Tuesday, September 9, 2014

Drinking enough water prevents obesity

This excellent articles summarizes the reasons for drinking water.

http://themindunleashed.org/2014/09/11-reasons-dehydration-making-sick-fat.html 

Monday, September 8, 2014

Sleep Apnea and Obesity

Sometimes the only cause of sleep apnea syndrome is massive obesity. This condition needs expert treatment so that the body loses weight gradually while treating the sleep apnea as the patient may go to vicious circle. Both sleep apnea and the obesity affects each other drastically with high probability of death during sleep. 

Tuesday, September 2, 2014

Sore throat in Asthma and Allergic Rhinitis

Sore throat is a common symptom in asthma and allergic rhinitis. Many cases are due to chronic cough that injure the throat. Other cases are due to discharges from the nose. The treatment is that of the primary condition. Anyhow when bronchial asthma is associated with Rhinitis both cases should be treated together. 

Sunday, August 31, 2014

Get rid of the belly

Use these two drink: 
The first:
1- One green apple 
2- Two kiwis 
3- Green mint leaves 
4- One green lemon 
5- Small teaspoonful honey 
6- Cold iced water one full glass 
Mince all ingredients with the cold water 
Drink that three times daily 
The second:
1- Large spoonful cinnamon 
2- Small spoonful ginger 
3- 300 ml water 
Boil for 10 minutes 
Drink the second two hours after the first. 

Wednesday, August 20, 2014

بعض النصائح الصحيه الهامه لتفادى فساد الطعام او تناول طعام فاسد بسبب الانقطاع المتكرر للتيار الكهربى :



بعض النصائح الصحيه الهامه لتفادى فساد الطعام او تناول طعام فاسد بسبب الانقطاع المتكرر للتيار الكهربى :
1- اللحوم : يستحسن الاحتفاظ فى الثلاجه بلحوم تكفى مده يومين على الاكثر و يستحسن سلقها او طهيها و الاحتفاظ بها مطهيه حيث ان عمليه الطهى تعقمها و كذلك الدواجن و التناول بعد المعاينه بالعين لعدم تغير اللون او الرائحه و عدم ظهور فطريات على جدار الاناء 
2- الاسماك شراء نفس يوم الطهى و طاظجه و التأكد من ان الخياشيم لونها وردى 
3- الخضروات و الفاكهه : الاحتفاظ بما يكفى يومين على الاكثر و التأكد من سلامتها قبل تناولها و ذلك بانها متماسكه و لم يظهر عليها فطريات و لم تتغير رائحتها 
4- الجبن : الاحتفاظ بما يكفى يومين على الاكثر و التاكد من عدم تغير الرائحه قبل تناولها و عدم ظهور فطريات خضراء او زرقاء على الحواف 
5- البيض : الاحتفاظ بما يكفى يومين على الاكثر و الافضل سلقه عند الشرار و بالنسبه للمقلى فبرجاء كسر البيضه فى طبق و التاكد ان الصفار غير مختلط بالبياض و ان الرائحه لم تتغير 
6- الخبز : عند الاحتفاظ بالخبز فى الفريزر برجاء التاكد من عدم ظهور فطريات عليه و قوامه متماسك و ليس كالعجين او الخبز المبلول 
7- يستحسن الشراء من المحال التى لها مولدات كهربيه و هو المحال او السوبرماركت الكبرى للحوم و الدواجن و الجبن 
8- الحلويات الاحتفاظ بما يكفى يومين للحلوييات الشرقيه و يوم واحد للحلويات الغربيه حيث ان الكريمه سريعه التحلل و الفساد 
9- عند حدوث اسهال او تعنيه او مغص برجاء التوجه للطبيب حيث ان بعض المرضى قد تستدعى حالته محاليل و خاصه ان الجو حار

Tuesday, August 19, 2014

Seasonal Asthma

Some asthmatics either have the asthma during certain seasons or they get worse during these seasons. Usually these patients have allergic rhinitis and or conjunctivitis. Some patients have skin allergy and few patients have gastero-intestinal allergy in the form of colic and diarrhea after some types of food that should be diagnosed as it give same symptoms of the irritable bowel syndrome. 
Seasonal asthma needs treatment during the season and when an asthmatic get worse during the season the drug doses may be higher during the season only. There are many protective measures should be told to the patient by his treating doctor. 

Friday, August 15, 2014

The Ideal Body Weight

The ideal body weight is one of the aims that Immunologists and Chest consultants should help their patients to reach. Whether it is the shortness of breath or the joint pain, both improve much when the patient reaches his ideal body weight. Obesity causes respiratory muscles overload with increasing effort to breath. At the same time joints specially the hip and the knees suffer from the overload. Some patients complain also from backache. Some patients use steroids and this increases the incidence of osteoporosis with increased incidence of fracture. 

Wednesday, August 13, 2014

Ginger and Cinnamon for both Obesity and Asthma

Drink at least 3 cups (200 ml / cup) three times daily of this drink. It boost the metabolism towards burning fat and it relieves asthma as well. 
A tea spoonful of cinnamon plus a tea spoonful of ginger and 250 ml water and leave the mix to boil for 10 minutes. You can sweet it with diet sweet. 
This drink is a good substitute for tea and you can drink more than 3 as much as you can.  

Sunday, August 10, 2014

Resistant Obesity

Obesity may be resistant to regimes and to medicines from the start of the treatment or after a period of good response. 
Resistant obesity at the start of treatment may need:
1- more exercise

2- less caloric intake
3- presence of hormonal disease
4- non compliance to treatment
When resistant obesity is present after a period of good response, the above causes may be present and/or the patient may need 
1- few days of caloric intake to stimulate the insulin production 
2- some drugs that help the metabolism 
3- change of diet regime 

Friday, August 8, 2014

Allergic Alveolitis

Allergic alveolitis may present as bronchial asthma and may present as gradual shortness of breath with cough. The problem with allergic alveolitis is that this disease causes lung fibrosis so that the early diagnosis and treatment may spare the patient many complications. Some types are a disease that have both characteristics of bronchial asthma and lung fibrosis. The patient may complain from gradual shortness of breath and sever asthmatic attacks associated with cough. The treatment of allergic alveolitis is different from that of bronchial asthma. Any resistant asthma should alert for the presence of allergic alveolitis. 

Thursday, August 7, 2014

Asthma and Rheumatoid Arthritis

Patients wit asthma and rheumatoid arthritis may find it difficult to use the inhaler during the activity of the rheumatoid disease due to pain in fingers and / deformity. The synchronization between pressing on the inhaler and the inspiration may be difficult. The discus type of inhaled drugs may be useful in such cases and the use use of spacers solve this problem. 

The Asthmatic Hypertensive Patient

The asthmatic hypertensive patient should have some groups of the antihypertensive drugs that do not cause bronchospasm or chronic cough.
Many patients receive drugs for their high blood pressure and when they have worse respiratory symptoms they just increase the dose as they were told by their doctors. At the same time some doctors prescribe some drugs that may act without side effects for sometime then symptoms start to happen as chronic cough. 
Any asthmatic hypertensive should take safe antihypertensives and should carry personal card stating his condition and the drugs he receives. Hypertensive crisis that is common should be treated in the hospital using safe drugs and the patient's card will be very valuable. 

Wednesday, August 6, 2014

Exercise with diet to adjust body

It is essential to start exercise with the proper diet not to have disfiguring. The doctor discuss the diet with the patient to give him or her the proper diet for his or her case. At the same time he should advise the proper exercise not correct the disfiguring of the body and to increase fat loss for certain areas. It is better always to give diet that do not leave the patient hungry and to advice the exercise the could be done at home in simple steps. 

Tuesday, August 5, 2014

Chest and Nasal Allergies

Usually nasal and chest allergies are present together. When bronchial asthma is not responding to simple treatment one should doubt the presence of nasal allergy. When there frequency of attacks of shortness of breath treatment of the nasal allergy may improve the case. 
Always sneezing or nasal obstruction are symptoms that should be investigated in patients with nasal allergy. The presence of polyps may be the cause of the chronic symptoms and should be treated. When there are no polyps most the case is better treated by your chest physician not to repeat the same drugs. 

Monday, August 4, 2014

The Importance of follow up of Lupus Lung

Patients with Systemic Lupus and their lungs are affected by the disease, should be followed up at least monthly. Three simple tests are indicative that could be done. The first is the sedimentation rate and it gives an idea about the activity. The second is the level of the C-Reactive protein and it is an indication of presence of infection. The third is the respiratory function test and it gives an idea about the lung volumes. 
Any of the three tests shows deterioration than the previous month it is an indication for chest X-ray and may be immunological tests. 
Sometimes infection starts in the respiratory system and it is mild and some activity gives respiratory mild deterioration of lung function as an early sign.  

Diet and Regime to lose 10 kg per month

One can lose 10 kg per month if s/he follows the following diet with other instructions of the regime.
The Diet:
It is a fixed for each day with eating only one type of food at any amount (non restricted amount not to feel hungry. No other food will be allowed.
Saturday: Eat Tomatoes only 
Sunday : Eat Grilled small chicken after removal of the skin only
Monday: Eat Apples only 
Tuesday: Eat grilled fish only
Wednesday: Eat Lettuce only 
Thursday: Eat grilled non fatty meat only
Friday: OPEN DAY - eat anything as much as you can 

The drink: 
Drink only water at least 4 L per day

Walking:
At least one hour per day

Exercise:
Ask you doctor about the suitable exercise to lose fat from the areas that contain most of the fat like abdomen, buttocks, etc 

Message:
Under hot shower at the area that contain most of the fat for half an hour  

The GIT in Asthmatics

The GIT affects the asthmatics directly and indirectly. Patients with both bronchial asthma and GOR or gastroesophageal reflux may have attacks of acute sever asthma due to the return of gastric acid in the esophagus. The condition may lead to the state of asthma not responding to treatment.
The second condition is the common condition of the irritable bowel syndrome with gas syndrome type. The distended colon just elevate the diaphragm and reduce the thoracic capacity and put extra effort on the thoracic wall and other respiratory muscles to distend the lung. This causes shortness of breath after meals. 
Therefore when the asthmatic patients has any GIT disturbances before using more drugs the GIT should be well controlled. 

Sunday, August 3, 2014

Rheumatoid, Lupus and other immunological diseases

Patients with Rheumatoid, Lupus and other immunological lung diseases should have their chest examined at time of diagnosis. These diseases may cause several lung diseases as:
Lung fibrosis
Pleural effusion and pleurisy
Lupus pneumonia
Affection and weakness of the respiratory muscles
Some affects the pulmonary vessels with vasculitis and recurrent pulmonary embolism
The early diagnosis spares the patient many complications. It also helps to know the bas of his respiratory capacity.   

Saturday, August 2, 2014

Use the inhalar properly

Dear Patient
Please make sure that you use the inhalar properly so that you get benefit of it. Always use it in front of your doctor. He will correct any mistake.
Some Rheumatoid patients cannot use the inhalar due to painful fingers. They can use the discuss types instead of the inhalar.
Other patients may difficulty in synchronization of their breath with their hand movement. They can use also the discuss or they can get a spacer to help them take the dose.

Easiest Diet to reduce weight:

The Easiest Method to reduce weight:
1- Eat 2/3 of your normal amount.
2- Eat Lettuce and Tomatoes before your meals.
3- Take Brockly Soup twice daily
4- Walk half an hour daily for the first week then one hour daily
5- No carbonated drinks
6- No nuts
7- No sweats
8- Choose a day and eat as like 

اسهل رجيم

اسهل رجيم :
1- كل ثلثى الكميه المعتاده من اى اكل
2- كل خس و طماطم قبل الاكل
3- فى الغداء و العشاء تناول شوربه البروكلى و ضع لكل نصف كيلو بروكلى ملعقه قرفه كبيره و ملعقه جنزبيل كبيره و تناول النصف كيلو على يومين
4- امشى يوميا نصف ساعه اول اسبوع ثم ساعه بعد ذلك
5- ابتعد عن الحلويات و المواد الدسمه
6- ابتعد عن المشروبات الغازيه
7- ابتعد عن اللب و السودانى
8- اختار يوم فى الاسبوع و كل اى شئ و باى كميه 

للوقايه من الامراض الفيروسيه الجديده -- كورونا -- ايبولا


طرق الوقايه من الامراض الفيروسيه عموما و خاصه من الفيروسات الجديده مثل الكورونا و الايبولا:
1- غسل اليدين على الاقل كل ساعه و يفضل بصابون ديتول 
2- استخدام الويبس خارج المنزل بمسح اليدين كل ساعه على الاقل 
3- استخدام الاكواب الورقيه او اكواب خاصه فى مكان العمل
4- الاهتمام بتهويه الاماكن على الاقل كل ساعه بغلق التكييف و فتح النوافذ
5- سرعه الذهاب للمستشفى او الطبيب عند ارتفاع درجات الحراره 
6- الاكل فى المحال المشهود لها بالنظافه و التأكد من ان معدى الطعام يرتدوا قفازات نايلون و يفضل دائما الاكل الساخن من على النار مباشره
7- الى ان يتم عرض المريض على الطبيب اى شخص مصاب بارتفاع فى درجات الحراره على افراد الاسره استعمال الكمامات الطبيه و عزل المريض فى غرفه مستقله بقدر الامكان
8- عدم استخدام المضادات الحيويه او مضادات الفيروسات الا بعد استشاره الطبيب و بالجرعات المناسبه
9- الجلوس فى المقاهى المفتوحه بقدر الامكان و تفادى تمضيه اوقات الفراغ فى الاماكن المغلقه
10- على الام ملاحظه اى ارتفاع فى درجات حراره الاطفال او شعورهم بالارهاق دون سبب واضح

Allergy, Immunology and Metabolic Diseases (Obesity)

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Ebtesama Hospital - 10 Abu-AlMagd Amer St. 
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