. In addition to this, she remains stressed, irritable, restless, emotional, angry, has dry skin, dry hair and loss of concentration. The main reason for anemia is the absence of sufficient nutritional elements in the food necessary for the formation of blood. Half a cup of rice has 0.5 mg of iron and one-cup of milk has 0.1 mg iron. Whereas a woman loses 28 mg iron everyday during menstruation.
Food during pregnancy:
A woman should choose pregnancy only when she is having good health. She should try to improve her digestive system. Take hot lemon water with honey, raw vegetables, especially carrot, cucumber, gourd, spinach, white gourd juice, vegetable juice, fruits, raisins, dry dates, vegetable soup. This improves the digestion process.
After conceiving food should be as follows:
Take lukewarm lemon water with honey or take a fruit or vegetable juice.
Take four to five almonds and 20 to 25 gm raisins, three to four dry dates along with milk and half a cup of fruit (apple, papaya and pear etc.) at 9 a.m
Take fruit juice or raw vegetable soup at noon.
Take lunch at 1.30 p.m, which should include chapatti made with whole wheat flour, salad, vegetable, curd (yoghurt), etc. Take salad in good quantity.
Take some fruit at 5 p.m or fruit juice or lukewarm lemon water with honey.
Take vegetable soup at 7.30 p.m.
Take lentils, vegetable, salad and one or two chapattis at 8 p.m or fruit and vegetable soup, and drink milk at bedtime. Take vegetable soup after a half hour of eating fruits.
Take something in between if hungry, like fruits, juice, etc.
Do not take tea or coffee, or take it only once daily.
A woman should not take food in excess but it should be rich in vitamins and minerals, and nutritious.
Daily routine during pregnancy:
The woman should be careful during pregnancy, as there are chances of miscarriage. She should take regular massage for hands and legs since laborious work is not possible.
A pregnant woman should always be happy and avoid tough work. She should avoid fast walking, lifting weight, standing for long hours, climbing up the stairs, jumping, cycling, dancing, swimming, etc. she can do some light household work.
To beget a healthy child:
The pregnant woman should take two oranges during afternoon from first to eighth month.
·She should take half to one-gram linseed vanshlochan powder at bedtime for the first three to four months once she is tested positive for pregnancy. This helps in begetting a healthy child and also helps her remain strong. It also avoids chances of miscarriage. The lady should eat vanshlochan as much as possible with sugar candy and coconut. It overcomes weakness during pregnancy and keeps the child healthy and disease free.
The pregnant woman should chew aniseed daily after meals during the pregnancy.
She should drink 60 gm fresh grape juice twice daily to make the child healthy and strong. The child will be beautiful and the mother will remain free of faints, giddiness, dental pain, cramps, swelling, acidity and constipation. She should take one myrobalan marmalade everyday to beget a healthy child. It also maintains good health of the mother.
Yogic cure:
Regular exercise is necessary after conceiving. It prevents miscarriage and also reduces labour pain.
Before pregnancy – Chakrasana, Paschimottasana, Yog Mudra, sputa Vajrasana, Shalabhasana, Dhanurasana, Hastpadotasana, Pavanmuktasana, Halasana, Sarvangasana, shalabhasana, Shavasana should be practiced to gain physical and mental health. Kapalbhati, Shitali, Nadi shodhan and Agnisar kriya should be practiced during this period.
After pregnancy – A pregnant woman can do exercise up to three to four months after conceiving, which include Paschimottasana, Ardhamatysendrasana, Vajrasana, Suptavajrasana, Hastpadotasana, Makarasana, Halasana for special benefit. Stop the practice of these asanas after three months and do light household work.
Tuesday, November 17, 2009
Simple exercise for better Breathing
Proper ways of breathing can cure serious diseases like asthma. One
should pay attention to breathing along with practicing yoga asanas.
Some important exercises are being mentioned below, which are
helpful in controlling this disease.
1. Always sit straight. Whenever you stand, keep your back straight.
Fold your lips in the manner they are folded to blow whistle. Then
apply pressure and exhale. Count the breaths and slowly double the
capacity to stop the breath but do not do it forcibly. Do not stop
breath in between the process of inhaling and exhaling because
irregular breathing pattern should not be followed in case of asthma.
2. If you are unable to breath and the shoulders and neck muscles
become stiff then follow this technique. Bend the left ear downwards
so that it touches the left shoulder, repeat the same technique with
the right ear. Lift the shoulders in such a way that they touch both
the ears. Slowly bring down the shoulders as far as possible and
rotate them forward, backward, up and down in a circular motion.
Keep the pace of rotation fast at sometimes and slow at other times.
When the muscles get relaxed, the breathing also becomes normal
and stops the irregular respiration pattern, congestion in the chest,
and anxiety.
3. Lie down straight and keep a book on the stomach. Breath
through the diaphragm and see that the book moves upwards when
you exhale and comes down when you inhale. This exercise should
be done everyday for five minutes, it improves the health of the
lungs and strengthens the muscles. Gradually increase the duration
of the exercise and the weight on the stomach.
A simple exercise to expand the skeleton:
1. Spread the legs equal to the distance of the shoulders, take the
hands forwards and exhale, then spread the hands and take them on
either side of the body and then backwards. Keep the elbows on the
back and try to expand the skeleton and inhale slowly.
2. Spread the legs equal to the distance of the shoulders and stand
straight. Now lift both the hands upwards and try to contract the
body in the same position. Take slow and deep breaths in this
position. You should feel that the skeleton is moving above the
spine. Exhale while bringing down the hands and concentrate only
on exhaling.
Yogic Remedy for Obesity

Obesity is one of the biggest health problems of the modern age. It is the main cause for many serious, incurable and fatal diseases. Blood pressure, heart problem, diabetes and other dangerous diseases are caused due to obesity. Our body weight gradually increases when focus is not given during childhood. Over time, this leads to obesity. It can be cured permanently with the intake of balanced food, proper life style and regular practice of yoga asanas. This will also cure the above-mentioned diseases, as well as many others. Regular practice of yoga asanas cure all types of disease. A few asanas very useful for overcoming obesity are given below:
Dwichakrikasana
Method:
1. Lie down straight on your back with your hands beside and below the hips. Stop the breath. Raise one leg, bending it at the knee, and then rotate it like you are riding a bicycle. Repeat this for 10 to 30 times as per your capacity. Similarly, repeat the exercise with your other leg. Rotate the legs without touching the ground. Make a circular shape with the legs.
2. When tired lie down in shavasana and rest for some time and repeat the exercise in the opposite direction, again resting when tired.
3. Inhale, and then repeat the exercise by rotating both the legs simultaneously in a circular motion, as done when you ride a bicycle. After, repeat this in the opposite direction continuously like a bicycle. 5 to 10 times according to your capacity.
Benefits:
1. This is the best exercise to reduce weight. Regular practice of this asana for 5 to 10 minutes sheds out unnecessary weight, and obesity can be reduced in a very short time.
2. It gives proper shape to the stomach. It activates the intestines. It cures constipation, dysentery, acidity etc.
3. In case of backache do the exercise with single leg, it is helpful for backache as well.
Padvritasana
Method:
1. Lie down straight on your back. Raise the right leg and make a circle by rotating the leg clockwise. In this way make 5 to 20 circles without touching the leg to the ground.
2. After rotating in one direction, rotate the leg in the opposite direction (anti-clockwise). Rest in shavasana when you become tired. Alternate between legs.
3. After doing this exercise with single legs, do it with both the legs simultaneously. Rotate the legs in as big a circle as you can. Rotate the legs clockwise and then again anti-clockwise.
Benefits:
1. This asana is also for reducing extra weight.
2. It reduces the fat accumulated in the hips, thighs and waist and gives proper shape to the stomach.
Ardha Halasana
This asana is like uttanapadasana - the only difference is that in uttanapadasana the legs are raised up to 30 degrees whereas in ardha halasana the legs are raised up to 90 degrees.
1. Lie down on your back. Keep the palms of your hands towards the floor; your legs should be straight and both the feet should be together.
2. Inhale and slowly raise the legs straight up to 90 degrees and remain in this position for some time. Do not bend the knees when you raise the legs.
3. While bringing down the legs, rest the legs on the floor without jerk. Rest for a while and repeat it again at least six times.
4. Those who have backache, should raise one leg at a time.
Benefits:
1. This asana is especially useful to reduce weight.
2. It makes the intestines flexible and healthy, increases the fire of the stomach and cures constipation, gas and obesity.
3. It is also beneficial in shifting of the navel, heart disease, stomachache and respiratory problems.
4. Raising one leg at a time is especially beneficial for backache problems.























