Sunday, July 30, 2023

What is the diet after bariatric surgery?

 After bariatric surgery, it's important to follow a specific diet to help ensure successful weight loss and avoid complications. The diet typically progresses through several stages, starting with clear liquids and moving on to pureed and soft foods before eventually reintroducing solid foods.

Stages of the Post-bariatric Surgery Diet

1. Clear Liquids: In the first few days after surgery, patients will consume only clear liquids such as water, broth, and sugar-free gelatin.

2. Full Liquids: After a few days, patients will be able to consume full liquids, such as protein shakes and soups.

3. Pureed Foods: After a week or two, patients will start to eat pureed foods like smoothies and mashed potatoes.

4. Soft Foods: As the patient progresses, soft foods like scrambled eggs or cooked vegetables can be added.

5. Regular Foods: After a few weeks, patients can begin to reintroduce solid foods, but should avoid high-calorie, high-fat, and high-sugar foods.

What Not to Eat after Bariatric Surgery

After bariatric surgery, patients should avoid certain foods to help ensure successful weight loss and avoid complications. Foods to avoid include:

· Carbonated drinks

· Foods high in sugar or fat

· Foods that are difficult to digest like tough or fibrous meats

· Bread and rice

· Alcohol

Coffee After Bariatric Surgery

While coffee isn't necessarily off-limits after bariatric surgery, it's important to limit caffeine intake and avoid high-calorie coffee drinks. Consuming too much caffeine can cause dehydration and interfere with post-surgery nutrition goals.

Supplementation after Bariatric Surgery

After bariatric surgery, patients may need to take vitamin and mineral supplements to help ensure proper nutrition and prevent nutrient deficiencies. Supplements may include:

· Iron

· Calcium

· B12

· Vitamin D

· Protein supplements

 

What is Obesity?

 Obesity is a medical condition characterized by excessive accumulation of body fat, which can lead to negative health effects. It is typically measured using Body Mass Index (BMI), which is a calculation of weight and height.

Causes and Risk Factors of Obesity

Obesity can be caused by a combination of genetic, environmental, and lifestyle factors. Some of the risk factors for obesity include:

· A diet high in calories and processed foods

· Lack of physical activity

· Genetics

· Medical conditions such as hypothyroidism and polycystic ovary syndrome

Symptoms and Consequences of Obesity

Some of the symptoms of obesity include:

· Increased body fat

· Difficulty breathing

· Joint pain and stiffness

· Shortness of breath

The consequences of obesity can be serious and include:

· Increased risk of heart disease, stroke, and diabetes

· Hypertension (high blood pressure)

· Sleep apnea

· Depression

How is Obesity Diagnosed?

Obesity is typically diagnosed by measuring BMI. A BMI of 30 or higher is considered obese. Doctors may also use a combination of measurements including waist circumference and skinfold thickness.

How is Obesity Treated?

The best way to treat obesity is through lifestyle changes. This includes:

· A healthy diet that is high in fruits, vegetables, and lean protein

· Regular physical activity

· Behavioral therapy

· Medical weight loss interventions such as medication or surgery

Wednesday, July 26, 2023

Thrombosis and Phlebitis

Thrombosis is a medical condition where blood clots form in the circulatory system, blocking normal blood flow. When these clots occur in the veins, it's called venous thrombosis which can lead to serious complications as a result of a pulmonary embolism.

Symptoms of Thrombosis

The most common symptom of thrombosis is pain or tenderness in the affected area, such as the leg or arm. Swelling and redness may also occur.

Phlebitis Manifestation

Phlebitis, or inflammation of the veins, can manifest itself as pain, redness, tenderness or swelling. When the vein is noticeable below the skin, it is called superficial phlebitis.

Complications: Pulmonary Embolism

Pulmonary embolism can be deadly when a blood clot lodges in the lungs. Symptoms include chest pain, shortness of breath, and coughing up blood. Immediate medical attention is necessary.

Causes and Risk Factors of Thrombosis

There are several factors that can increase the risk of thrombosis, including immobility due to injury or surgery, obesity, smoking, hormone therapy, and certain medical conditions such as cancer and heart failure.

Diagnosis of Thrombosis

Doctors use several tests to diagnose thrombosis, including ultrasound and blood tests to measure the level of a certain protein called D-dimer.

Treatment of Thrombosis

Treatment of thrombosis typically involves the use of blood thinners or anticoagulants, such as heparin or warfarin, to prevent the clot from growing larger or breaking off and causing further complications.

Treatment of Phlebitis

Treatment of phlebitis involves the use of anti-inflammatory medications to relieve pain and swelling. Compression stockings and elevating the affected area can also be helpful.

 

Saturday, July 22, 2023

Exercises to Avoid for People with Diabetes

 While exercise is important for people with diabetes, there are some exercises that may not be suitable for everyone. Here are some exercises to avoid or be cautious of if you have diabetes:

  1. High-impact, strenuous, or prolonged weight-bearing activities such as running on a treadmill, jumping/hopping, or exercising in heat or cold weather
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  2. Strenuous activity and heavy lifting for those with high blood pressure
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  3. Exercises that put excessive pressure on the feet, such as high-impact aerobics or running, for those with diabetic neuropathy or foot ulcers
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  4. Exercises that require holding your breath, such as weightlifting or isometric exercises, for those with high blood pressure or heart disease
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  5. Exercises that require sudden or jerky movements, such as basketball or tennis, for those with diabetic retinopathy or other eye problems
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It is important to talk with your healthcare team before starting a new physical activity routine, especially if you have other health problems. Your healthcare team will tell you a target range for your blood glucose level and suggest how you can be active safely
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Remember that regular exercise has many benefits for people with diabetes, including lowering blood glucose levels, improving insulin sensitivity, reducing body fat, and lowering the risk for heart disease. Aerobic exercise and resistance training are both effective forms of exercise for people with diabetes
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itations:
[1] https://diabetes.org/healthy-living/fitness/getting-started-safely/exercising-diabetes-complications
[2] https://www.everydayhealth.com/type-2-diabetes/living-with/top-diabetes-exercise-mistakes-how-avoid-them/
[3] https://www.webmd.com/diabetes/exercise-guidelines
[4] https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/diabetes-and-exercise
[5] https://www.healthline.com/health/type-2-diabetes/top-exercises
[6] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2992225/
[7] https://www.cdc.gov/diabetes/managing/active.html

what were the causes of the most deadly football brawls in Europe?

 The causes behind deadly football violence will always vary considerably depending on the source you choose to consult

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 However, some of the most common causes of football brawls in Europe include:
  • Rivalry between teams: Many football brawls are caused by the intense rivalry between teams and their fans. For example, the rivalry between Liverpool and Juventus fans led to the Heysel Stadium disaster in 1985, which resulted in 39 deaths
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  • Poor stadium design: In some cases, poor stadium design can contribute to football violence. For example, the incident at Hillsborough Stadium in Sheffield, England in 1989, which resulted in 96 deaths, was caused in part by overcrowding and inadequate safety measures
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  • Inadequate security: When security measures are inadequate, it can be easier for fans to engage in violent behavior. This was a factor in the Heysel Stadium disaster, as well as in many other incidents of football violence
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  • Aggressive behavior by fans: In some cases, fans themselves are responsible for starting fights and engaging in violent behavior. This can be fueled by alcohol consumption, as well as by the intense emotions that come with supporting a football team
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It is important to note that football violence is a serious issue that can have deadly consequences. Fans should always prioritize safety and respect for others when attending matches.

Citations:
[1] https://idrottsforum.org/alsio130118/
[2] https://bleacherreport.com/articles/1321624-world-footballs-10-most-dangerous-fan-bases
[3] https://en.wikipedia.org/wiki/Heysel_Stadium_disaster
[4] https://bleacherreport.com/articles/1148322-soccer-10-biggest-on-and-off-field-brawls
[5] https://en.wikipedia.org/wiki/Football_hooliganism_in_the_United_Kingdom
[6] https://en.wikipedia.org/wiki/Football_hooliganism

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