Zarbee's Naturals Baby Multivitamin with Iron, Natural Grape Flavor, Contains vitamins A, C, D for Babies Ages 2 Months and Up, 2 Ounce Bottle

How to Prevent Hair Loss, What are Natural Treatment Methods?

Hair loss is one of the biggest fears of many people. People who lose too much hair are at risk of baldness. In order to avoid such a condition, it is necessary to identify the underlying cause of hair loss and apply the necessary treatment. In this article, we will answer the questions about how to prevent hair loss and what are natural treatment methods for hair loss .

WHAT IS HAIR LOSS?

The hair is composed of creatine protein, located in the outer layer of the skin. As new hair cells grow, old ones shed. The average daily hair loss of a healthy person is 50-100. This is not a situation to fear. Because at the time of the new hair strands are coming out. However, this cycle may sometimes vary depending on the disease, malnutrition or pregnancy. Lack of new hair can be seen as a health problem. Treatment methods of this type of hair loss should be applied.
WHAT ARE THE CAUSES OF HAIR LOSS?

There may be many causes of hair loss. The reasons for hair loss are listed as follows;

GENETIC FACTORS

One of the main causes of hair loss is genetic factors. Both men and women may experience hair loss. Untreated hair loss will result in baldness.

HORMONAL PROBLEMS

Hormones imbalance is a major cause of hair loss, especially in women. Thyroid hormone treatment can prevent hair loss.

PREGNANCY

In general, hair loss occurs intensively after birth due to the decrease in estrogen levels in women. This temporary condition will usually improve within a few months.

MALE TYPE HAIR LOSS

The most common is hair loss . It can be seen in men at an early age. It is formed by the combination of genes and testosterone hormone.

PHYSICAL TRAUMA

Hair loss may occur as a result of accidents, serious surgeries or traumas such as high fever. This condition will become noticeable 3 to 6 months after the trauma. Appropriate treatment can replace the hair loss .

DISEASES

Some diseases trigger hair loss. Especially hair loss occurs due to anemia, diabetes, lupus, syphilis, thyroid and rheumatic diseases. With the treatment of diseases, new hair growth will be possible.

SKIN DISEASES

Skin diseases such as eczema, fungus and psoriasis can cause hair loss as it will be effective on the scalp. Such diseases are generally mistaken for dandruff.

SOME DRUGS

Especially in combination with weight loss and birth control pills, blood pressure, heart, rheumatoid arthritis, gout, depression, diabetes, drugs used in diseases such as thyroid can cause hair loss. If hair loss is high , medication may need to be stopped for a while.

CANCER TREATMENT

Hair loss due to radiation therapy and chemotherapy is seen in cancer diseases. In the treatments applied to the head region, hair will not be able to come back. After chemotherapy , hair can grow in different ways.

PROTEIN LACK

If enough protein does not enter the body, hair loss can be seen. By consuming high protein foods such as meat, eggs and fish, the hair loss problem will be eliminated.

TAKING A LOT OF VITAMIN

Taking too much vitamin A can cause hair loss. In such a case, the hair will start to grow again by stopping vitamin A intake.

WHICH DOCTOR SHOULD YOU GO TO HAIR LOSS?

A person suffering from hair loss needs to see a dermatologist . Dermatologists are experts and educators of scalp.
WHAT ARE HAIR LOSS TESTS?

People with hair loss problems should first consult with the dermatologist. The dermatologist will perform some tests to determine the cause of the hair loss . Hair loss tests can be listed as follows;

Blood test
Tensile test
Scalp biopsy

HOW IS HAIR LOSS TREATED?

After the diagnosis of hair loss, the treatment phase will begin. There are some scientifically proven medications to use in the treatment of hair loss . The most common hair loss treatment are;

Minoxidil : This drug is sold without a prescription. It is used in the treatment of baldness in men and fine hair in women. After the use of this medicine sold in liquid and foam form, hands should be washed.
Finasteride : Only used for male pattern baldness. Sold by prescription. It prevents the overproduction of the male hormone. It is taken by mouth once a day. In regular use, new hair growth will be seen.
Corticosteroid : Cortisone treatment is carried out if hair loss is caused by inflammation in the body. Treatment is possible with cortisone to be injected into the scalp.
Mesotherapy : Mesotherapy, a specially prepared solution, is injected directly. It is used in the treatment of malnutrition and hormonal hair loss. In addition to stopping hair loss , it will be possible to grow healthy hair.


43AXX
Zarbee's Naturals Baby Multivitamin with Iron, Natural Grape Flavor, Contains vitamins A, C, D for Babies Ages 2 Months and Up, 2 Ounce Bottle

MuscleTech Advanced Daily Multivitamin for Men & Women, Includes Amino Acids, 18 Vitamins & Minerals (100% Daily Vitamins A, C, D, E, B6 & B12), 90 Count

CIVIL AND ACNE

When we say acne, we first come to our minds. We also adjust our entire skin care routine accordingly. In order to get rid of skin spots and pimples, we apply many products to our faces or we make masks from natural materials at home. What about acne and acne in our body? We should not ignore the acne and blemishes that occur in our body, we must show our care to our body. Acne in the body, especially the back and hip areas are the most common areas. At best, even those who have never faced this problem have suffered from this acne.

WHY CREATE CIVILIZATION?
There are sebaceous glands that secrete sebum on our face and body. These sebaceous glands are located in the pores, except our palms and soles. As the skin cells grow continuously while regenerating, it is expected that dead cells will fall out of the skin. But sometimes dead cells are not spilled, they remain in the pores and they combine with sebum and block the pores. Clogged pores also enter our lives as acne or acne.
Of course, many other factors that contribute to the formation of acne should not be forgotten. There are also important factors that do not attract our attention in daily life, such as the clothes that we wear, completely wrap the body or not being able to shower immediately after sports.

Hormones - Hormonal changes in the body make the sebaceous glands work more actively.

Seasonal Changes - Temperature and humidity in spring and summer increase skin oil production. In winter, the cold air dries the skin, the skin protects against it, tries to prevent it and begins to produce more oil.

Sun Rays - The sun dries our skin. Our skin begins to produce more oil to compensate for this.

Stress - Hormonal changes in the body make the sebaceous glands work more actively.

Wrong Product Use - If you have acne and acne-prone skin, the product you use should definitely match your skin type. When drying pimples, it is important to maintain the moisture level of the skin. Products that dry your skin without moisturizing cause the skin to produce excess oil to protect the skin's oil balance against excessive drying.

To get rid of acne and citrus ...
It is possible to reduce these pimples on the face area, hips, back and legs behind by drying. The most important issue for this is hygiene. Skin clean, makeup and dirt free; For the body, the underwear and clothing worn should be cotton fabric that does not prevent the skin from breathing.

1-Skin Cleansing: Your skin in the morning and evening, dead cells, dirt and excess oil layer of the day you should clean and discipline it. Because the basic rule of getting rid of acne and acne is skin cleansing. You should choose products containing salicylic acid or tea tree. Using tonic for the face also removes excess oil and prevents the formation of acne and pimples. During the day you can also remove excess oil with tonic. You should avoid hard brushes or fibers when applying exfoliating or purifying the skin on acne, spotty skin. Clean gently with a soft cloth or hands. Dry your skin with a towel without rubbing. In the same way for the body, a shower to be taken without scrubbing the skin with warm water in the morning and evening will surely play a big role in removing acne and acne. Prefer shower gel and cleansers containing tea tree, salicylic acid and benzoyl peroxide.

2-Moisturize: Day and night with acne and acne remover cream moisturize your skin. You may think, neden Why should I moisturize oily skin?. But keep in mind that the contents of acne cream or acne cream affect especially when regenerating cells at night. Even if the skin is spotty or acne, it needs moisturizing.

3-Sun Cream: If you are constantly indoors you can skip this step. But if you're exposed to the sun, then choose fine, fluid creams that leave no white residue on the skin. Because many sunscreens often have the effect of blocking the pores.

4-Make-up: BB cream and foundation selection of salicylic acid content products, use again. Choose thin, fluid and semi-concealer products instead of stick foundation or full coverage products. Instead of covering your acne and acne with thick products every day, prefer it only for your special days. While trying to get rid of pimples and acne again try to avoid concealers as much as possible for a while to avoid clogging your pores.

5-Effect of Your Hair Care Products: Products such as shampoo, hair conditioner, mask or jelly have a pore-closing effect when they come into contact with the skin. After showering, rinse your skin and body again.

6-After Sport or Sweating: You should immediately change the clothes you wear after sports. You can clean your sweaty skin by taking a shower immediately or using practical wet skin / face cleaning wipes. The Body Shop's wet wipes with Tea Tree oil can be your biggest help.

Tea tree oil is the most natural and effective ingredient you can use for the removal of acne. Tea tree oil known for its antibacterial properties; Clinically proven to have a positive effect on acne, acne and skin blemishes. Tea tree oil improves the skin after regular use and provides a healthier skin appearance. Some studies have shown that tea tree oil is as effective on the skin as benzoyl peroxide. In Australia, Aboriginals have used the tea tree plant as a natural remedi in health rituals for thousands of years. As a small note, the tree from which tea tree oil is obtained is not green or black tea plants. In fact, this tree is known as the Tea Tree, the Tea Tree, the British sailor and explorer Captain James Cook during the ship with the ship's crew made tea with the leaves of this tree. Therefore, it is known that the name of the tea tree remains.
To apply to your pimples, apply tea tree oil to your cleansed skin with a cotton swab over your pimples or blemishes. Repeat every morning and every evening. After regular use, it is observed that pimples dry out and prevent the formation of new pimples. The Body Shop Tea Tree skin care products include real and organic tea tree. Support your care with clinically proven, positive effects on skin, tea tree matting cream, tea tree solution, tea tree face wash gel, stain remover lotion and other products of the series.


42AXX
MuscleTech Advanced Daily Multivitamin for Men & Women, Includes Amino Acids, 18 Vitamins & Minerals (100% Daily Vitamins A, C, D, E, B6 & B12), 90 Count

Centrum Adult (100 Count) Multivitamin / Multimineral Supplement Chewable Tablet, Vitamin D3

Psoriasis patients should pay attention

Psoriasis is a chronic disease with no treatment. It is seen in about 1-3% of the world. Although it usually starts in the thirties, it can also be seen from birth. 30% of psoriasis cases have a family history. In psoriasis, antigens are produced by the cells in the skin. The answer to the question n What is psoriasis? De

In the formation of psoriasis, the body's antigens activate the immune system. The resulting cells return to the skin and cause cell proliferation and the formation of plaques specific to psoriasis. Psoriasis is a chronic disease. In most patients, focus and dandruff are seen on the skin. Spontaneous healing may occur, but this is unlikely. Since it is a chronic case of psoriasis, the patient's idea should be taken in the treatment of the disease. During the treatment process, the patient should comply with the life of the patient while the treatment is being administered.

WHAT IS PSORIASIS?

Psoriasis; It is a skin disease called psoriasis among people due to the observation of white, thick, bright and dry bran on a pink, red, slightly fluffy ground. It occurs in about 2% of the world's population. This disease, which can occur at any age, may appear and disappear unexpectedly. Psoriasis; in some patients it may last several months or several years, while in others it may be intermittent for life. It is not an infectious disease.

Although psoriasis is usually mild, the severity of the rash may vary from person to person. Psoriasis vulgaris is the most common form of psoriasis. The lesions are mostly seen in areas such as knees, elbows, scalp.

WHAT ARE THE CAUSES OF SEDEF?

The causes of psoriasis are still unknown. In a healthy person, skin cells mature in 28-30 days. In psoriasis patients, this period can go down to 3-4 days. Rapidly proliferating cells accumulate on the skin and cause dandruff.

Genetic effects are the most important risk factors for psoriasis. In the family history, it is determined that people with psoriasis are more susceptible to this disease. Some of the conditions that trigger the disease in individuals with prone to psoriasis can be listed as follows:

THROAT OR LEATHER INFECTIONS

Stress
Smoking
Excessive alcohol consumption
Vitamin D deficiency
Some drug treatments

WHAT ARE THE SYMPTOMS OF SEDEF?

The patches on the mother-of-pearl are redness covered with a silver-colored shell. They can be of different shapes and sizes. Dandruff on the scalp form a heap and therefore may not be able to see redness. Symptoms vary according to the types of psoriasis:

PLATE TYPE PSORIASIS: It is the most common form of psoriasis. Plaques can occur anywhere in the body. These plaques, which can be itchy or painful, can sometimes be large and sometimes small.

INVERSE PSORIASIS: This type of psoriasis ; armpit, groin, under the chest, such as folds are limited. Since these areas are moist, it is seen that psoriasis causes redness and swelling without dandruff. Fungal infections can trigger this type of psoriasis.

NAIL PSORIASIS: Psoriasis can also be found in nails and may even be seen only on the nails. In this form of psoriasis; thickening of the nail, discoloration, pits can be seen.

ERYTHRODERMIC PSORIASIS: Erythrodermic psoriasis, the least common form of psoriasis, itchy and burning redness covers the whole body.

PSORIATIC ARTHRITIS: Joint involvement may be observed in some patients. While the hand and foot joints are especially involved, large joints may be affected, although rare.

If psoriatic arthritis is accompanied by spills, the diagnosis can be made easily. Diagnosis is more difficult in patients with joint involvement alone.

How is psoriasis diagnosed?

Diagnosis of psoriasis in most cases is quite simple.

PHYSICAL EXAMINATION AND MEDICAL STORY: The doctor takes the patient's medical history; can diagnose psoriasis by examining skin, scalp and nails.

SKIN BIOPSY: The doctor may occasionally need a small skin sample (biopsy) to diagnose psoriasis. The sample taken is examined under a microscope to determine the type of psoriasis and to eliminate other suspicion of disease.

HOW IS SEDEF DISEASE TREATED?

Psoriasis can be controlled with appropriate treatments. Although dandruffs are reduced or disappeared completely, it is important to remember that there is always the possibility of coming back. Treatment of psoriasis may vary depending on the severity of the disease.

Treatment of psoriasis is basically divided into three:

1.TOPICAL (LOCAL) THERAPIES: This type of treatment cream, ointment and lotion drugs such as direct application to the skin occurs. In the case of mild psoriasis, this will be the most appropriate treatment. Moisturizers used in addition to topical steroids, tar products and vitamin D analogues help to dry the skin and help reduce dandruff.

2. PHOTOTHERAPY: PHOTOTHERAPY; ultraviolet light (therapeutic wavelengths of sunlight) is a treatment of different forms and sometimes using special tablets. This method is used when psoriasis is very common, does not improve with tropical treatments, or recurs immediately after treatment.

The simplest and easiest way of phototherapy treatment is to take controlled amounts of sunlight.

3. SYSTEMIC THERAPIES: It is the type of treatment applied with oral medications. Because of the side effects of the treatment, this treatment is not applied if the disease can be controlled in more simple ways. Before starting the treatment, the doctor makes the necessary explanations to the patient about the risks of the treatment. Female patients should not conceive during systemic treatment. Male patients are also advised not to have children while taking this treatment.

POSSIBLE PATIENTS SHOULD BE CONSIDERED

People with psoriasis should first get rid of psychological triggers. Away from negative emotions such as stress, sadness and anxiety; it will be a positive development for treatment to turn to things that make them feel better.

Scratching the skin, rubbing, shelling the skin can lead to new rashes should be avoided as much as possible.

The sun and the sea have the effect of reducing psoriasis. The duration of sun exposure should be controlled as much as possible. Sunbathing to burn can increase psoriasis rashes.

In winter, the moisture content of the skin decreases and makes it more dry. Moisturizing creams and lotions should be used more carefully in winter as dry skin will cause more itching in psoriasis patients.


41AXX
Centrum Adult (100 Count) Multivitamin / Multimineral Supplement Chewable Tablet, Vitamin D3

Garden of Life Vegetarian Multivitamin Supplement for Kids - Vitamin Code Kids Chewable Raw Whole Food Vitamin with Probiotics, 60 Chewable Bears

SYMPTOMS AND TREATMENT OF ADULT DEFICIENCY IN ADULTS

We have shared scientific articles about ADHD for children who are our specialty. But do adults not have attention deficit and hyperactivity disorder (ADHD)?

Especially if you are the parent of a child with ADHD, you should consider this question well because one of the causes of ADHD is genetic factors. Attention deficit and hyperactivity disorder (ADHD) is more common in children, but it is not only a disease specific to children. Adults (adults) may also have ADHD . Let's remember :
attention deficit in adults

Lack of attention: Inability to concentrate, concentrate or maintain attention on a job.

Hyperactivity : Discomfort that causes undesirable situations such as excessive mobility, quick boredom and unintentional decision-making.
MentalUP Attention Exercises support the development of attention in both children and adults by automatically determining the level of difficulty specific to the user. Examine now!
WHAT ARE THE SYMPTOMS OF ADULT DEFICIENCY IN ADULTS?

The symptoms of attention deficit in adults are not the same as those of children with attention deficit. While children often have learning difficulties, adults may experience problems in work and social life. If you are concerned about your lack of attention, you can use the list below. Do the following attention deficit symptoms refer to you?
HOW TO UNDERSTAND ADULT ATTENTION?

Difficult to listen for a long time while talking to you, not to go down to details
While you are talking, you start daydreaming and breaking away completely.
If you can't deal with two things at the same time, you're doing a good job and focusing more than usual on the outside world. Example: Not seeing people entering or leaving the office while performing an operation on a computer
To be late in the morning to work, to postpone the work constantly, to put things in a sort
Forget about wallets in the office or in the car, forgetting your cell phone at the desk, or losing favorite items or forgot to take them with you.
Speak without thinking, behave impulsively and then regret
Glare at a time, anger control difficulty.

Even if you are experiencing only one of the above conditions, there may be signs of attention deficit. You may be living some or all at the same time. In this case, you must take immediate action. You may need to solve the attention deficit test and do attention exercises. We will soon discuss the issue of attention deficit therapy in adults, but we should also quickly examine the title of hyperactive symptoms for adults. Continue reading .
CAN I BE HYPERACTIVE?

Are the following hyperactive symptoms familiar to you? Do you observe such behavior in yourself?

To be impetuous, to be impatient. Example: Moving the vehicle slightly while waiting at the red light or getting angry with the vehicles in front in traffic.
Reacting frequently from the environment in the form of tez very alive tez
Being anxious, panicking
Bored quickly from a job or activity
Seeking excitement and doing risky work
Talk a lot

The conditions mentioned in the above items are indicative of adult hyperactivity. If one or more of the items is “yes sizin for you, it shows ADHD symptoms; perhaps you need to be treated for ADHD. Consider these possibilities and get help from a specialist psychiatrist. If your complaints are not big enough to prevent your life, you can take precautions with various exercises and foods.
Attention Deficit Treatment in Adults

Exercise and Nutrients

The best choice of people who do not want to use medication, who do not have the complaints to use medication and who want to overcome the lack of attention with their own means , will be to regulate their own habits. For example, reducing the use of sugar and drinking carrot juice is good for lack of attention. As an exercise, taking care of sports activities and brain exercises are good for lack of attention. One of the point shot solutions in particular is to do brain exercises.

In order to find a solution to this issue, you should definitely examine the official Pedagogical product certified MentalUP Brain Exercises application developed with the support of TUBITAK. MentalUP, which is a multifaceted mental development tool in children, is recommended and frequently preferred by experts as it is a solution to adult attention deficit problems. You can use the application designed in the form of a game on your computer and mobile phone. For public transport, waiting times or resting times, it is enough to reserve 20-30 minutes per day. You can be sure you will see the benefit. You can also track your level of attention in your performance reports.

Medicated Treatment

Various antidepressants or synthetic stimulants may be prescribed after diagnosis / diagnosis by specialist psychiatrists. Attention deficit medications are recommended for those with advanced attention problems.

Prescribed drugs may not produce good results in the first place. Therefore, your doctor may go to trial and error with several different drugs. You won't get hurt during this process, but you shouldn't abandon treatment immediately because you don't get good results on the first try.
Therapy

Cognitive-behavioral therapy can be applied with the help of specialist psychologists. In the patient with attention deficit problem, various awareness can be created and various task lists and habits can be managed.

Social support

The patient's immediate surroundings (relatives, colleagues, etc.) are informed that the patient is suffering from attention deficit or hyperactivity disorder and should be treated accordingly. However, it may be ensured that they meet with other people with the same disease.

Example : a forum page or an organization. In this way, individuals with attention deficit can discuss and develop the methods they find themselves; Those with hyperactive symptoms can also discuss and improve how they cope.


40AXX
Garden of Life Vegetarian Multivitamin Supplement for Kids - Vitamin Code Kids Chewable Raw Whole Food Vitamin with Probiotics, 60 Chewable Bears

Garden of Life Multivitamin for Men - Vitamin Code Men's Raw Whole Food Vitamin Supplement with Probiotics, Vegetarian, 120 Capsules

Beriberi

Beriberi Vitamin B-1 (thiamine) is a disease caused by deficiency.

There are two types of disease: wet beriberi and dry beriberi. Wet beriberi can interfere with cardiac function and in extreme cases can cause heart failure. Dry beriberi damages nerves and can cause loss of muscle strength and muscle paralysis over time. Untreated and untreated, beriberi causes death.

If you have access to foods rich in vitamin B-1, you have a low risk of developing beriberi. Meat, dairy products and whole grains are excellent sources of Vitamin B-1 and can prevent the development of the disease.
Causes and Risks

The main cause of Beriberin is a poor diet for Vitamin B-1. This disease is very rare in areas with access to vitamin-supplemented foods. Other factors that can contribute are:

Alcohol abuse can make it difficult for your body to take and store Vitamin B-1.
Genetic beriberi is a rare condition that prevents the body from absorbing Vitamin B-1.
Pregnant women and those with hyperthyroidism (overactive thyroid gland) need extra vitamin B-1.
Prolonged diarrhea may make it difficult for your body to take Vitamin B-1.
Certain diseases (eg liver disease) disrupt your body's ability to use Vitamin B-1.
Infants with low vitamin B-1 or babies drinking breast milk.
Kidney dialysis can increase your risk of beriberi.

symptoms

Symptoms of Beriberi vary according to wet or dry type. The following are symptoms of wet beriberi:

shortness of breath during physical activity
high heart rate
swelling on the lower legs
wakefulness

Symptoms of dry beriberi include:

Decrease in muscle function, especially on the lower legs
tingling or loss of sensation in feet and hands
pain
mental confusion
difficulty in speaking
vomiting
involuntary eye movement
paralysis

In extreme cases, the disease can lead to Wernicke-Korsakoff syndrome. This is a type of brain injury that causes mental confusion and memory loss. This is most common in cases of alcoholism.
Diagnosis

You need a series of medical tests to determine if you have beriberi. A blood test will measure how much Vitamin B-1 is in your blood. A urine test will check the thiamine concentration. Any difficulty in taking your body's thiamine arises with high thiamine concentrations in your urine.

After a neurological examination, doctors look for signs of lack of coordination, difficulty walking, falling eyelids, and deterioration of reflexes. In more advanced beriberi stages, memory loss, confusion or delusions occur.

A physical examination will alert your doctor to any heart problems. Rapid heart beat, swelling of the lower legs and / or breathing difficulties are all possible manifestations of beriberi.
Treatment

Beriberi is treated with thiamine supplements. Your doctor may prescribe a thiamine injection or pill. Your progress is usually monitored by follow-up blood tests that show how much your body is absorbing vitamin.

Your doctor may also prescribe a specific diet that includes whole grains, eggs, meats, beets, nuts, seeds and thiamine-rich foods, including tomatoes or orange juice. Food such as ground rice, shrimp and raw meat can make your body difficult to absorb Vitamin B-1 and may need to be limited.
Prevention

To avoid Beriberi, eat a healthy and balanced diet that emphasizes thiamine-rich foods. Pregnant and nursing mothers should be checked regularly for any vitamin deficiency. Baby foods should also be checked for adequate thiamine. Those who abuse alcohol should be checked for Vitamin-B deficiencies.
Expectation

Beriberi prognosis is very good if caught early and treated. Any nerve and / or heart injury caused by Beriberi can also be reversed if caught early.

Beriberi cases caused by alcoholism may cause permanent brain damage if allowed to progress to Wernicke-Korsakoff syndrome.


39AXX
Garden of Life Multivitamin for Men - Vitamin Code Men's Raw Whole Food Vitamin Supplement with Probiotics, Vegetarian, 120 Capsules

SmartyPants Adult Complete Daily Gummy Vitamins: Gluten Free, Multivitamin & Omega 3 DHA/EPA Fish Oil, Methyl B12, Vitamin D3, Non-GMO, 180 count (30 Day Supply)

Gastroenterology

Our Gastroenterology department offers you health service with its experienced, dynamic and specialized staff. Our unit has been established on a qualified and strong infrastructure with the understanding of excellence, and examinations and controls of outpatients are performed in our outpatient clinic. Endoscopy laboratory facilities equipped with state-of-the-art endoscopic imaging and intervention equipment for diagnostic purposes and interventional treatments are available for our patients when needed. Inpatients who need medical support and follow-up are treated in our service units with a design focused on medical practices and patient ergonomics.

WHAT IS GASTROENTEROLOGY? WHICH ISSUES WORK?

Gastroenterology is a branch of science dealing with gastrointestinal system diseases and treatment of digestive organs. Gastroenterology specialists are competent and experienced in the evaluation of complaints and findings of the organs involved in digestion, diagnosis and treatment of the underlying diseases. Diseases and areas of application are very wide. We can divide this large area into two main groups. The first group consists of diseases of the mouth, esophagus, stomach, duodenum, small and large intestines, anal region (breech) called gastrointestinal tract. The second group is liver, biliary tract, gall bladder, pancreas diseases.

WHAT ARE THE COMPLAINTS OF GASTROINTESTINAL SYSTEM DISEASES?

Complaints caused by diseases of the mouth and esophagus

Bad breath, swallowing disorders, the feeling of stinging the bite through the esophagus, the return of edible foods or stomach contents to the mouth, burning in the upper abdominal region or behind the chest bone, pain and pain can be caused by diseases of the mouth and esophagus. Pain from these diseases can sometimes mimic heart pain.

Complaints caused by diseases of the stomach and duodenum

Complaints such as pain, indigestion, feeling of fullness, vomiting, black discoloration in the feces, blood vomiting, weight loss, and vitamin B12 deficiency, which are mostly felt in the upper abdomen and sometimes arousing from sleep, can be seen in these diseases.

Complaints caused by diseases of the small and large intestine

Complaints such as diarrhea, constipation, bloody or black-colored defecation, weight loss, vomiting, abdominal pain, fever, inability to go to the toilet frequently (Tenesmus) and feeling of defecation can be seen in these diseases.

Complaints caused by diseases of the liver and biliary tract

Abdominal pain, bloating due to fluid collection in the abdomen, long-lasting weakness, nausea, vomiting, anorexia, yellowing of the skin and eyes, swelling of the legs, itching of the skin, darkening of the color of urine, stool discoloration (stool in the form of glasspaste), fresh red or cherry brown Complaints such as the presence of blood can be seen in diseases of these organs.

HOW IS DIAGNOSIS IN GASTROINTESTINAL DISEASES? WHICH METHODS ARE USED?

Numerous non-gastrointestinal diseases can cause the above-mentioned complaints and symptoms. For example, in diabetic patients, immunocompromised patients using chemotherapy and drugs that weaken the immune system, such as cortisone, may develop opportunistic infections in the esophagus such as fungi and viruses. Diseases of the gastrointestinal tract itself may cause similar complaints. Reflux disease, for example, occurs as a result of gastric contents escaping back into the esophagus and is one of the most common complaints in those patients with burning behind the breast bone or the upper abdomen.

Many different methods are used in the diagnosis. Your doctor will ask you some questions, listen to your complaints and decide which diagnostic methods to use after examining you. Diagnostic tests are generally; In addition to laboratory tests such as blood count, blood biochemistry, fecal examination, radiological imaging such as ultrasonography, X-ray, computed tomography (CT), magnetic resonance (MR), and interventional methods such as endoscopy, colonoscopy, ERCP (Endoscopic imaging of biliary tract) It occurs.

Endoscopy in Diagnosis and Treatment

The high-end device, called Endoscope (FIG. 1), consists of a fiberoptic tube with a diameter of 1 - 1.5 cm with a bendable, light source and camera through which air, biopsy and water channels pass (FIG. 2). It can be easily swallowed and can travel through the intestine after the stomach. Your gastroenterologist will then be able to easily visualize the internal parts of the organs in these areas and can take fragments from intact or diseased tissues contained therein and examine them in the pathology laboratory. In this way, the causes of the observed and abnormal findings can be revealed. For example, a biopsy from a polyp in the stomach or intestine can tell the pathology laboratory whether it is benign or malignant. In the same way, tissue samples taken from the inner membranes of the stomach tell us gastritis, gastric germ (Helicobacter pylori), cellular changes that may pose risk in future periods, and so on. can provide invaluable information on matters.

Endoscopy is an important tool not only for diagnosis but also for therapeutic purposes. Endoscopes play an important role in stopping bleeding of the gastrointestinal tract. Treatment success can be achieved with endoscopic dilatation in constrictions that make it difficult to pass food through the duct, such as stenosis caused by surgeries or radiation therapy applied to cancer patients. Endoscopic examination of the masses, which should not normally be observed, polyps (FIG. 3), foreign bodies and so on. they can often be removed without surgery with the help of endoscopes and equipment (FIG. 4), and patients can be fully recovered.

TREATMENT METHODS AND OBJECTIVES

There are many diseases affecting the gastrointestinal system and organs. These illnesses range from mild ambiguous to marked severe degrees in terms of the complaints they cause. One of the two main groups that stand out in the treatment options for these diseases is endoscopic / interventional therapies and drug therapies. In addition to this, the patient's condition and preferences can be customized by the gastroenterologist with the help of special dietary treatments, lifestyle changes and recommendations. As a result of this general approach, it is aimed to maintain a normal life with full cure or symptomatic relief depending on the typical characteristics and behavior of the diseases.

LOSANTE GASTROENTEROLOGY ENDOSCOPY LABORATORY FACILITIES AND EQUIPMENT

The recently opened endoscopy laboratory complex is located within the daily surgery center of our hospital, which has Endoscopy, Colonoscopy, ERCP (Endoscopic retrograde cholangiopancreatography), EUS (Endoscopic ultrasonography) equipment and related equipment. With these devices, both gastrointestinal system and organs can be visualized and interventional procedures can be applied (FIGURE.5).


38AXX
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Vitafusion Melatonin Gummies

Vitamin deficiency and pica disease in cows and sheep

When feeding animals, nutrients, minerals and vitamins should be balanced. Some problems may be seen in deficiency or excess of nutrients, minerals and vitamins. Therefore, nutrition in animals and living things should be balanced.
If the nutrition is not balanced in animals, nutritional deficiency or excess, mineral deficiency or excess, vitamins deficiency or excess in situations such as what is the problem is useful to specify briefly.

Problems in deficiency and excess of nutrients

Protein deficiency: The importance of protein taken during feeding in living things is of great importance. Protein deficiency causes growth retardation in living organisms. Therefore, low yield and material losses may occur.

Protein surplus: Protein surplus can be a problem as well as lack. Kidney disorders can also be foot diseases from excess protein buildup.

Fat deficiency: The importance of fat in animal nutrition is important as in all living beings. Oil deficiency May cause skin rash. Weight loss can be seen. It may cause material losses.

Fat excess: Obesity problems may be experienced in living organisms due to excess fat in tissues during excessive feeding.

Lack of fibrous foods: Causes digestive system disorders in animals. Therefore, loss of efficiency is experienced. Property damage may occur.

Excess fibrous food: Digestive system disorders may occur. May cause constipation and swelling of the digestive tract. Loss of efficiency is experienced.


Problems in mineral deficiency and excess

Sodium deficiency: Sodium deficiency, which is one of the important minerals for animals, can cause problems such as inability to maintain body fluid balance, loss of appetite, exhaustion and stagnation. Therefore, sodium deficiency can cause loss of yield and material losses.

Excess sodium: May cause hypertension, heart disease and vascular and circulatory disorders in living organisms. Therefore, excess sodium can cause loss of yield.

Calcium deficiency: In living things, calcium deficiency can cause loss of growth and bone structure, as well as loss of appetite and fatigue.

Excess calcium: Caution should be paid to the excess calcium that causes skeletal disorders in all living things.

Phosphorus deficiency: Problems with calcium deficiency are also encountered here.

Phosphorus excess: Problems with excess calcium are experienced in excess phosphorus. In fact, it is necessary to maintain a good balance of calcium phosphorus in the body.

Magnesium deficiency: Magnesium has an important place in animal nutrition. Magnesium deficiency causes anorexia, growth retardation and disruption of muscle tissue in animals.

Excess magnesium: Excess magnesium in living things causes kidney and urinary tract problems.


Problems in deficiency and excess of vitamins

Lack of vitamins: Vitamins are very important in all live nutrition. Vitamins can be taken from many foods as well as external supplements. During the lack of vitamins it is useful to take or use the necessary vitamins from outside. Lack of vitamins, loss of appetite, regression in growth, foot diseases, eye problems, digestive disorders and circulatory disorders cause.

Excess of vitamins: Excess of vitamins as well as deficiency of vitamins can cause problems. As the excess of vitamins causes skeletal disorders, calcium-related problems can be experienced as the excess of vitamin D will disturb the calcium balance.

In animals, nutrition, nutrients, minerals and vitamins should be given balanced. Unbalanced intake of nutrients, minerals and vitamins will result in loss of yield in animals, resulting in material losses. Therefore, it is necessary to feed the animals balanced.

Pica disease:
Pika is a disease caused by ingestion of non-food substances. It is known as a disease in animals and particularly in children with intestinal parasites and thus iron deficiency.

Pika disease takes its name from the Magpie. Magpie is a long-tailed bird from the crow family, as it is known, and is famous for eating whatever it finds. It is considered normal to eat worms, carrion and insects without picking whatever is in the mouth of the magpie.

Pica occurs in farm animals, especially cattle. Cattle walls, boards, litter, non-food substances chewing, licking occurs. Problems such as urination, licking urine are also signs of pica. Rubber or plastic, eating sand, feces, sheep feathering, and scavenging of cattle grazing near the garbage dump are also considered as pica signs. Although some cows have accepted pica by eating cows after they have eaten their husbands (their wives, fry membranes), there are also those who accept this behavior as instinctive. Many scientists have reported that the last meal is an instinctive behavior of the cow in order to protect its offspring from wild animals.

Pika itself is a disease that can cause other problems as well as problems. Boticism, foreign body disease (RPT) and tongue rounding may occur due to pica. Pica can sometimes be combined with ketosis. In such cases, the cow rejects concentrated feed, but consumes roughage.

Grazing cows near garbage can swallow foreign bodies or eat scavengers because of pica. In cows eating spoiled substances and carcasses, symptoms such as imbalance, paralysis, muscular weakness, difficulty in swallowing and chewing, side-lying position and excessive salivation result in botulismus disease and the cow dies.

Pica is a disease that can be confused with magnesium deficiency, neural form of ketosis, brain inflammation and poisoning.

Calves lick each other's belly is a sign of pica.
There are many causes of pica. A cow may have one or more causes. Certainly the reason is not easy to find and say. Magnesium, zinc, iron, copper, potassium, phosphorus, cobalt mineral deficiencies are among the leading causes. Stress, internal parasites, digestive and nutritional disorders, poor quality forages, protein, energy imbalances or deficiencies, phosphorus and calcium imbalances, cellulose deficiency, latent ketosis or latent acidosis, metabolic diseases can lead to Pika.

Pika is also a disease that is included in the herd as a bad habit. Bad habits in the herd can become learnable and lasting. The problem should be uncovered and eliminated with early detection. Because sometimes the pica can continue even if the causes are eliminated. This issue is described as a learned bad habit. Sometimes the problem is in vain. Pika is rapidly spreading within the group. In order not to have Pika, the feeds must be balanced and the ration should be arranged in a way that does not cause mineral, protein, energy and cellulose deficiency. After the development of Pica disease, the same arrangements should be made, mineral additives should be added to the feed, regulation of the ration, blood and feed analysis should be done, the situation should be investigated in terms of hidden ketosis and acidosis.


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What is Spina Bifida?

Spina bifida means discrete or open spine. It is one of the most common congenital diseases. Spina bifida can be seen in many ways affecting the spinal cord, especially myelomeningocele.

If you have spina bifida, something went wrong during the development of your spinal cord before your birth. In general, the spinal cord is a closed tube of nerves. These nerves move the muscles by transmitting orders from your brain to the nerves in your muscles. It also makes us feel these nerves. If the baby is born with spina bifida, this tube called the spinal cord is not closed. Therefore, the spine and skin covering the spinal cord are also not closed. The baby was born with an opening in his back and has difficulty in passing orders through his nerves. When there is no proper connection between the nerves and the brain, various degrees of paralysis (loss or inability to move and feel) occur.

Which nerves are affected depends on where the back opening is located. The higher the opening in the back, the more nerves are affected and the more severe the paralysis is. Therefore, some people with spina bifida use no or few devices, while others have to use a wheelchair. The affected muscles are not the only muscles to move, but the muscles that control urine and feces are involved in many patients.

Hydrocephalus is also seen in more than 85% of patients with spina bifida. Hydrocephalus is the excessive increase of fluid circulating in the brain and spinal cord as a result of disruption of this circulation and causing high pressure in the cavities within the brain. In infants, the head bones are not yet fully hardened and the head grows to try to reduce this pressure. However, if not treated in the early period, the brain will be damaged. If the development of hydrocephalus and brain damage can be prevented by timely treatment, the intelligence of children with spina bifida is not different from normal.

How does it occur?

This is a very important question that we are trying to answer today. The only thing we know is that no one's to blame for a baby being born with spina bifida.

A vitamin B group (folic acid) may have a role. Folic acid is believed to help close the spinal cord tube. If the mother does not have enough folic acid, the baby's spinal cord may not close properly. Some vitamins and minerals other than folic acid are thought to play a role. It is also known that spina bifida can occur for some hereditary reasons; because in some families, spina bifida is more common. A drug used by the mother (valproic acid) to prevent seizures is known to cause spina bifida. It is thought that many other reasons that are unknown for today may be effective.

When does it appear?

Spina bifida occurs in the very early stages of pregnancy, in the third week of life in the womb. For this reason spina bifida is called a congenital disorder. It is different from spinal cord damage at a later stage of life, for example as a result of a traffic accident. Although a person with such a spinal cord has difficulties in walking, bladder and bowel control, hydrocephalus does not develop in them. In these types of injuries, the leg muscles are well developed, since there were no prior problems and the person could walk before the accident.

Who can have a child with spina bifida?

Any pair can have a child born with spina bifida. There are 10 million spina bifida in the world. In developed countries, one in every thousand children is born with spina bifida. In a study carried out by our association, approximately 37,000 births were recorded in İzmir city center in 2000 and the incidence of spina bifida was found as high as 1.5 per thousand . In a previous study conducted in Ankara, this ratio was found to be 4 per thousand, indicating that there are differences between regions. Turkey's level of socioeconomic development in the region to obtain these rates were better than others in less developed regions, suggesting the possibility that the higher this ratio.

What is the treatment?

If the babies with spina bifida are born with myelomeningocele, the sac in their back is closed with surgery in the first days. Those with hydrocephalus develop a drainage system called shunt, which drains excess fluid from the brain into the bloodstream. In recent years, a new surgical method called “third ventriculostomy yerine has been used instead of shunt. It is reported to be a more natural method and the complications caused by shunting are not seen in this.

Can he recover completely after treatment?

Usually no. Surgeries are often performed to prevent further problems in maintaining the current state. Surgeries or some treatment methods try to make these patients' lives as close to normal as possible. Although they cannot become completely healthy, they are able to live independently. However, this depends to a large extent on the elimination of barriers to social life as well as medical support.

Is it possible to prevent this disease?

For today it is not possible to completely eradicate. Studies in recent years have shown that this disease can be prevented to a great extent with folic acid vitamin taken in the pre-pregnancy period. Nowadays, in many developed countries, all expectant mothers are taking folic acid before they become pregnant. Because when the mother finds out that she has become pregnant, time has passed to prevent spina bifida.

To find out if the baby has spina bifida, it is important to check whether the baby is 16-18. A blood test (AFP) and a detailed ultrasound examination is required between If the baby spina bifida with these 75-80% is diagnosed. The family may decide to terminate the pregnancy during this period by talking to an experienced and knowledgeable doctor. However, there are also many families who choose to continue their pregnancy and take care of their babies as well as they can, although they know that a different life awaits them in the future. In this case, it is the duty of the physician to respect this and to inform the family in the best way and to allow the baby to be born under appropriate conditions and to perform medical interventions.

Situation in Turkey

the nutritional status of pregnant women in Turkey, there are studies showing that good. In one study, folic acid (a group B vitamin), which is now accepted to be deficient in spina bifida, was found to be deficient in 60% of pregnant women. In addition, serious deficiencies were detected in other important vitamins. These resources are available from our association.

The majority of spina bifida babies still are born in Turkey before it can be diagnosed before birth. The responsibility here is in the family if she has not applied to a physician or Maternal and Child Health Centers before birth and during pregnancy. However, unfortunately, many children who have a regular pregnancy under the supervision of a physician and whose baby is said to be normal will be born with spina bifida. In this case, 16-18. If the patient does not have the tests to be carried out in weeks, the responsibility should belong to the physician. However, lack of information in the society prevents families from seeking rights.

There are still families who do not think that babies with spina bifida will not survive after birth at home and uncontrolled births, and that unfortunately cause death or starvation. It is not possible to estimate the number as they are not recorded. Unexpectedly, some of the babies born with spina bifida in hospital end up in a similar way, sometimes unfortunately with the advice of a physician. But we should note that the number of these doctors is decreasing with each passing day and the number of physicians and midwives who give information to the family about spina bifida and guide them to get the necessary treatment is increasing. If these patients can be referred under appropriate conditions, the first operations can be performed in the Neurosurgery Clinics in the big cities.

One out of every ten people with disabilities such as the world is in general in Turkey. Spina bifidals are also included in this number. Unfortunately, in developed countries to be disabled in Turkey it is much more difficult. Education, employment opportunities, social life are extremely limited. There are special schools for some physically disabled people, but spina bifidal people want to go to schools where normal children go, not private schools. This is their most natural desire from the human rights declaration. However, the vast majority of schools do not respond to their needs, but do not eliminate the barriers.


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Restless Legs Will Relax!

Are you moving your legs irresistibly? If this feeling doesn't allow you to sleep, you may have Restless Leg Syndrome. Restless legs syndrome is seen in about 3 to 10 percent of the population equally in men and women. It usually occurs in middle and advanced ages, but also occurs in childhood. "

THE RESTFUL LEGS WILL MIX!

Are you moving your legs irresistibly? If this feeling doesn't allow you to sleep, you may have Restless Leg Syndrome. Restless legs syndrome is seen in about 3 to 10 percent of the population equally in men and women. It usually occurs in middle and advanced ages, but also occurs in childhood. "

What is restless leg syndrome and when does it occur?

Restless leg syndrome can be described as a deep, uncomfortable feeling that occurs in the legs during a resting period of inactivity or falling asleep. It can also be described as a kind of sleep disorder because it affects sleep quality.

- How do patients describe this feeling?

It is difficult for patients to describe this feeling. This feeling is not a form of pain. Patients often describe this uncomfortable sensation as itching on their legs, rarely on their arms, needling, shuddering in the legs, burning, drawing, stretching, tingling. To relieve this strange emotion, there is an unbearable urge to move the legs and this feeling decreases with movement. This sensation emerges during long periods of inactivity in bus and airplanes and often before falling asleep at night.

Who has Restless Leg Syndrome and how often?

Restless legs syndrome is seen in approximately 3 to 10 percent of the population, equally among men and women. It usually occurs in middle and advanced ages, but is also found in childhood.

-What is the cause of this disease?

Although the reason is not well known, it is thought that some of the chemicals released from our brain are caused by the effects on the movement system. There are two forms of restless leg syndrome (primary) whose cause is unknown and secondary to another disease. Peripheral neuropathy caused by iron deficiency anemia and damage to the arm and leg nerves are the most common causes of restless leg syndrome. There are many causes of peripheral neuropathy, the most common of which is peripheral neuropathy due to diabetes. Restless leg syndrome can also occur during pregnancy, but the symptoms disappear soon after birth. Many other diseases such as magnesium deficiency, vitamin B12 deficiency, renal insufficiency and rheumatoid arthritis can cause restless leg syndrome.

-What triggers this syndrome?

With many of the diseases listed above, some medications exacerbate the symptoms of restless leg syndrome. Examples include antidepressant drugs, lithium, alcohol, caffeine.

- How is it diagnosed?

If the patient has a long-term inactivity in the legs and an uncomfortable feeling that occurs before sleeping, and this uncomfortable feeling causes an irresistible urge to move the legs, this condition may impair sleep quality and cause insomnia and lack of attention during the day, headache, sleepiness. a physician. The causes of restless leg syndrome are investigated in these patients, the patient's history is learned and neurological examination and detailed blood tests are performed. EMG is performed to investigate underlying peripheral neuropathy. After all these examinations, the patient may need a sleep test to investigate the sleep disorder.

- What diseases can be confused with restless leg syndrome?

Neuropathic pain caused by Parkinson's disease, fibromyalgia, muscle disorders, joint pain, circulatory disorders and diabetes can mimic restless leg syndrome.

- How is it being treated?

- The first principle in the treatment of restless leg syndrome is to avoid the substances or foods that cause the exacerbation of the disease. Avoiding substances such as alcohol, caffeine and nicotine can reduce symptoms. The patient's medications should be reviewed and medications that may increase the symptoms of restless leg syndrome should be discontinued. Diseases such as anemia, diabetes, nutritional disorders, kidney disease, goiter, varicose veins or parkinson's disease should be treated. If there is no response to these precautions, drug treatment should be started.


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Oral inflammation and treatment

Typical inflammations of the mouth are defined as primary if it is caused by oral causes, or secondary if it is caused by other diseases.

Stomatitis is an acute or chronic inflammation of the oral mucosa. It develops due to the presence of various microbes in the oral mucosa that may cause infection.
Hemorrhagic stomatitis is manifested by flushing and swelling of the bleeding gingival mucosa. It is often due to a general disease, poisoning or vitamin deficiency. In Greek, stoma "mouth", itis "inflammation" means. Stomatitis broadly includes all inflammations in the mouth. In its narrowest sense, it is limited to the actual oral cavity mucosa.

If the inflammation is tongue, it is called glossitis and gingivitis is called gingivitis. The oral mucosa is easily ill for direct oral reasons. In addition, the first symptoms of some general diseases occur in the mouth. Therefore, oral inflammations are divided into two as primary and secondary. The first develops independently of other diseases. Secondary ones occur after illness of other organs.

Major types of oral inflammation include fever with exudate, ulcer, gangrene, hemorrhage and aphthitis.

Fever

It is the most common and least harmful species. It is caused by the bacterial flora in the mouth, which is capable of making diseases due to various general and local conditions. It can be seen at any age. It occurs especially in children who are not well-nourished, in teething babies and during rash diseases such as measles, scarlet fever, chicken pox and rubella. The main reasons in adults are dental stones and the use of inappropriate dental prostheses.

Digestive disorders, high fever, abusive food, very hot drinks and smoking can also cause this type of inflammation in the mouth. Another common cause of mouth fever is vitamin deficiency. Diseases caused by severe vitamin deficiencies such as scurvy and beriberi are no longer on the agenda of countries with balanced nutrition awareness and opportunities. However, hidden vitamin deficiency diseases are seen due to insufficient and unbalanced nutrition or dysfunction in the body.

Fever usually occurs with redness in the oral cavity. Commonly and uniform redness of the tongue and lips is often seen. The patient hears dryness and burning in the mouth. Swallowing and chewing movements become difficult. Such oral inflammations may be treated using germicidal mouthwashes. In addition, mild drugs and antimicrobial drugs that eliminate the sensation of pain and burning can be helpful. If inflammation is due to vitamin deficiency, the treatment is based on meeting the deficient vitamins.

Exudative oral inflammation

It occurs in the form of a heavy inflammation of the mucosa over white. It is usually the onset of ulcerated stomatitis. The main causes are the same as those of mouth fever. Some occupational diseases and chronic poisoning caused by chemicals also cause this type of inflammation in the mouth. Lead and mercury intoxications lead to gingiva and sometimes inflammation of the tongue. Inflammation in the mouth is treated together with the disease that affects the whole body.

Ulcerative inflammation

It is heavier than mouth fever and exudate oral inflammation. It usually occurs in the form of an epidemic and is easily transmitted if the oral cavity is not cleaned. Inflammation begins in dentists. It then spreads all over the mouth. It causes a yellowish exudate and painful swelling spreading to the tooth roots and even to the lips. Ulcerative oral inflammation may occur due to pharyngeal infections such as Fusobacterium and Vincent's angina caused by spirochetes. In this type of oral inflammation, in which ulcers and wounds heal very slowly after the first bloating phase, germicidal mouthwashes are not sufficient. There is also a general treatment based on antibiotics and sulfamides; cortisone may be required in some cases.

Intra-oral inflammation with gangrene



It is the last stage of ulcer type. It occurs when the organism is extremely weak and causes tissue death.

Intraoral inflammation with bleeding

It is an inflammation of the oral mucosa that occurs with bleeding. It is not usually caused by a specific cause in the mouth. Coagulation disorders are a symptom of common diseases such as liver and cardiovascular diseases, intoxications and vitamin deficiencies (niacin and vitamin C deficiency). Acute leukemia is also common during diseases such as anemia, typhoid fever, malaria due to vitamin B12 deficiency. Treatment depends on the general disease.

Intraocular inflammation

It is often caused by viruses. Usually in infants, pregnant women and digestion

disorder. It can be said that this disease has an allergic dimension in some people, considering that aphthous formations are repeated with the ingestion of certain foods such as walnuts, almonds and strawberries.

The disease occurs with tremors and fever. Fluid-filled blisters, which then turn into very painful ulcers, are seen in the oral cavity. The disease is rapid and heals in 1-2 weeks. In addition to regional treatment in the form of mouthwash, general treatment with antibiotics and cortisone is applied.

Intraoral inflammation due to chronic bacterial and fungal infections

Acti-nomyces is an important group of bacteria that cause inflammation in the oral cavity. These bacteria settle in the bone and muscle tissue in the mouth. The pus from the fistulas they form contains a large amount of typical particles. The entry paths of these bacteria are usually dental caries.

Thrush is a common fungal inflammation in the mouth. Candida albicans species develops in the oral cavity mucosa with the development of a microscopic fungus. It is similar to cut milk that can cover the gums, tongue, cheek inner surfaces and tonsils. White areas appear in the mouth which tend to merge with each other. Under these easily removable formations, a red surface appears. Thrush is more common in newborns. It can be easily treated with locally administered fungicides and methylene blue. But this disease can also occur in the elderly who have been weakened and the organism's defensive capabilities are reduced. In this case, the infection can spread to the deep tissues, namely the respiratory and digestive mucosa.

Secondary oral inflammation

It occurs due to a general disease. Rash diseases such as scarlet fever, measles, rubella and chicken pox, hemorrhagic diseases such as scurvy and hemophilia, leukemia, agranulocytosis and blood diseases such as anemia due to vitamin B12 deficiency are seen during various occupational diseases such as mercury, bismuth, lead, silver and copper. .

The main oral infections caused by specific microbes are: first stage lesion in syphilis; ulcers in tuberculosis and inflammations associated with stretch marks (tuberculosis stomatitis); deep nodular formations (leprosy stomatitis) ulcers in time; gonococci-related inflammation in gonorrhea; oral infections due to diphtheria, snake and impetigo.


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What is ferritin? Why is ferritin testing important? What does low ferrite mean?

Why is ferritin testing important? Ferritin is a protein produced in the body and is responsible for storing iron. The ferritin test is therefore important because the amount of ferritin in the blood determines the amount of iron. What is ferritin, why ferritin test is done and normal values ​​of ferritin, ferritin deficiency and low causes of what we have examined in detail in our news.

Ferritin is the iron stores of our body. Ferritin content is determined by a special blood test. And the amount of ferritin in our blood is also important because it reveals iron deficiency. The lack of ferritin due to the lack of iron in the body is wondering what kind of disease leads. There are some reasons for the low amount of ferritin. There are also some symptoms of ferritin deficiency. What is ferritin, why ferritin test is done, the causes of deficiency or low levels of ferritin, and what are the causes of diseases such as the details in our news.
WHAT IS FERRITE?

For ferritin, the body can be called the iron store. Ferritin, a protein, is produced in the body. Normally, 70 percent of the iron taken into the body goes to hemoglobin and the rest is stored in ferrite. Ferritin is mostly found in the liver, but is also found in the bone marrow, spleen and skeletal muscles. The amount of ferritin in the blood is mixed with the amount of hemoglobin. But the tests for counting two are different.
WHY IS THE FERRITE TEST IMPORTANT, WHY?

Lack of ferritin or low ferritin in the blood is the major symptom of iron deficiency. The amount of ferritin is determined by special blood test. Ferritin test is important to show the amount of iron in the body. Iron deficiency in the body may manifest itself with some symptoms. For example, you may be constantly tired because of low ferritin.
WHAT DOES FERRIT'S LOWS MEAN?

The low level of ferrite, which is the iron depot of the body, is directly proportional to the iron deficiency. Thus, low ferritin indicates that there is not enough iron in the body. When iron is insufficient to meet the needs of the body, iron depots are depleted and ferritin levels decrease. Inadequate iron uptake and absorption, during pregnancy or in diseases caused by chronic blood loss, ferritin deficiency may occur. Before any signs of iron deficiency develop, iron depots may occur consumed significantly. In this case, some diseases occur.
WHAT ARE THE SYMPTOMS OF LOWER FERRITIS?

Due to the low level of ferritin, the body's iron depot, some disturbances occur. If the amount of ferritin in our body is well below normal values, it may cause symptoms such as shortness of breath, weakness, dizziness, fading of the skin and palpitations. Persons with low ferritin fatigue more quickly and find it difficult to perform a small amount of physical activity. And because of the sudden loss of energy, these people are exhausted even when doing their daily work.

One of the symptoms of low ferritin hair loss problem. The reason for this is that hair follicles do not get enough iron. Low ferritic thyroid gland to work less, which leads to hypothyroidism.

Low ferritin causes dryness and discoloration of the skin. This is because ferritin is just below the epidermis. Iron deficiency, ie low ferritin, affects nail health. With the lack of ferritin, the nails become more brittle.

The amount of iron that is inadequate due to low ferritin influences the transport of the oxygen the body needs. Inadequate oxygen supply causes breathing difficulties.

As iron stores run out, shortness of breath, ringing in the ears, drowsiness and restlessness may occur. If anemia becomes more severe, chest pain, headaches, leg pain, shock, or even heart failure may occur. Children's learning abilities may be impaired. In addition to the general disease symptoms of anemia, there are also findings specific to iron deficiency.

If you have any of the substances listed above, you should consult an internal medicine doctor. Your doctor may ask you for a ferritin blood test if needed. Early diagnosis for any disease is very important for treatment.
WHAT CAUSES FERRIT'S LOW?

Blood loss is the main cause of ferritin deficiency. Blood loss can be caused not only by bleeding injuries but also by internal bleeding or menstrual bleeding. For example, ferritin levels may decrease as a result of menstrual periods with heavy bleeding. In addition to this, uncontrolled bleeding, such as food tube ulcers, stomach and colon ulcers, chronic infections, gastrointestinal bleeding, inflammatory bowel diseases, may result in low ferritin. The main causes of low ferritin are;

iron deficiency

Gastric and intestinal diseases

Vitamin C deficiency

Alcohol consumption

Prolonged digestive tract bleeding (blood loss due to ulcers)

Thyroid diseases

Stomach bleeding due to excessive drug use, such as aspirin, steroids or non-steroidal anti-inflammatory drugs

Inflammation of the intestine

Liver diseases such as hepatitis

Serious diseases such as esophageal stomach or colon cancer

Excessive menstrual bleeding

Internal bleeding

Blood loss for various reasons

Not enought feeding

Iron absorption problems

Iron deficiency anemia

VALUES OF NORMAL FERRITE

Adult men: 12 to 300 ng / ml

Adult women: 10 to 150 ng / ml

In newborns: 25 to 200 ng / ml

1 month old infants: 200 to 600 ng / ml

2-5 months old infants: 50 to 200 ng / ml

Children between 6 months and 15 years: 7 to 142 ng / ml
TREATMENT OF FERRITE (IRON DEFICIENCY)

Following the ferritin test, it is below the normal values ​​given above, indicating the body's iron deficiency. In this case, the body needs to replace the iron. Blood syrups, iron tablets and pills containing vitamin c are the simplest treatments for low ferritin. Further blood and bone marrow transplants may be required. Apart from these treatments, the application of the following substances will help the healing process.
CURRENT LEVEL OF FERRITE

If the iron deficiency is found to be low in ferritin by your doctor, the above-mentioned treatments can be applied. In addition, you have to follow the rules of nutrition. For example, you prefer foods that are rich in iron. Thus, you will meet the iron you need naturally. For example, meat, chicken, fish, molasses, milk and dairy products, green leafy vegetables and enriched cereals are foods with high iron content.

Low ferritin is not only iron deficiency. Sometimes the low iron absorption also reduces the value of ferritin. For this, you should eat foods that contain vitamin C. Because vitamin C increases the absorption of iron in the intestines. Orange, kiwi, grapefruit and blueberries are examples of foods rich in vitamin C.

Vitamin C increases iron absorption and alcoholic and caffeinated drinks have the opposite effect. It is important to avoid these beverages as much as possible in terms of increasing iron absorption.
IS THE HEIGHT OF FERRITE DANGEROUS?

It is harmful to be high as well as low ferrite. The high levels of ferritin, which are manifested by abdominal pain and blackening, can be reduced to normal with some medications and diet.

Symptoms of elevated ferritin may include palpitations, joint pain, weakness, chest pressure and sexuality.

Rheumatism, type 2 diabetes, blood cancer, lymph cancer, excess iron intake, blood diseases, hepatitis, cirrhosis, and blood transfusions are the causes of high ferritin.


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Vitamin B12 Deficiency

VITAMIN B12 AND LACK

Vitamin B12 deficiency is a very important vitamin deficiency that makes memory problems, forgetfulness, weakness, fatigue. It is frequently seen in people who do not eat meat. It is sometimes seen in patients with stomach disease. If you are fatigued and tired, you should have your blood vitamin B12 level measured. Some people don't eat red meat because they have high cholesterol. This is wrong. Red meat must be eaten once a week. Vitamin B12 is also found in animal foods such as milk, cheese, yogurt, and seafood such as fish.

What is Vitamin B12?

Since it contains cobalt metal in its structure, vitamin B12 is also called cobalamin. Vitamin B12 is found in multivitamin drugs under the name cyanocobalamin. Vitamin B12 is essential for the health of nerve tissue and for the production of red blood cells (erythrocytes) and for the production of DNA in our cells.
Dietary vitamin B12 is absorbed from the intestines by combining it with a protein called intrinsic factor secreted from the stomach. The good absorption of vitamin B12 from the intestines depends on the proper functioning of the stomach, pancreas and intestines. Daily vitamin B12 requirement is up to 2.4 micrograms.

Foods
Vitamin B12 is found in animal foods such as red meat, chicken, turkey and fish, and to a lesser extent in milk and yogurt. It is not found in plants and yeast. A glass of pasteurized milk contains 0.9 micrograms of vitamin B12.

Who Can See Vitamin B12 Deficiency?
Vitamin B12 deficiency occurs in anemia called pernicious anemia. Pernicious anemia is a disease caused by disruption of the absorption of vitamin B12 from the intestines. This disease occurs in 2% of people over 60 years of age and is treated with vitamin B12 injection.
B12 deficiency is usually seen in people who do not eat meat (vegetarians), stomach and intestinal disease. This is because vitamin B12 is often found in animal foods. Vitamin B12 deficiency is frequently seen in patients with atrophic gastritis in their stomachs or those whose stomach is taken by surgery. It is known that vitamin B12 deficiency is common in patients with helicobacter pylori bacteria in the stomach. Occasionally, vitamin B12 deficiency is rarely seen. Aging is an important cause of vitamin B12 deficiency. Vitamin B12 deficiency is common in the elderly.

Diseases that prevent the absorption of vitamin B12 and cause deficiency are:
· Stomach atrophy, no acid
· The presence of helicobacter pylori bacteria in the stomach
Excessive bacterial growth in the intestine after antibiotics
· Long-term use of metformin, a diabetes medication
· To use stomach drugs called antacids, H2 receptor antagonists and proton pump inhibitors
· Chronic alcohol use
· Stomach surgery
· Pancreas gland not working properly
· Sjögren's syndrome
· AIDS disease or HIV-positive people

Anemia occurs in only 29% of people with vitamin B12 deficiency. Therefore, vitamin B12 deficiency does not occur in all people with anemia.
B12 failure occurs in 10-15% of patients over 60 years of age. Vitamin B12 deficiency in the elderly can be treated with multivitamin drugs.

Let's pay attention to some medicines that make vitamin B12 deficiency:
In patients receiving gastric and duodenal ulcer or gastritis, omeprazole-type medication may cause vitamin B12 deficiency or decrease in blood levels.
· Use of antibiotics such as chloramphenicol and neomycin
· Colchicine, which is used in the treatment of the disease, which is characterized by high uric acid in the blood called gout, may cause vitamin B12 deficiency.
Metformin (Glucophage, glyphor, matophine, etc.) used in the treatment of diabetes may cause vitamin B12 deficiency.
· Nitrous oxide used in anesthesia during surgery may also cause vitamin B12 deficiency.

B12 Deficiency Symptoms:
· Fatigue
· Weakness
Nausea
· Constipation
· Gas
· Loss of appetite
· Weight loss
· Anemia
· Difficulty in walking and balance disorder
· Forgetfulness
· Dementia
· Pain in the tongue
· Loss of numbness and numbness in the legs
· Tinnitus in the ear

Nervous system disorders can also be seen in vitamin B12 deficiency.


Vitamin B12 should be given in addition to:

· Pernicious anemia
· Gastric surgery
· Vegetarians
· Elderly people
· Pregnant and babies
· Patients with bowel disease

People over the age of 50, vegetarians, women planning to become pregnant should take vitamin B12 as a multivitamin drug 6-30 micrograms per day. If there is no pernicious anemia, vitamin B12 should be taken orally in tablet form. In case of pernicious anemia and gastric surgery should be taken as an injection.

Is Vitamin B12 Excess harmful?
Excess vitamin B12 is not harmful.

* For informational purposes only, consult your doctor for diagnosis and treatment

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What Causes Protein Deficiency?

There are various nutrients that our body needs to maintain normal functioning. These include; "macro and micro nutrients" are divided into two different groups of nutrients. Macro nutrients; "carbohydrates, proteins and fats" while micronutrients; "vitamins and minerals". Protein is perhaps the most important of all macronutrients, because each part of our body is made up of proteins or continues to function with this nutrient.

Because of this vital importance, a possible protein deficiency in the body can cause various health problems. Knowing exactly what the protein deficiency is actually caused by and what symptoms are there to help you understand if you are suffering from such a problem will be very important for the "diagnosis and treatment" of the problem.
What is Protein?

Protein is a macro molecule that has many different functions in the body. It is one of the macro nutrients such as fat and carbohydrates. It has many different functions, from DNA formation to cell formation and intercellular communication. Especially in animal products, white and red meat, eggs, milk and dairy products contain large amounts of protein. In addition, plants contain protein, which is an important source of protein because it contains 25 grams of protein per 100 grams of lentils . ( 1 )

The most well-known characteristic of protein by athletes is that it is present in large amounts in muscle mass. Protein deficiency can manifest itself in many different symptoms in the body and can cause important diseases if left untreated. Before looking at the symptoms of protein deficiency, let's look at the question of protein deficiency causes.
Causes Protein Deficiency

Protein deficiency is caused by the body's inability to receive the amount of protein it needs. An estimated one billion people worldwide do not consume enough protein. ( 2 ) This is especially the case in South Asia and Central Africa.

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The most important form of protein deficiency is the disease known as kuvashiorkor (kwashiorkor, malnutrition). This disease is quite common in children living in regions where scarcity and unbalanced nutrition are common. Protein deficiency is not a common occurrence in the Western world, but it may also occur in these regions due to malnutrition. Protein deficiency is a condition that can affect almost the entire body and manifests itself with many different symptoms. In the long term, low protein consumption may lead to deterioration of body form and the onset of muscle loss.
What are the symptoms of protein deficiency?

We list the symptoms of protein deficiency that can be caused by malnutrition:
1. May cause edema problem

Edema with swollen and swollen skin is a classic symptom of malnutrition. Scientists think this is related to low albumin. Albumin is the most common protein in human blood. One of the main features of albumin is regulation of oncotic pressure. Oncotic pressure provides blood circulation. Lack of albumin can cause problems during the delivery of blood to the tissues, causing the tissues to collect water. Protein deficiency can also cause abdominal distention. A swollen abdomen is a prominent feature of malnutrition.
2. May Cause Liver Fatty

Another characteristic feature of Kuvashiorkor's disease is the accumulation of fat in the liver. Uncontrolled fat in the liver can cause inflammation, liver diseases and even liver failure. Liver fat is also seen in obese people and people who use heavy alcohol. It is not known exactly how protein deficiency causes fatty liver.
3. Hair, Skin and Nail Problems May Occur

Protein deficiency often manifests itself in hair, skin and nails. These tissues are susceptible to protein deficiency because they contain large amounts of protein. Children with Kuvashiorkor disease have red, cut and stained skin. ( 3 ) Protein deficiency can cause thinning of hair, discoloration of hair, loss of hair and deterioration of nails structure. ( 4 ) However, these conditions are unlikely to occur unless you have a severe protein deficiency.
4. Muscle Loss (Atrophy) May Occur

One condition that athletes are reluctant to live during diet is muscle loss. For this reason, they reduce their diet by paying attention to the amount of protein in the diet.

Muscle loss is one of the most important causes of protein deficiency. Muscles are the most important and large protein stores of the body. When there is not enough protein in the diet and the body cannot get enough protein, the body pulls protein from tissues like muscle. This may lead to muscle loss and shrinkage of muscle tissues over time.

Even the average protein consumption in elderly people may be insufficient and muscle loss may occur. A study has shown that the consumption of small amounts of protein in older men and women causes large amounts of muscle loss. ( 5 ) There are many studies supporting this situation.

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5. Negatively Affects the Strength of Bone Tissues

Tissues adversely affected by inadequate protein consumption are not only muscles, but also protein bones are important for bones. Failure to consume enough protein may result in thinning of the bones and reduced density. This puts your bones at risk. Studies show that high protein consumption is important for women after osteoporosis after menopause. In one study, it was observed that 20 grams of protein supplements every day slowed bone loss by 2.3% in post-menopausal women. ( 6 )
6. Can Stop Growth in Children

Protein not only prevents muscle loss but also triggers growth. Protein deficiency can reverse the situation. Lack of nutrients can cause growth to stop in children. Many studies show that low protein intake weakens growth. ( 7 )
7. May increase the severity of infections

Protein deficiency can also have negative effects on the immune system. The impaired immune system may increase the risk or severity of infection, which is a sign of severe protein deficiency. ( 8 )
8. May Cause High Calorie Intake by Increasing Hunger and Appetite

It is known that protein can reduce the feeling of hunger and thus reduce calorie intake by preventing extra nutrition. When this is the opposite, that is, when protein intake is reduced, hunger and desire to consume food increase in the body.


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Your Body Indicates Vitamin K Deficiency 9 Important Tips

We all know more or less how important vitamins are for our body, but we do not have enough vitamins in our body, how the symptoms of vitamin deficiency manifest themselves, we do not know much.

Just as you know for a while we've been trying to find out what effects a vitamin deficiency has on our body. Even those who will remember, we have previously studied the symptoms of vitamin D deficiency together, and discovered what happens in the body when vitamin B12 is missing.

Today's vitamin K!

You will be amazed to learn the symptoms of vitamin K deficiency and how it creates effects on our body.

If you have some or all of the following symptoms, you should go to your doctor in no time and find out if you have the necessary measurements and vitamin K deficiency.

If you're much more cold than before ...

One of the most obvious and known symptoms of vitamin K deficiency in our body is anemia. One of the most well-known signs of whether you suffer from anemia is that you start to feel much more cold than before.

Therefore, if you have started to get very cold even in the weather you have never been cold before, you may be faced with anemia and vitamin K deficiency.

If your skin has become more sensitive than before, and even bruises at the slightest stroke ...

One of the recognizable symptoms of vitamin K deficiency is that the skin becomes sensitive and easy to turn purple. Because vitamin K is one of the substances that play an important role in the coagulation of the blood, and in the event of deficiency, the blood does not clot easily and can therefore become bruised in the slightest stroke, for example when you accidentally slam your arm against the door or hit your leg.

If you feel that you have such a problem at this time, do not forget to consult your doctor and take the necessary measurements.

Bleeding does not stop when you are accidentally cut anywhere, if blood continues to flow for much longer than before

As you might expect, it takes longer to clot blood due to a lack of vitamin K, causing bleeding to stop late. If small knife cuts and even a paper cut your hand cause frequent bleeding in the kitchen, if you have noticed that these bleeds continue more intensively and for a long time than before, we say that you should take your doctor's way to make the necessary measurements without losing any time.

If you're brushing your teeth or bleeding into your gums ...

As we said from the beginning, the most significant effect of vitamin K on our body is on blood clotting. So if your teeth are bleeding from your brushes, even if you notice any blood leaks on your gums at any time you do not brush your teeth, consult your dentist immediately.

There may be many causes of bleeding gums, and one of the most common causes of vitamin K deficiency is to say from us.

If there's blood coming from your nose in a way you don't know why ...

Vitamin K deficiency does not only manifest itself in cuts and bleeding gums. Sometimes it manifests itself as nosebleeds, which may indicate that your vitamin K deficiency has reached a relatively more severe extent. If you do not experience the above-mentioned conditions, but if you experience occasional nosebleeds, you should have your blood measured immediately and have all the tests your doctor deems necessary.

If you notice more blood coming in your period than before ...

One of the ways women understand whether they have vitamin K deficiency in their body is that they regularly follow it during their period. If there is an increase in the amount of blood that goes in a certain order and arrives in certain amounts during this period, vitamin K deficiency may occur if the period of menstrual period is prolonged.

When you go to the bathroom, if you get blood in your urine or feces ...

Vitamin K deficiency can have effects such as bleeding gums, nosebleeds, bleeding more than small cuts, but in the case of further deprivation, this can cause serious effects such as blood in urine and feces, internal organs, especially in the digestive system. can.

In this case, a doctor should be consulted and necessary tests and examinations should be done immediately.

If your bones are aching or fragile than before ...

We have learned about the effects of vitamin K deficiency on blood clotting and the effects it may naturally have on our body, but this is not limited to that. Because vitamin K deficiency also causes a decrease in protein absorption. So if you don't have enough vitamin K in your body, you can't benefit from all the proteins you get from food.

If this condition becomes long-term, there may be conditions such as bone pain and even increased risk of fracture.

If your newborn baby has bleeding in the belly ...

It is not surprising that vitamin K deficiency is present in newborn babies. However, in some babies, this deficiency may manifest itself as bleeding in the belly, which is a condition that your baby's doctor must be aware of and intervene.

If you have a newborn baby and have seen a small amount of blood in your belly, if there is bleeding, go to your pediatrician without any fuss or loss of time and have your doctor see fit.

An important note: If you have one or more of these symptoms, do not hesitate to go to the doctor immediately and take the necessary measurements. If you are suffering from vitamin K deficiency, take care to eat according to the advice of your doctor and to use the medications to be given to you if your doctor deems necessary.

"What foods are rich in vitamin K?" Say them immediately: spinach, chard, kale, beet, broccoli, arugula, lettuce, cress, cauliflower, okra, blueberries, avocado, kiwi, onions, various spices, vegetable oils and so on.


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