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Dr harold Gunatillake

Diabetics should know Good advice

by Dr Harold Gunathilaka

There are more than one way you could bring down blood sugar level to normal range (fasting 90-110 mg), as a diabetic.
Early stages your doctor will refer you to a dietician for advice on dietetic management. This early stage (pre-diabetic phase) diet and exercise alone will help to control the disease and possibly even to reverse.

When you are a full blown diabetic due to neglect during the early phase, your doctor will put you on medication to bring down your blood sugar level. Medication alone controls the blood sugar level, but may not be able to reverse the diabetic situation. In short, you need to take medication right through life.
Another way of naturally bringing down your blood sugar is strength training exercises for the muscles to absorb more glucose from the blood. This way one could reverse the diabetic situation.

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My experience growing ‘Karapuncha’

Written by Dr Harold Gunatillake-health writer

We have a tall Karapuncha tree planted in a big pot on the balcony, giving us enough curry leaves during summer months. During winter the leaves fall off and the tree goes into hibernation. 

Three months ago, to my delight I saw an offspring shooting up. When it was about 5 inches tall, I thought it was best to grow it in a separate pot to offer it to a friend. So, I separated the soil from the solitary root carefully, and when I saw the lateral minor roots, I cut it below and the sibling was planted in a separate pot, nurtured carefully spraying water daily, and keeping in a semi-shade position. Some fertilizer was mixed in the potting mixture The offspring remained healthy as the picture shows, but did not grow taller as expected, even after giving all the care that it needs. About a month ago two more shoots sprung from the mother plant. I observe that these two plants have grown to a height of two feet with no care at all of course watering the mother plant daily.

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How to prevent a hang-over after heavy drinking

Good advice by Dr Harold

The hang over symptoms after a heavy binge the night before are: – headache, dry tongue and mouth, nausea and vomiting, running to the toilet and dizziness, among others.

Every sip of alcohol you consume is absorbed immediately into the blood stream through the stomach lining, and the rest through the small gut. Your body cells being permeable, alcohol will diffuse into your tissues. Most people believe that alcohol makes you sleep well. Just the opposite and you tend to get up many times in the night and may not be able to sleep further, at all. Drinking more than two drinks a day is problematic. Five or more drinks a day for men and four for women is considered binge drinking. In the body the alcohol turns into acetaldehyde and this is a poison and is carcinogenic.

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What happens to the alcohol you drink?

It is festive season and almost everybody has fun and interacts socially with friends and alcohol seems to be the link for such festivities. Imagine going to a party and no alcohol to drink, and that would be the dullest and boring interaction, as well go for meditation. Now what happens when you drink your first glass of Scotch? 20 percent of that Scotch gets absorbed from your stomach into your blood stream and the rest is absorbed through your small bowel.

From your blood, alcohol goes straight to your liver through the portal veins. It is then metabolised and processed through enzymes produced in the liver.

If you drink more alcohol quickly, your liver cannot process all that alcohol and tends to accumulates in your body, including your brain.

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What happens to the alcohol you drink? – Good advice by Dr Harold


It is festive season and almost everybody has fun and interacts socially with friends and alcohol seems to be the link for such festivities. Imagine going to a party and no alcohol to drink, and that would be the dullest and boring interaction, as well go for meditation.

Now what happens when you drink your first glass of Scotch? 20 percent of that Scotch gets absorbed from your stomach into your blood stream and the rest is absorbed through your small bowel.

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Health and views – Christmas issue 2017 – By Dr Harold Gunatillake

May I wish all of you who have supported me ‘For the sharing & Caring’ by circulating these collections of Health issues and articles to benefit so many readers over the years. Our readership is over 11,000 world-wide with the support of ‘eLanka web-site’ authored by Neil Jayasekera (Sydney), & by Desmond Kelly & Victor Melder (Melbourne)

Merry Christmas

Cheers with a glass of red wine

Harold

 

Download the PDF file .

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How would you differentiate between a heart attack and heart burn?
– Good advice by Dr harold

How would you differentiate between a heart attack and heart burn?

This is something that every householder must be aware of. I had the experience recently when my wife at 2 am complained of chest pain and also burning sensation in the chest after returning from a dinner party at a friend’s home. She said, for the first time she had two glasses of white wine. Having had stents in the coronary vessels, anyone would suspect a recurrent heart attack due to blockage of one or more coronary vessels. I was about to call the ambulance, but then when I questioned further she said, she had bloating of the stomach, but she was not breathless. Remember, any person having a heart attack will be breathless, and not in heartburn. It is unlikely that heart attack will present with bloating or belching of the stomach. This difference is very important to remember.
Remember, heart burn is only a symptom due to stomach acid refluxing into the gullet. This comes about in persons who are obese and the valve or sphincter at the oesophageal/ stomach junction (cardia) just below the diaphragm is incompetent. Sometimes the valve may be competent but the excess gas in the stomach due to gas producing foods such as vegies and potatoes can reflux acid to the gullet as a release phenomenon.
In heart attack the onset is sudden and invariably you would bend and press against the chest for some relief. You may get the feeling that you are been pressed in a vice and the constrictive discomfort is typical. You may sweat, become breathless as mentioned, may be difficult to talk or have the presence of mind to describe it.

On the other hand, a person having heart burn will be aware of previous bouts and would know it is only burning sensation in the gullet with abdominal symptoms like bloating, belching, and nausea and would not panic as much as in a heart attack.
Coming back to my wife’s situation, I had a mini pocket cardiac monitor which I carry wherever when I leave home. It has been useful on flights to help other passengers. When checked with the monitor the reading said that the wave pattern was normal. In the medical parlour we call it sinus rhythm. Her blood pressure was checked with my portable wrist BP apparatus (everybody must carry one) and was in the normal range.
I asked her to drink some cold milk from the refrigerator- she burped after drinking a cupful and said that she is relieved. Keep some sliced cucumber in the fridge- they are most soothing for heartburn.

Do not give aspirin in a situation like this. It worsens the heat burn.

So remember, this can happen to one of your loved ones at home. Do not panic and act sensibly and wisely.

Good advice by Dr harold

 

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