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Travel Sickness – Can I Prevent It?

Travel sickness, Motion sickness, seasickness, car sickness”¦ many names but the same outcome.

What Causes Travel sickness?

The most accepted theory is that of sensory conflict. It is a disturbance of the inner ear that is caused by repeated motion. It’s when your vestibular system tells you one thing, and the other senses tell you another. This creates a conflict, leading the vestibular system to become confused and over-active. When this happens, the body tries to make things right, leading to Travel sickness.

Travel sickness can affect even the most regular travellers. Anyone can suffer from an episode of motion sickness; however, some people have a higher threshold than others. Travel sickness is known to commonly affect children between the ages of 2 to 12 years, pregnant women and those suffering from migraine. Research also shows travel sickness is linked to a genetic factor.    

Symptoms Of Travel Sickness

Travel sickness often triggers nausea and vomiting – the two most common conditions associated with it. However, travel sickness is not just limited to nausea and vomiting but may include sweating, pallor, headaches and drowsiness. In some cases, people feel dizzy and experience rapid breathing.

Tips To Beat Travel Sickness

While it may be impossible to prevent all cases of Travel sickness, here are a few tips that will help to lessen the intensity.  

For example, while travelling in the car, putting yourself behind the wheel makes you less prone to travel sickness as the brain uses its motor commands to control the car and can predict the motion. However, if you ride as a passenger, try sitting on the front seat and looking at the horizon, which confers a sense of greater control than riding in the back. If you get stuck in the back seat, try getting involved in conversation and distraction to alleviate the anxiety of not being in control of the situation. If possible, open a vent or a source of fresh air and avoid reading.

Curb the consumption of food, drinks and alcohol before and during your travel. Avoid foods that make you feel unusually full or have strong odours, that are heavy, spicy, or fat-rich as these may worsen symptoms of nausea or travel sickness in some people.  

Try choosing a seat where you will experience the least motion. For example, the middle of an aeroplane over the wing or in the lower level cabins near the centre of a ship. Distance yourself from others who may be suffering from motion sickness. Hearing them talk about motion sickness or seeing others become ill can possibly make you feel ill yourself. Face the direction of your travel.

For some people, lying down relieves their symptoms, for some others standing up works best. Depending on your type of travel, experiment with what works best for you. If travelling in a vehicle, leaning your head against the headrest can reduce the head movements.  

Talk yourself out of travel sickness. Use affirmative sentences and learn breathing techniques to help achieve this.  

Along with the ones mentioned in the blog , deep breathing and not using AC will help in reducing the symptoms of motion sickness

Dr. M.G. Kartheeka, MBBS, MD

Some studies support the use of ginger as having a preventive effect on Travel sickness. Peppermint tea is known to reduce nausea. Consider sipping on some tea before your travel or store it in a flask so you could use it during your travel.  

If the above self-care measures don’t work, the other options are medications at your local drug store or through a doctor’s prescription. Try taking OTC antihistamine drugs. However, it’s not just what you take but when you take that’s important. These medicines are useful when taken correctly which means 30 mins to an hour before you start your travel so that it has a chance to work and get absorbed in your system. It should be noted that antihistamines are known to cause drowsiness. Consult your doctor before consuming any medication.  

For children feeling motion sickness, offer sips of water and very light snacks if required while travelling. Avoid milk or milk-based food preparations for at least one hour before the travel to minimise chances of feeling motion sick.

Dr. Ashish Bajaj, M.B.B.S., M.D.

Also Read: How to Make Yourself Throw Up: Necessary Techniques and Precautions

If you are on a cruise, move towards the bow and don’t stand near the stern. It helps in disengaging your inner ear from your visual stimulus. Try sitting in the front seat instead of the rear seat. It is said that being seated in the front helps in relieving symptoms of motion sickness.  

Keeping your eyes fixed on a stationary item placed at a distance is another technique that helps in disconnecting your visual sense from your inner ear that causes the sickness.  

Prevent your mind from constantly thinking about how sick you feel. Instead, distract yourself by focusing on your favourite music or talk about things that bring comfort to you. Motion sickness is highly associated with psychological reasons and doing things that let you relax can help with your nausea.  

Motion sickness can cause difficulty in texting or grasping visual elements that are on your screen. Constantly being on your phone can aggravate the symptoms instead of alleviating them.

Disclaimer: The above information has been prepared by a qualified medical professional and may not represent the practices followed universally. The suggestions listed in this article constitute relatively common advice given to patients, and since every patient is different, you are advised to consult your physician, if in doubt, before acting upon this information. Lupin Limited has only facilitated the distribution of this information to you in the interest of patient education and welfare.

 

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Is It Safe To Swim After Eating?

Ever wondered why as a child, your elders warned you against going into the water immediately after a meal? The belief that you should wait at least 30-60 minutes after eating a meal before you swim is based on the idea that, after eating a meal, some of your blood flow from your muscles is diverted to your stomach for digestion – swimming might inhibit that necessary blood flow, causing cramps or a stitch, leaving you unable to swim, which could result in drowning.  

So, is this advice medically correct or is it just a made-up myth?

Researchers have disputed the food-drowning link and have questioned whether there was any correlation. It is true that the blood from the muscles around the stomach aids indigestion. When there is a reduction in blood flow, there is potentially less oxygen available to the working muscle and stomach, which can cause cramping. However, some researchers do not correlate this specifically with swimming.  

There is no scientific basis for that recommendation that we should wait 30 mins after taking a meal to swim. You may end up with some stomach cramping or a muscle cramp, but this is not a dangerous activity to routinely enjoy.

Dr. M.G. Kartheeka, MBBS, MD

What causes a cramp or a stitch?

Cramps are involuntary, spasm-like contractions that can occur during or after exercise and is usually related to fatigue. However, cramping is more likely to be caused by a combination of factors, including dehydration, electrolyte imbalance and neurological fatigue. Moreover, after a big sized meal, we have enough blood to keep all our body parts functioning properly, so a cramp after a meal is unlikely.  

Stitches can be explained as exercise-related transient abdominal pain. It manifests as a sharp pain felt on either side of your abdomen. Stitches aren’t well understood but are thought to be caused by cramping of the diaphragm due to restricted blood flow due to pressure from the lungs above and abdomen below.    

It is in fact recommended to eat after swimming as it is an intensely physical activity, the consumption of protein-rich foods for the repairing and building of our worn-out tissues after a swim is usually very helpful.

Dr. Ashish Bajaj, M.B.B.S., M.D

So, is there a risk or not?  

It is true that swimming on a full stomach can be uncomfortable and, if done in excess, can lead to vomiting caused by unexpected reflux. That said, numerous scientific studies could not establish any correlation between cramp, cold shock response, drowning and digestion. In fact, professional swimmers are cautious enough not to overeat, yet they ensure that they have eaten enough to provide them with the energy needed to perform at their best. Long-distance swimmers even consume food during the race. And, if they do experience a cramp, it’s more out of overexertion, and not related to food.

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Also, remember that a meal itself does not pose any real danger if and only if it is not accompanied by alcohol. Reports on drowning have no mention of lives being lost after eating. These reports, however, express concern about the elevated risk of drowning due to alcohol consumption. Alcohol impairs judgment and physical ability thereby reducing our reflexes and the ability to react.

Common sense lies in knowing that swimming is not the best way to settle your full stomach. So, take your time to get in the water, use the stairs if required, also taking a shower will help you get used to the temperature. If you want to swim immediately after a meal, choose meals that are high in simple carbohydrates, like fruits, milk and milk products. These foods are good for your body and are much easier to digest as compared to food rich in fats and proteins.  

To conclude, swimming after meals is just like any other type of physical activity. It should be done in moderation.  

Read More: 14 Health Benefits of Swimming

Disclaimer: The above information has been prepared by a qualified medical professional and may not represent the practices followed universally. The suggestions listed in this article constitute relatively common advice given to patients, and since every patient is different, you are advised to consult your physician, if in doubt, before acting upon this information. Lupin Limited has only facilitated the distribution of this information to you in the interest of patient education and welfare.  

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Helicobacter Pylori- The Silent Epidemic

What is H. Pylori?

Helicobacter pylori (H. pylori) is a gram-negative bacterium usually found in the stomach, which has infected almost 80% of the Indian population. The vast majority of people infected with H. pylori have no symptoms and will never develop any problem. However, H. pylori are capable of causing several digestive ailments which include ulcers and less commonly, stomach cancer. It is not clear why some people with H. pylori get these ailments and others don’t.

How can you get infected?

  1. pylori infection is mainly acquired in childhood. The mode of transmission of H. pylori remains poorly understood. The bacteria are most commonly spread by consuming food or water contaminated with faecal matter. H. pylori can cause changes to the stomach and duodenum (the first part of the small intestine). In developing countries, a combination of untreated water, crowded conditions and poor hygiene contribute to a higher H. pylori infection rate.

What are the diseases caused by H. Pylori infection?

Not all H. pylori infections lead to the development of ulcers and stomach cancer.However, most people infected do develop gastritis. Unless eradicated, H. pylori will remain in the stomach and will continue to cause chronic inflammation and weakening the protective force of the mucous membrane of the stomach. This will result in creating a condition whereby it is vulnerable to attack by stress, salty meals and carcinogenic substances.

1. Indigestion (Dyspepsia) –

Most people with indigestion or dyspepsia feel pain and discomfort in the stomach or chest. The sensation generally occurs soon after consuming some food or a drink. It may make a person feel full or uncomfortable during a meal, even if they have not eaten a large amount of food.

2. Gastritis –

Gastritis is an inflammation and irritation of the lining of the stomach. It can occur suddenly (acute) or gradually (chronic).

3. Ulceration –

Stomach ulcers, which are also known as gastric ulcers, are painful sores in the stomach lining. Stomach ulcers occur when the thick layer of mucus that protects your stomach from digestive juices, is reduced. This allows the digestive acids to eat away at the tissues that line the stomach, causing an ulcer.Stomach cancer –The causes of stomach cancer are thought to be smoking, poor eating habits and genetics. However, the latest research indicates that H. pylori eradication therapy decreases the risk of developing stomach cancer.

What are the symptoms of H. Pylori infection?

Most individuals with chronic gastritis have no symptoms. However, some people develop more serious problems, including stomach or duodenal ulcers. Ulcers can cause a variety of symptoms or no symptoms at all, with the most common symptoms including: Certain medications can also cause peptic ulcers.  

Who should be tested for H. Pylori infection?

If you have symptoms – Diagnostic testing for H. pylori infection is recommended if you have active gastric or duodenal ulcers or if you have a history of ulcers.There are several ways to diagnose H. pylori. The most commonly used tests include the following:
  1. Breath tests – Breath tests (known as urea breath tests) require that you drink a specialized solution containing a substance that is broken down by the H. pylori bacterium. The broken-down products can be detected in your breath.
  2. Stool tests – Tests are available that detect H. pylori proteins in the stool.
  3. Blood tests – Blood tests can detect specific antibodies (proteins) that the body’s immune system develops, in response to the H. pylori bacterium.
Also Read: Sepsis: A Guide to Understanding Its Symptoms, Causes, and Treatment

How is H. Pylori infection treated?

The treatment of H. pylori includes several steps. A two-week therapy of multiple antibiotics along with an antacid (mostly the proton pump inhibitors class of drug) is generally prescribed. After completing the H. pylori treatment, repeat testing is usually performed to ensure that the infection has been treated properly. However, there are increasing numbers of patients with H. pylori infection, who are showing resistance to the antibiotics. Hence, it is important to take the entire course of all medications as prescribed by your health care professional. The drawback though is that up to 50 percent of patients report side effects while taking this H. pylori treatment. These side effects include metallic taste, headache, nausea, vomiting, stomach cramps etc. Furthermore, patients don’t comply with the treatment as multiple dosing of several tablets per day is required, for at least two weeks.Also Read: Why Is My Upper Stomach Bigger Than My Lower? Understanding Body Composition

Newer therapies for H. Pylori eradication –

There are numerous types of probiotics such as Lactobacillus species which are used for the eradication of H pylori and to prevent gastrointestinal infections. Research has shown that a unique strain of Lactobacillus reuteri (DSM17648) exerts its action by attaching to/co-aggregating with the H. pylori bacteria and flushing them out of the body. This strain of L reuteri i.e. DSM17648 is also capable of reducing the H. pylori bacterial load and side effects associated with antibiotic therapy.Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.Links and product recommendations in the information provided here are advertisements of third-party products available on the website. PharmEasy does not make any representation on the accuracy or suitability of such products/services. Advertisements do not influence the editorial decisions or content. The information in this blog is subject to change without notice. The authors and administrators reserve the right to modify, add, or remove content without notification. It is your responsibility to review this disclaimer regularly for any changes.
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