It is a common misunderstanding that not passing motion is constipation. However, constipation truly means that there is a change in your normal bowel habits, to cause discomfort in your tummy.
If you are going through any change in bowels habits as listed below, you should inform your doctor.
In order to understand what lymphedema is, we will first have to understand what the lymphatis system is.
When you see your arms, you see the bulging vessels that collapse under pressure. These are veins that take majority of the blood from the body back to the heart. There is however, some fluid inbetween the tissues and under the skin that needs draining. This is drained by a group of specialised vessels called lymphatics that finally join the big veins in the body. The fluid that they drain is called lymph. These vessels go through groups of nodes that are situated at various levels in the body. These nodes are called lymph nodes
After surgery or radiation therapy for malignant lumps, these nodes are also taken out and some of the lymph vessels are also taken out. This essentially means that the draining of the fluids in the midst of tissues is decreased, causing the part of the body it drains to swell up. This is called lymphedema.
It is important to do the exercises taught by the lymphedema Nurse Specialist. The lymph vessels run through muscles, that act as a pump to help improve the return of collected fluid.
The flow of collected fluid can be directed through these massages, that are done in a particular way, towards the functioning lymphatic vessels. This is called Manual Lymphatic Drainage Therapy.
Having lymphedema is not easy. There are challenges faced, that affect you emotionally, psychologically and financially. It is important to:
If there are any concerns please contact Multispecialty Clinic - Pain, Palliative and Rehabilitation Department. Aster CMI Hospital, Bengaluru
Our digestive system – that is, from mouth to the rectum, is lined by a soft, wet slimy substance called mucous, that keeps it safe and moist. When this barrier is affected due to medications/illness/chemotherapy/radiation, it can cause inflammation and ulcers to form on this lining. This is called mucositis.
Although it may not be possible to eliminate mucositis with the treatment, it is important to know that reducing the severity is in your hands.
|Oral care||Food||When to be alert doctor|
|Maintain good oral hygiene||Avoid spicy foods||If there are ulcers|
|100ml of lukewarm water + pinch of salt + pinch of baking soda is mixed and used to gargle before and after meals||Avoid eating hot foods (temperature)||If there is difficulty swallowing, abdominal pain, abdominal discomfort|
|Keep your lips moist with water-based lip gels||Keep mouth moist with frequent sips of water||If there is bleeding in mouth, if there is increased diarrhoea|
|Change old habits such as smoking||Eat frequently, small amounts||If oral intake has decreased If urine output is decreasing|
|If you are having radiation, please use the gargles given by your radiation oncologist The protocols are tedious, but it is important to follow them|
If there are any queries, please contact: Multispecialty clinic - Pain, Palliative and Rehabilitation Department Aster CMI hospital, Bengaluru
An Ostomy means, an opening done surgically, through your abdominal wall, that communicates with a hollow organ within your body.
This procedure will be suggested as there is a block in a hollow organ in the body such as intestine/urinary tube. There are 2 types:
The ostomy can be for a while (temporary) or permanent.
When you have an ostomy, it is protected with a pouch, which also is used to collect the waste products from the body such as stools, urine. There are 2 types of pouch –
For the first 48 hours, the pouch you will have will be transparent, as the stoma will change to adjust to its function. Following this, the pouch will be one which is non-transparent. The choice of single use or multiple use pouch is yours. The way to change the pouch will be taught to you, by staff specialised in the management of pouches and stoma.
There is always a concern that there will be embarrassing leakages from the pouch. The important thing to remember is that while this cannot be avoided on an odd occasion, this is easily managed.
If there are any concerns please contact: Multispecialty Clinic – Pain, Palliative and Rehabilitation Department Aster CMI Hospital, Benagluru
Oral care is important as it affects the quality of life of a person.
|Healthy Oral cavity|
|Lips||Moist, no cracks/ ulcers in angle of mouth|
|Gums||Pink, no plaque/ bleeding|
|Tongue||Pink, no coating/ white patches/ ulcers|
|Palate||Pink, no ulcers/white patches/bleeding|
|Mouth||Saliva present, bad breath smell|
|Teeth||No chipped teeth/decay/cavities|
Mouth is a very important part of our body. It is where we taste our food, feel thirst and speak. Anything that causes a change in the balance of the saliva in our mouth can cause discomfort and problems that distress. These can affect any individual. Some of them are:
Saliva in the mouth keeps our mouth moist and is produced by glands in the mouth called salivary glands. If the production is less, then the mouth can go dry.
Mouth breathing, drinking less water, anxiety, smoking, chewing tobacco, diabetes, conditions that affect the salivary glands.
Lack of taste, disturbed sleep, difficulty in chewing and swallowing, ulcers in the mouth, difficulty in talking to others, bad smell in the mouth. Sometimes, it can cause a fungal infection called candidiasis.
Any part of the mouth can be affected – lips, gums, inner cheeks, palate, throat. The taste buds are on the tongue and our taste depends on the taste buds working well. Sometimes, these are damaged
Dry mouth, fungal infection, nutritional deficiencies, allergies, intense gastritis, with regurgitation to the mouth, poor oral hygiene, diabetes, anxiety.
You could have difficulty in eating, intense loss of taste in the mouth, bitterness, stinging even to water, difficulty in sleeping at night.
Poor oral hygiene, plaque causing irritation and swelling of the gums, vitamin deficiencies, some illnesses that cause bleeding.
Pain in the mouth, burning in the mouth, difficulty in chewing, makes social speaking difficult, bad smell in mouth, infections if not treated. If there is constant, easy bleeding from gums, you should visit your doctor and dentist at the earliest.
The saliva and the mucous content in the mouth keep the mouth healthy. Any of the above conditions can cause the protective layers to be destroyed. Our mouth normally has bacteria in it. When this protective layer is destroyed, ulcers can happen and these can worsen due to the bacteria in the mouth.
Vigorous brushing of teeth, cleaning gums with metal cleaners, injury due to dental appliances, dentures, sensitivity to certain foods, vitamin deficiencies, stress, it can be an indication of illness that require immediate attention such as herpes infection, celiac disease, inflammatory bowel disease, diabetes mellitus and issues with the immune system.
Pain in the mouth, burning in mouth, difficulty in chewing, smelly breath, difficulty in speaking, increased salivation, sleep disturbance, emotional distress.