Author: Aimil

After the chilly winter it’s that time of the year again – Yes, Spring season. As the spring season sets in, the earth looks lovely and charming. The trees put forth new leaves and the sight of beautiful flowers blooming brings a smile to all our faces. As a matter of fact spring is the season of beautiful flowers. But have we ever wondered what happens to our body in this season??

During Spring the Climate gets warmer and the heat reduces the digestive power of body, As a result Kapha increases leading to various diseases like Cough, Cold, Allergies, Sinusitis, Indigestion to name a few. It is a known fact that Spring is the time of year for seasonal allergies. As the trees start to bloom and the pollen is released into the atmosphere, allergy sufferers begin their annual ritual of sniffling and sneezing.

Many people are unable to enjoy spring as they land up having Allergies and many other problems. Fortunately Ayurveda, the ancient science of life has the solution. There is a concept of  Ritucharya in Ayurveda , “Ritu” meaning Seasons and “Charya” meaning  to follow a routine. Hence Ritucharya is the Seasonal Routine, by following the Seasonal lifestyle & diet people can stay away from seasonal diseases and can have a healthy life. As per Ayurveda, The duration from mid March to mid May constitutes the Vasant Ritu or Spring season.

Ayurveda hence advices certain Lifestyle modifications which could prevent people from getting the Recurrent Allergies, hay fever, Asthma and other seasonal diseases:

Food to be taken – Pointed Gourd (Parval), Pumpkin (Sitaphal), Bitter Gourd, Capsicum, Beans, Garlic, Ginger, Amla, Apple, Grapes. Fig, Moong Dal, Masoor Dal, Arhar Dal, Wheat, Barley, Honey, Warm water, Dalchini, Laung & Tulsi Boild Water.

Food not to be taken – New Grains, Sweet-Salty and Spicy Food, Ghee, Butter, Lassi, Cold Drinks, Ice Cream, Curd

Recommended Activities – Regular Exercise, Bathing with Lukewarm Water, Dry Massage, Take Benefits from Panchkarma, Gargling, Snuffing, Nasal Medication.

Diarrhea is one of the most common health complaints. It can range from a mild, temporary condition, to a potentially life-threatening one.

Globally, an estimated 2 billion cases of diarrheal disease occur each year, and 1.9 million children under the age of 5 years, mostly in developing countries, die from diarrhea.

Diarrhea is characterized by abnormally loose or watery stools.

Some people frequently pass stools, but they are of normal consistency. This is not diarrhea. Similarly, breastfed babies often pass loose, pasty stools. This is normal. It is not diarrhea.

Here are some key points about diarrhea:

Most cases of diarrhea are caused by bacteria, viruses, or parasites.

Inflammatory bowel diseases (IBD) including Crohn's disease and ulcerative colitis can cause chronic diarrhea.

Antidiarrheal medications can reduce diarrheal output and zinc supplement is effective in children.

Some nutritional and probiotic interventions may help prevent diarrhea.

Correcting dehydration is the priority of diarrhea treatment.

Some cases of chronic diarrhea are called "functional" because a clear cause cannot be found. In the developed world, irritable bowel syndrome (IBS) is the most common cause of functional diarrhea.

IBS is a complex of symptoms. There is cramping abdominal pain and altered bowel habits, including diarrhea, constipation, or both.

Inflammatory bowel disease (IBD) is another cause of chronic diarrhea. It is a term used to describe either ulcerative colitis or Crohn's disease. There is often blood in the stool in both conditions.

Other major causes of chronic diarrhea include:

Microscopic colitis: This is a persistent diarrhea that usually affects older adults, often during the night.

Malabsorptive and maldigestive diarrhea: The first is caused by impaired nutrient absorption, the second by impaired digestive function. Celiac disease is one example.

Chronic infections: A history of travel or antibiotic use can be clues to chronic diarrhea. Various bacteria and parasites can be the cause.

Drug-induced diarrhea: Laxatives and other drugs, including antibiotics, can trigger diarrhea.

Endocrine causes: Sometimes hormonal factors cause diarrhea, for example, in the case of Addison disease and carcinoid tumors.

Cancer causes: Neoplastic diarrhea is associated with a number of gut cancers.

Treatment

 Persistent or chronic diarrhea will be diagnosed and any underlying causes will be treated in addition to the symptoms of diarrhea.

Rehydration

For all cases of diarrhea, rehydration is key:

Fluids can be replaced by simply drinking more fluids, or they can be received intravenously in severe cases. Children and older people are more vulnerable to dehydration.

Oral rehydration products, such as Oralyte and Rehydralyte, are available commercially. Zinc supplementation may reduce the severity and duration of diarrhea in children. Various products are available to purchase online.

Antidiarrheal medication

Over-the-counter (OTC) antidiarrheal medicines are also available:

Loperamide, or Imodium, is an antimotility drug that reduces stool passage. Loperamide and Imodiumare both available to purchase over-the-counter or online.

There is some concern that antidiarrheal medications could prolong bacterial infection by reducing the removal of pathogens through stools.

Antibiotics

Antibiotics are only used to treat diarrhea caused by a bacterial infection. If the cause is a certain medication, switching to another drug might be possible.

Diet

Sip on clear, still liquids such as fruit juice without added sugar.

After each loose stool, replace lost fluids with at least one cup of liquid.

Do most of the drinking between, not during meals.

Consume high-potassium foods and liquids, such as diluted fruit juices, potatoes without the skin, and bananas.

Consume high-sodium foods and liquids, such as broths, soups, sports drinks, and salted crackers.

Other advice from the nutritionists is to:

eat foods high in soluble fiber, such as banana, oatmeal and rice, as these help thicken the stool limit foods that may make diarrhea worse, such as creamy, fried, and sugary foods and drinks that might make the diarrhea worse include:

sugar-free gum, mints, sweet cherries, and prunes caffeinated drinks and medication fructose in high amounts, from fruit juices, grapes, honey, dates, nuts, figs, soft drinks, and prunes lactose in dairy products

magnesium

olestra, or Olean, a fat substitute

Probiotics

There is mixed evidence for the role of probiotics in diarrhea. They may help prevent traveler's diarrhea. In children, there is evidence that they might reduce diarrheal illness by 1 day.

People should ask their doctor for advice, as there are numerous strains. The strain most studied for antibiotic-associated diarrhea are probiotics based on Lactobacillus rhamnosus and Saccharomyces boulardii.

Useful Herbs in the Treatment of Diarrhea

1. Arjuna (Terminalia arjuna)

The bark of the arjuna tree is useful in the treatment of diarrhea. The bark is taken as a decoction in dosages of 15 to 30 grams per day.

2. Babul (Acacia arabica)

The babul tree is very useful in preventing diarrhea. Each part of the babul tree is useful. Its leaves can be taken as a mixed dose with black cumin seeds, its bark can be taken as an infusion with water and even its gum can be taken as a syrup.

3. Bael (Aegle marmelos)

Bael is very effective for the treatment of diarrhea which is not accompanied by fever. The unripe or half-ripe fruit is eaten for best results. 

4. Banyan (Ficus benghalensis)

The buds of the banyan trees are the beneficial parts. These must be soaked in water overnight and the infusion must be taken in the morning.

5. Belleric Myrobalan (Terminalia belerica)

Known as bahera in Hindi, this is one of the ingredients of the extremely useful Triphala. The pulp of its fruit is taken to cure most stomach problems, including indigestion and diarrhea.

6. Bishop's Weed (Trachyspermum ammi)

The oil extracted from the seeds of the Bishop's weed is useful in the treatment of diarrhea. Just two to three drops of this oil per dosage is sufficient.

7. Black Nightshade (Solanum nigrum)

Black nightshade leaves are used in the treatment of diarrhea. The leaves are taken in the form of an infusion with the juice of other liquids.

8. Butea (Butea monosperma)

The butea tree yields a gum which is beneficial in the treatment of diarrhea. It is especially useful in women and children that are suffering from diarrhea.

9. Chebulic Myrobalan (Terminalia chebula)

Known as harad in Hindi, it is the second ingredient of Triphala. The pulp of the unripe fruit of this plant is given along with honey for better results.

10. Dill (Anethum sowa)

The oil obtained from the dill is used for the treatment of diarrhea. Dill oil is so mild that it is also an ingredient used in the medicines for treating baby colic.

11. Fenugreek (Trigonella foenum graecum)

Fenugreek seeds are useful in the treatment of digestive problems including diarrhea.

12. Indian Gooseberry (Emblica officinalis)

Known as amalaki in Hindi, this is the third ingredient in the preparation of Triphala. It is the richest source of vitamin C in the world.

Amydio Forte is a fast acting formula with vital plant extracts, herbal distillates & phyto-nutrients from selective ingredients from natural resources which helps in the comprehensive management of Diarrhoea, Dysentery & allied Gastro intestinal disorders. The different plant resources in Amydio Forte, acts synergistically to check over the acute and chronic phase of Diarrhoea, systematically and symptomatically. Amydio Forte is a safe & well tolerated formula for children to elderly and supplements essential electrolytes lost due to excessive fluid loss.

Incorrect Food habits and polluted environment affects our blood so much that we get into skin problems like Acne, Eczema, Psoriasis and other allergies. To treat these we usually take various allopathic medicines which are not only eventually ineffective but are also likely to give us so many side-effects. To get rid of these problems AIMIL Pharmaceuticals India has developed an effective and safe ayurvedic formula, the Purodil. It is a Dual Intensive Therapy for making skin healthy. Purodil provides poly herbal regimen, recommended for comprehensive management of acne, pimples and other skin infections & allergies. With unique benefits of dual therapy, it constantly treats all stages of acne, repairs acne damaged skin, helps to heal breakouts by detoxifying the impurities. Purodil dual therapy acts internally as well as externally giving complete benefits to the patients of acne, pimples and other skin infections & allergies. Purodil syrup/tablet is a scientifically developed, clinically tested polyherbal formulation, which act multi-dimensionally to treat acne, pimples and other skin allergies. Purodil provides comprehensive and safe approach, being a good anti-microbial, anti-inflammatory, anti-allergic, anti-oxidant, blood detoxifier and immuno-modulator. The Purodil Gel, a unique topical innovation to fight acne & pimples fast.  It is a rich source of phyto–constituents, alpha mangostin which locally inhibits 5-α reductase, reduces DHT level, excessive sebum or oil secretion, and eventually reduces the formation and recurrence of acne and pimples. Purodil gel works at a root cause level and gives fast relief.

Purodil also diminishes stress-induced changes in the body, exerts anti-stress action along with adaptogenic, anti-anxiety action and breaks vicious cycle of stress-acne-stress; reduces burden of oxidative stress, inhibits free radicals, protects the epidermal cells, checks acne flare-ups; reduces endotoxin production, boosts body defence system, ensures fast relief and stimulates liver functions causes effective detoxification, and protects from various metabolic toxicants.

The main ingredients of Purodil are :

Kokam (Garcinia indica Choisy): The Fruit rind  of Kokam is rich in the life-enhancing antioxidant Xanthone, and Anthocyanins that   have been shown to possess strong antioxidant activity which is proven to battle depression, kill bacteria, and fight free radicals. Anthocyanins prevent ascorbic acid oxidation, scavenge free radicals, show inhibitory effects against oxidative enzymes and reduce the risk of cancer and heart diseases. Kokum’s major active ingredient is Garcinol, a substance that has antibacterial, antioxidant and anti-inflammatory properties. Kokam also contains B complex vitamins such as niacin, thiamin and folic acid plus high levels of Vitamin C; and also a good source of magnesium, potassium and manganese.

The most important health benefits of Kokam include its ability to speed wound healing, prevent chronic disease, reduce allergic reactions, optimize digestion, protect the skin, boost the immune system, relieve pain, and eliminate inflammation.

 Lavang (Syzygium aromaticum (L.) Merr. et L. M. Perry): Lavang’s  health benefits include improving digestion, fighting against bacteria, protecting the liver, fighting lung cancer, regulating blood sugar, preventing mutation, enhancing immune system, fighting inflammation, supporting oral health, curing respiratory infection, curing headaches, relieving stress, treating wounds, supporting healthy bones, treat acne, promoting youthful skin, and preventing stomach ulcers. The presence of antioxidants in lavang makes it a great addition to the lifestyle of youthful skin. Harmful radicals cause the skin cells to age rapidly, and this causes premature wrinkles. Lavang can battle such radicals with antioxidants and help skin stay youthful.

Yashtimadhu (Glycyrrhiza glabra L.): Yashtimadhu root contains powerful antioxidants that can neutralize free radicals from external environmental (sun, pollution) and internal (e.g., energy production) stressors.  Also, the presence of “licochalcone” is ideal for individuals with oily skin because licochalcone has shown to control oil content on the skin. Glycyrrhizin, an active in the Yashtimadhu root, has a strong anti-inflammatory activity that is similar to cortisol and steroids. Steroids are commonly used drugs in treating inflammatory dermatologic conditions, such as eczema and psoriasis. For centuries, Yashtimadhu root has been used to treat a wide variety of inflammatory skin conditions, such as eczema, psoriasis, contact dermatitis, seborrheic dermatitis, psoriasis and other conditions characterized by inflammation and itch. Glabridin, an active ingredient in Yashtimadhu root, has shown to possess anti-inflammatory effects and inhibits tyrosinase, a key enzyme that is responsible for making the pigmentation. Liquiritin, an another active ingredient found in Yashtimadhu. which does not inhibit tyrosinase but helps to disperse and remove melanin and pigments in the skin.

Nimbu (Citrus limon  (L.) Osbeck): Nimbu is a wonderful source of calcium, vitamin C, magnesium and potassium; all of which help improve the appearance and condition of skin, hair, and nails. Nimbu can act as an antioxidant, astringent, stimulant, hydrator, and also help aid in fighting dandruff and a dry, itchy scalp. Nimbu has antiseptic qualities which help exfoliate dead cells and aid in fighting dandruff and pesky flakes. Its antibacterial and anti-inflammatory qualities can also help soothe skin irritations affiliated with dandruff. Nimbu is a natural stimulant to the liver and act as a great liver detoxifier, and also help replenish body’s mineral supply and quench thirst. Apart from free radicals, Nimbu also purges toxic materials from blood and keeps the skin clear and radiant. Vitamin C of Nimbu plays a key role in rejuvenating the facial skin internally so that you do not ever develop age spots and can stay young forever.

 Neem (Azadirachta indica A. Juss.): Neem has a long history of medicinal usage in skin ailments due to its antibacterial and anti-inflammatory properties and showed insignificant effect against acne causing bacteria.  Loaded with nutrients, neem oil is also used in natural skin care products because it contains high levels of antioxidants that help protect the skin from environmental damage. Neem also helps fight free radical damage in the skin because it contains carotenoids, which provide high antioxidant compounds. Since neem is also especially high in important fatty acids and Vitamin E and can quickly penetrate outer layers of skin, it is extremely effective in healing dry and damaged skin. Neem oil has been used in traditional folk medicine as a home remedy for acne because of the aspirin-like compound that helps rid the skin of bacteria. It also helps reduce redness and inflammation. The high fatty-acid content in Neem oil is said to prevent and treat scars from acne and is non-comedogenic.

Kumari (Aloe vera (L.) Burm.f. ):  Kumari is used in traditional Indian medicine for constipation, skin diseases, worm infestation, infections and as a natural remedy for colic. Kumari contains antioxidants, vitamins A, C and E — plus vitamin B12, folic acid, choline, enzymes, minerals such as calcium, copper, selenium, chromium, manganese, magnesium, potassium, sodium and zinc, anthraquinones, fatty acids, and hormones, called auxins and gibberellins; they help with healing wounds and have anti-inflammatory properties. There have been numerous reports that have explored the role of topical Aloe vera administration in skin conditions and wound healing management, including the treatment of psoriasis, dermatitis, oral mucositis, surgical wounds and as a home remedy for burn injuries. Kumari provides an amazing number of vitamins and minerals that help reduce inflammation and fight free radical damage. Kumari can also naturally treat acne and eczema since it helps the healing process in the skin.

Sariva (Hemidesmus indicus  (L.) R.Br.): Sariva is a good source of “ saponins” which are natural carbohydrates found in plants. They have shown in studies to have good antioxidant properties and also have good cleansing property that helps to remove dirt and impurities. Sariva also contain flavonoids and nutrients like copper, iron, manganese, zinc, vitamins A and D, making it a good anti-aging ingredient for skin. Melanin generation inhibitor makes it possible to prevent or control safely development of pigmentation, such as a pigmented spot by aging or sun tanning and freckles. Formulation with roots as one along other is effective in inhibiting elastase, collagenase, tyrosinase activity, and preventing and improving skin aging. Sariva roots showed healthy skin benefits especially as skin nourisher, anti-acne, anti-microbial, anti-oxidant, immune-modulation, anti-inflammatory, cleanser, fairness for skin and protection of skin from UV radiation from sun. Sariva is used as lipase inhibitor for skin/hair external preparation.

Vach (Acorus calamus L. ): Vach has been employed for kidney and liver troubles, rheumatism, and eczema. The rhizomes extract showed significant anti-inflammatory effect in acute, chronic, and immunologic models of inflammation. The ethyl acetate extract of Vach was found to be a potent antioxidant. Vach also showed antibacterial and antifungal activity.

Dhania (Coriandrum sativum L.): Dhania has antioxidant properties. The presence of quercetin (antioxidant), vitamin C and iron strengthen body’s immune system.  Dhania contains an anti-bacterial compound, Dodecenal that kills fungus or bacteria. Dhania is reported to reduce acne and blackheads. Dhania also have antioxidant, anti-fungal, antiseptic and disinfectant properties that help in clearing up the skin from many problems. Dhania is highly rich in vitamin A which fights free radicals and thus prevents many signs of ageing such as pigmentation, wrinkles, loose skin. Thus, Dhania having disinfectant, detoxifying, antiseptic, antifungal, and antioxidant properties that are ideal for clearing up skin disorders such as eczema, dryness, and fungal infections.

Daruhaldi (Berberis aristata DC.): Daruharidra has been traditionally used to deal with heart and liver problems and skin diseases, wounds and burns. The chief constituent of  Daruharidra is barberine that is used for skin diseases like acne, pimples and other skin infections & allergies. The plant is anti-bacterial, anti-inflammatory, and antioxidant activity, and is used to treat skin infections like eczema, parasites, psoriasis, and vaginitis. A methanol extract of  Daruharidra has anti-hyperpigmentation potential for human skin, and has been found to treat psoriasis and lighten skin.

Bavachi (Psoralea corylifolia L.): Bavachi is a popular herb, which has since long been used for its magical effects to cure various skin diseases such as psoriasis, leukoderma, and leprosy. Bavachi has blood purifying properties. It is used to treat itching red papules, itching eruptions, extensive eczema with thickened dermis, ringworm, rough and discolored dermatosis, dermatosis with fissures, and scabies. An active compound the Bakuchiol, found in Bavachi exhibited antioxidant, anti-inflammatory and antibacterial properties.

Pudina (Mentha viridis (L.) L.): Pudina contains vitamins, antioxidants, and vital nutrients and is rich in limonene, dihydrocarvone, and cineol. The antiseptic properties of the essential oil of Pudina make it effective at inhibiting the growth of microbes and reduces the chances of infections occurring on the skin. The anti-fungal, anti-bacterial, and anti-viral properties of Pudina essential oil make it a great disinfectant. The oil can help to get rid of both external and internal infections. The anti-microbial and anti-inflammatory properties of the Pudina essential oil can be used in the treatment of skin conditions such as acne, psoriasis and acne. It can also effectively treat fungal infections like athlete’s foot, jock itch, and nail fungus.

This 7^th April marked the 69^th World Health Day with the nominated theme – Universal health coverage: everyone, everywhere. The theme has one goal of ensuring that everyone can obtain the care they need, at any given time and right in the heart of the community.

According to WHO, half the world’s 7.3 billion population lacks access to essential health services and situation is shakier in India where there is huge disparity & inaccessibility in the distribution of healthcare facilities.

Challenges in the way

In India there is one doctor in every 921 people which makes accessibility a daunting challenge. Furthermore, as the burden of Non-communicable diseases (NCDs) is increasing, modern medicines are getting answerless despite of strides it has made in acute conditions, infections & surgical interventions. The increased probability of side effect and adverse effect in long term treatment has also limited the use of modern drugs in lifestyle disorders.

Ayurveda: A trailblazer

Ayurveda is a proved science which is bringing revolution to the healthcare industry. In a survey it was revealed that 90% people want to adopt Ayurveda as the first call of treatment. And this trend is also evident from the growing market in which Ayurveda is set to cross the 50 K crore mark in 2022. Ayurveda is a science which is perfected over centuries and is gaining momentum due to its capability to combat growing burden of NCDs. The Indian government has given special status to this system of medicine in Ayushmann Bharat owing to its usability in meeting the objectives of UHC to provide superior healthcare, wellness facilities & insurance to rural and underprivileged. The WHO has also recognised Ayurveda in its Traditional medicine strategy 2014-23. It aims to develop policies and strengthen the role of traditional medicine in keeping population healthy.

Aimil Pharmaceuticals (I) Ltd. has envisioned the concept of UHC since its inception and in its endeavour to alleviate the suffering of mankind has reinvented the science of Ayurveda by implementing a unique philosophy. Every brand of Aimil is blended with the twin concept of restoration & supplementation which works in tandem in treatment of disease and also ensuring the accelerated recovery in the process. The strong precedent to this philosophy is Aimil’s NEERI KFT which has converted hopes into promises for many Chronic kidney disease patients. Similarly, BGR-34 of Aimil, a research knowhow of Council of scientific & industrial research (CSIR) has led to a paradigm shift in the therapy of diabetes in the country. With Aimil’s diverse product range and pan India coverage the promise of Ayurveda seems fulfilled.

From trailblazer to spearhead

With 6 lakh Ayurveda practitioners in India and 20,000 in pipeline every year, we are getting closer to the aim of UHC with every passing day. And if we can realise our dream of getting Ayurveda in mainstream then the steps we are taking today will become milestones in future.

A dietary wonder for CKD and Nephrotic Syndrome patients. In CKD patients, it also reduces hypocalcemia and inversely proportionate the pathogenesis of hyperparathyroidism secondary (2nd-HPTH).

Nutritional value

Chronic Kidney patients and Kidney failure patients are often subject to extreme limitations in their diets, which mean they might not be able to get enough of the important nutrients they need. Moringa supplements with all the dietary requirements for CKD patients.

Moringa Oleifera leaves (fresh and dried) and other common nutritional plant sources reveals that Moringa Oleifera provides more than seven times the vitamin C found in oranges, 10 times the vitamin A found in carrots, 17 times the calcium found in milk, nine times the protein found in yogurt, and 25 times the iron found in spinach. A list of possible medical applications conferred by Moringa Oleifera plant parts includes, but is not limited to antihypertensive, anticancer, antispasmodic, antitumor, antiulcer, cholesterol lowering, diuretic, hepatoprotective, and hypoglycemic capabilities, as well as treatment of infectious skin and mucosal diseases.

Moringa leaves and pods are used to produce neurotransmitter acetylcholine. It also contains about 423 mg of Choline per 100 g (3 oz).  Diet recommendations call for about 400-550 mg/day. Choline is critical for normal membrane structure and cellular function. It is used by the kidneys to maintain water balance and by the liver for synthesis of various compounds. Moringa leaves also contain Vitamins like Vitamin-A (Beta-carotene), vitamin B-choline, vitaminB1-thiamine, riboflavin, nicotinic acid and ascorbic acid. Phytochemicals like sterols,tannins, trepenoids, saponins, alkaloids, phenolics and flavonoids like isoquercitin, isothiocyanates, quercitin, kaemfericitin, and glycoside compounds are also found.

Moringa root bark extracts reduce kidney elimination of calcium oxalate and calcium phosphate in propylene glycol induced hyper oxaluria as well as increased renal excretion of calcium and phosphate hence reduce weight of renal stone.

Moringa helps in preventing anemia

Kidney failure often leads to anemia, which can make kidney conditions even worse.  Presence of high contents of folic acid minerals in Moringa, enhance its role as a facilitator for Iron absorption. Therefore, regularly eating Moringa can help stave off anemia in kidney patients.

As a great digestive enhancer

Moringa seeds contain high value of methionine and cysteine amino acids, which are pro digestive proteins. These proteins play a vital role in digestion hence quite submissive for CKD. Various researches could conclude the importance of Mornga seeds as a great protective agent against arsenic toxicity. All the mentioned contents with flavonoids alkaloids, anthocyanins, Glycoside niazirin, proanthocyanidins, cinnamates, cysteine, 4-hydroxymellein, vanillin, β-sitosterone and vitamins makes it highly antioxidant and diuretic.

Neeri kft contain Moringa oleifera with other effective nephroprotective herbs.

Kidney plays a fundamental role in regulation of body fluids, electrolytes and acid-base balance. Potassium imbalance may leads to CKD consequences in to multiple derangements including hyperkalemia, metabolic acidosis and hyperphosphatemia. It further cause complications like muscle wasting, bone-mineral disorder, vascular calcification and mortality.

Hyperkalemia (abnormally higher level of ppotassium in blood serum) is one of the most common and life-threatening electrolyte disorders in CKD. It increases multifold with the advancement of CKD.

Keep potassium level under check before it go too high

GOAL RANGE 3.5-5.0 mmol/L

Actively avoid foods that are high in potassium. Alternatively, eat variety of foods but with limitation  on quantity.

Keep in mind:

Almost all foods contain some potassium, hence the portion of the serving is very important. A multifold amount of a low potassium food can be cause of a high-potassium food

Leaching process: it helps in pulling potassium out of some high potassium vegetable and pulses:

• Peel and dip the vegetable in cold water and slice the vegetable 1/8 inch thick
• Rinse the vegetable in warm water for a few seconds
• Soak for a minimum of two hours in warm water. Use ten times the amount of water to the amount of vegetables. If soaking longer, change the water every four hours.
• Rinse under warm water again for a few seconds.
• Cook the vegetable with five times the amount of water to the amount of vegetable

Leaching potassium from roots and tubers:

Double boiling cooking is more effective than normal cooking for leaching potassium especially from roots and tubers, decreased potassium levels by 50% and 75% respectively.

The scared Lotus is not only pleasing to eyes. The plant contains various natural compounds that give it numerous healing powers to both body and the mind. The leaves, stem, seeds, roots and flowers of the Lotus have been used medicinally for thousands of years.

Tremendous health benefits Reduces kidney inflammation Aids diabetes management Foster the healing process.

Potential benefits of plant against wide range of disease and infections:-

Flowers

Traditional usage:

Lotus flowers, floral parts or their extracts have been used in many diseases like consolidation of kidney function, in body heat imbalance.

Modern facts:

Flowers, with their parts or extracts, have shown to possess antimicrobial activities, vasodilating effects, anti-hypertensive abilities and free radical scavenging capacity.

In experimental study Nelumbo nucifera extract (NLE) exerted anti-diabetic and renal protective properties due to its high content of total flavonoids (including Q3GA). From the aforementioned evidence, we conclude that NLE treatment is a promising option in ameliorating diabetes and its complications, specifically Diabetes Nephropathy. 

Rhizome

The rhizome has been used as a tonic and to treat bleeding disorders (i.e, nasal bleeding, hemoptysis, hematuria, bleeding of the uterus).

In Chinese herbal formulations, it is used to treat tissue inflammation, haemorrhoids, dysentery, and dyspepsia have been treated with powdered formulations of the rhizome.

Recipe

Kamal kari (Lotus stem)

Ingredients for Lotus Stem (Kamal kakri) Processed

Kamal kakri – 2-3 ,Tomato – 3-4 , Green chilli – 2-3, Ginger – 1tsf, Oil – 2-3 tsf, Cumin seeds – 1/2 tsf, Hing- 1 pinch, Turmeric powder – 1/3 tsf, Coriander powder – 1 1/2 tsf, Red chilli powder – 1/6 tsf, Salt – 3/4 tsf, Garam masala – 1/6 tsf (optional) ,Coriander leaves – 2 table spoon (chopped)

Method – How to make Kamal Kakdi Processed

Wash the kamal kakri thoroughly under the running water. Once the water dries from the stems and peel it. Cut the stems into small pieces. Put the stem pieces into the cooker with 1/2 cup water and 1/4 tea spoon of salt to boil for upto 1 whistle. Now boil it for 2 more minutes after the pressure on a low flame and turn off the gas. Open the cooker and strain the water from the kamal kakri pieces. Wash the tomatoes and cut them into big pieces. Break the stems of the green chilli, peel the ginger and cut it into small pieces. Put all these ingredients in a mixer and make a fine paste. Heat oil in a pan and put cumin seeds, heeng into it. Let it splutter. Once the cumin seeds turn brown in colour add turmeric powder and coriander powder to it. Now put the tomato paste into the pan along with red chilli powder and mix well with the masala. Roast the masala until the oil starts to float at the top of the masala. Now add salt and garam masala into the masala and mix well. Put the boiled lotus stems into the masala, stir with the spoon to mix well and cook it for 3-4 minutes. Lotus Stem cuisine is ready. Garnish with coriander leaves. However, potatoes can also be added as per taste.

Neeri KFT contains Nelumbo nucifera (Kamal) and many more potential nephroprotective herbs.

Uttar Pradesh Orthopaedic Association's 43rd Annual Conference UPORTHOCON organized in the Rohilkhand Medical College, Bareilly under the auspices of the Bareilly Orthopaedic Association from 15^th to 17^th February 2019. On February 15, The Chief Guest was Dr. P. K. Dabral the former President of Bone and Joint Department of Jhansi Medical College and former Presidency Professor of Uttar Pradesh Orthopaedic Association, as well as Chief Officer of Uttar Pradesh.

Approx. 600 orthopaedic doctors gathered for the technical sessions including experts and PG students. Dr. Ramesh Sen from Chandigarh, informed about the treatment of necrosis in the upper extremities of the thigh bone. Dr. Matthew Verghese lectured about the disability due to foot, spinal cord injuries and explain artificial Limb, which were made by spending millions of rupees from abroad, are now being made in India only at a very low cost which gives patients a lot of comfort. Dr. Dhirendra Singh, a senior Orthopaedic specialist from Ghaziabad, lectured about the treatment of injury in the ankle bone. On this occasion, Dr. Atul Shrivastav, President of the Orthopaedic Association, Dr. Jamal Ashraf is Head of Trauma Unit UM&TC, Organizational secretary of the conference Dr. Vinod Pagragari was also present. On occasion of UPORTHOCON, well-known Pharmaceutical companies were present there. Aimil pharmaceuticals had shown their presence with brands related to the bone like “Boniheal” 1^st time in India, a complete phytomineral bone therapy for osteoporotic bones, fractured bones, bone mineral deficiency and delayed bone growth with a unique combination of 4 type of calcium in absorbable form with vitamin D & K, which increases Osteoblastogenesis and limit osteoclastogenesis & promotes required bone mineralisation. “Muscalt forte” A pain nil formula which focus on the health and healing of joints for the osteoarthritis, rheumatoid arthritis, frozen joints and ankylosing spondylitis. Muscalt forte oil spray, India’s 1^st oil spray which possess therapeutic concentration of pure essential oils with deep penetration by virtue of aromatic essential oils.

On February 16 morning, A Mini marathon held, in which chief guest Arunima Sinha was the first female amputee to scale Mount Everest and Mount Vinson has inaugurated that The purpose of the marathon was to connect the people of the society and to deliver a message to them that we will not face any difficulties in front of us but we should fight with our will and passion. On February 17, poster presentation was there for the P G students and experts lectured on how to manage the disorder related to bone with the operative processors as well as non-operative therapy.

Physical growth refers to an increase in body size (length or height and weight) and in the size of organs. From birth to about age 1 or 2 years, children grow rapidly. After this time, growth slows. As growth slows, children need fewer calories and parents may notice a decrease in appetite. Two-year-old children can have very erratic eating habits that sometimes make parents anxious. Some children may seem to eat virtually nothing yet continue to grow and thrive. Actually, they usually eat little one day and then make up for it by eating more the next day.

During the preschool and school years, growth in height and weight is steady. Children tend to grow a similar amount each year until the next major growth spurt occurs in early adolescence. Different organs grow at different rates. For example, the reproductive system has a brief growth spurt just after birth, then changes very little until just before sexual maturation (puberty). In contrast, the brain grows almost exclusively during the early years of life. The kidneys function at the adult level by the end of the first year. Children who are beginning to walk have an endearing physique, with the belly sticking forward and the back curved. They may also appear to be quite bow-legged. By 3 years of age, muscle tone increases and the proportion of body fat decreases, so the body begins to look leaner and more muscular. Most children are physically able to control their bowels and bladder at this time.

Doctors report how children are growing in relation to other children their age and monitor the children's weight gain compared to their height. From birth until 2 years of age, doctors record all growth parameters in a chart by using standard growth charts from the World Health Organization (WHO). After age 2, doctors record growth parameters by using growth charts from the Centers for Disease Control and Prevention (CDC).

Parents can help their children achieve the best possible health. The foundation for a healthy body and mind is laid in early childhood. The early years of life are crucial for health and physical, mental, and social/emotional development. If babies' physical needs are met regularly and consistently, babies quickly learn that their caretaker is a source of satisfaction, creating a firm bond of trust and attachment. Healthy babies grow into healthy children and adolescents.

Aimil's K.G tone Forte a kid growth tonic, contains juices & extracts of scientifically proven mix of nature’s quality herbs, providing essential nutrients which nourishes the growing children and simultaneously boosts immunity. The excellent formula of K.G Tone Forte contains selected tonic and digestive herbs to support digestion and immunity for best physical & mental growth, helps easy eruption of teeth, relieves gripes & colic, improves liver functions and strengthens body defense system.

Diabesity is a complex syndrome whereby obesity progresses to diabetes with overlapping symptoms of insulin resistance, hyperinsulinemia, hyperglycaemia, dyslipidaemias and inflammation.

The passage from obesity to diabetes mellitus is made by a progressive defect in insulin secretion coupled with a progressive rise in insulin resistance. Both insulin resistance and defective insulin secretion appear very prematurely in obese patients and both worsen similarly towards diabetes.

The increase in health loss from diabetes since 1990 in India is the highest among major non-communicable diseases.

As per study coded in Functional Foods in Health and Disease 2017; 7(1): 1-16. Diabesity has emerged as a major threat. This condition has been described as a slow poison, whose influence cannot be controlled or cured.

Risk Factors:  

• Waist circumference (more than 35 and 40 inches in females and males respectively),
• BMI (more than 25),
• Hypertensive and
• Family history of diabetes were found to be correlated with pre-diabetes.

In recent years, the prevalence of diabetes, as well as pre-diabetes, has significantly increased in India. The prevalence of pre-diabetes — also known as “impaired glucose tolerance” is a precursor to diabetes.

People with Pre-diabetes are at a very high risk of developing Type 2DM and as per recent updates in addition to the 425 million diabetics worldwide, there are 352.1 million adults with impaired glucose tolerance (IGT) or Pre-diabetes, who have a very high chance of developing full blown diabetes in the future. Though out of these, not all become diabetic, the conversion rate varies from population to population and from region to region.

In India, The ICMR INDIAB Study, which included both urban and rural population across 4 major Indian states (8.3% in Tamilnadu, 12.8% in Maharashtra, 8.1% in Jharkhand and 14.6% in Chandigarh) identified a conversion rate from pre-diabetes to diabetes, ranging between 7.1 % – 15.2%..

The overall prevalence of pre-diabetes in all 15 states* was 10·3% (10·0–10·6). The prevalence of pre-diabetes varied from 6·0% (5·1–6·8) in Mizoram to 14·7% (13·6–15·9) in Tripura, and the prevalence of impaired fasting glucose was generally higher than the prevalence of impaired glucose tolerance.

(Data source: Lancet Diabetes Endocrinol., 1-12, 2017)

{*States were sampled in a phased manner: phase I included Tamil Nadu, Chandigarh, Jharkhand, and Maharashtra, sampled between Nov 17, 2008, and April 16, 2010; phase II included Andhra Pradesh, Bihar, Gujarat, Karnataka, and Punjab, sampled between Sept 24, 2012, and July 26, 2013; and the north eastern phase included Assam, Mizoram, Arunachal Pradesh, Tripura, Manipur, and Meghalaya, with sampling done between Jan 5, 2012, and July 3, 2015.}

For non-clinical management of Diabesity, weight control is an important part. Diet and exercise intervention should be initiated early and should continue throughout the duration of the treatment.

A combo approach through exercise, diet and medicine is needed to save trapping lives in pre diabetes, borderline diabetes. The condition can never be cured but can be controlled with early diagnosis.

The individuals who are prone to diabetes should avoid the following factors in order to prevent the pre-diabetes:

1. Di- Dietary irregularities
2. a- attitude irregularities.
3. be- behavioural irregularities
4. te- tension creating atmosphere.
5. s- Sickness leading/originating factors.

Cytokine TNF- α has been implicated in insulin resistance.  Insulin resistance is primary metabolic defect in type 2 Diabetes mellitus. Pterocarpus marsupium (Vijaysar) extract decreases elevated TNF- α levels along with its potential blood glucose lowering effect. Keeping in view an Ayurvedic formulation BGR -34 was launched by CSIR research units (NBRI & CIMAP). BGR-34 contains Pterocarpus marsupium (Vijaysar) along with five more potent anti-diabetic herbs viz Berberis aristata (Daruharidra), Tinospora cordifolia (Giloe), Gymnema sylvestre (Gudmar), Rubia cordifolia (Manjistha) and Trigonella foenum graecum (Methi) which are efficient to control pre-diabetes / impaired glucose tolerance.

Recommendations

• Eat nutritious high fibre food.
• The designing of a smart diet (i.e. healthy diet)
• Walk fast, run, and swim or play at least 30 minutes a day.
• Keep healthy weight & Waist to hip ratio.
• Keep blood sugar under control, if diagnosed.
• Select gut microbiota having probiotic influence on the host can target in the weight reduction/ management.