PLEURAL RUB BY NUTRITIONIST WAJEEHA SHAMS

Pleural rub – a distinctive grating sound heard on auscultation, often indicating inflammation of the pleural surfaces (pleurisy). Typically heard during both inspiration and expiration, reflecting friction between visceral and parietal pleura.

Pleural Rub Encounter: A telltale grating sound signaling pleural inflammation. Coupled with smart nutrition – think omega-3 rich foods (salmon, walnuts), antioxidant-packed veggies (spinach, kale), and ample hydration – to support lung health and potentially ease discomfort associated with pleurisy. Clinical care and lifestyle tweaks work hand-in-hand for better outcomes.

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writers palsy by nutritionist Aiman Toqir

Have you ever picked up your pen to write — only to feel your fingers clench, your hand stiffen, and the words fade as your muscles rebel? You might be facing a condition known as Writer’s Palsy, a form of focal hand dystonia that turns something as simple as writing into a frustrating challenge.

Writer’s Palsy, also known as Writer’s Cramp, is a neurological movement disorder where the brain sends abnormal signals to the muscles in your hand and forearm during writing. It causes involuntary muscle contractions, cramping, or unusual postures of the fingers and wrist — specifically during writing tasks.

It’s not a problem with the muscles themselves, but with how the brain communicates with them.

cause:

  • Repetitive strain: Constant writing or typing without rest

  • Genetic predisposition

  • Fine motor overuse: Seen in musicians, surgeons, artists, and yes — prolific writers

Over time, the fine-tuned motor skills that once made writing second nature become distorted, leading to painful or awkward hand movements.

symptoms:

  • Cramping or stiffness only during writing

  • Fingers curling involuntarily

  • Trouble gripping a pen

  • Pain or fatigue in the hand or forearm after writing a few lines

    Can It Be Treated?

    Yes — while there’s no universal cure, several approaches can help:

    • Botox injections to relax overactive muscles

    • Occupational therapy to retrain motor control

    • Ergonomic tools like pen grips or voice-to-text software

    • Medications like anticholinergics or muscle relaxants

    For some, simply switching hands or reducing writing time can bring relief.

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“Coma: Clinical Perspectives on Causes, Management, and Recovery” By dietitian Fadima Siddiqui

Coma is a state of prolonged loss of consciousness. It can have a variety of causes, including traumatic head injury, stroke, brain tumor, or drug or alcohol intoxication. A coma may even be caused by an underlying illness such as diabetes or  an infection.Coma is a medical emergency.

Causes:

Many types of problems can cause a coma. Some examples are:

Traumatic brain injuries. These are often caused by traffic collisions or acts of violence.

Stroke. Reduced or stopped blood supply to the brain, known as a stroke, can result from blocked arteries or a burst blood vessel.

 

Diabetes. Blood sugar levels that become too high or too low can cause a coma.

Lack of oxygen. People who have been rescued from drowning or revived after a heart attack might not awaken due to lack of oxygen to the brain.

Infections. Infections such as encephalitis and meningitis cause swelling of the brain, spinal cord or the tissues that surround the brain. Severe cases of these infections can result in brain damage or a coma.

Seizures. Ongoing seizures can lead to a coma.

Toxins. Exposure to toxins, such as carbon monoxide or lead, can cause brain damage and a coma.

Drugs and alcohol. Overdosing on drugs or alcohol can result in a coma.

Treatment:A coma is a medical emergency needing airway, breathing, and circulation support. Treatment targets the cause: brain swelling (surgery/medicines), low blood sugar or infection (IV glucose/antibiotics), drug overdose (antidotes), seizures (anti-seizure drugs), or underlying diseases (specific therapies). Recovery varies—some regain full function, while severe brain damage may cause permanent disability or unconsciousness.

 

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Poliomyelitis by dietitian Rida Fatima

DEFINITION:
Poliomyelitis (polio) is a viral disease that spreads through person-to-person contact, primarily via the fecal-oral route. It can cause flu-like symptoms, but in about 1 in 200 cases, the poliovirus invades the nervous system, leading to irreversible paralysisThere is no specific cure for polio; treatment focuses on supportive measures like pain relief, physical therapy, and rest to manage symptoms and complications, and vaccination is the best way to prevent it.  

Causes
  • Virus: 
    Polio is caused by the Poliovirus, a highly contagious virus that thrives in the gastrointestinal tract. 

  • Transmission: 
    The virus is transmitted through the fecal-oral route (contaminated hands, food, or water) or, less commonly, via respiratory droplets from an infected person’s throat. 

  • Infection: 
    The virus enters the body and multiplies in the intestine before potentially spreading to the nervous system. 

Symptoms
Most people with polio show no symptoms or have mild, flu-like symptoms such as: 

  • Fever
  • Fatigue
  • Headache
  • Vomiting
  • Stiffness in the neck
  • Muscle or limb pain
In rare, severe cases (about 1 in 200 infections), the virus can cause paralytic polio, characterized by: 

  • Loss of reflexes
  • Severe muscle weakness or pain
  • “Floppy” limbs
  • Permanent paralysis, often in the legs
  • Breathing or swallowing problems
Treatment
There is no cure for polio; treatment focuses on managing symptoms and preventing complications. 

  • Supportive Care: This includes bed rest, a healthy diet, and pain relievers to manage discomfort. 
  • Physical & Occupational Therapy: To help with muscle weakness and maintain flexibility, requiring exercises, splinting, and correct positioning. 
  • Pain Management: Hot packs or heating pads can be used for muscle pain. 
  • Respiratory Support: In severe cases where breathing muscles are affected, ventilation might be necessary. 
  • Prevention: Vaccination is the most effective way to prevent polio. 
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Osteoporosis By Dietitian Rabiya Naz Khalid

Osteoporosis is a disease where bones gradually lose density and become weak and brittle, increasing the risk of fractures even with minor falls or everyday movements. Often called a “silent disease,” it develops slowly and usually shows no signs until a break occurs commonly in the hip, wrist, or spine. Symptoms may appear as the disease progresses, such as back pain caused by a fractured or collapsed vertebra, a noticeable, a stooped or hunched posture, or bones that break much more easily than expected. Because these warning signs can be easy to miss, regular bone-density screenings and paying attention to changes in posture or unexplained pain are key to early detection and treatment.

The main cause of osteoporosis when the process of bone rebuilding slows down while bone breakdown speeds up, leading to gradual bone loss. Several factors can raise your risk, including:

Age: Being over 50
Family history: A parent or sibling with osteoporosis
Hormonal changes: Especially after menopause
Body type: Having a thin or small frame
Lifestyle choices: Smoking and excessive alcohol use
Certain medical conditions or medications that affect bone strength
Understanding these risk factors is the first step in protecting your bones.

By identifying the condition early, you can start treatments and lifestyle changes like a balanced diet is one of the best defenses against osteoporosis. Focus on calcium-rich foods like dairy, leafy greens, and fortified plant-based milk, along with vitamin D sources such as fatty fish and egg yolks to help your body absorb calcium. Include magnesium, phosphorus, and vitamin K from nuts, seeds, and whole grains to further support bone strength. At the same time, limit excess caffeine, salty processed foods, and alcohol, which can reduce calcium absorption. Paired with regular weight-bearing exercise and avoiding smoking, these choices keep bones strong and help prevent fractures.

 

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Athetosis By Dietitian Musabbiha Arif

Athetosis is a type of dyskinesia characterized by involuntary, slow, and writhing movements that can affect various parts of the body, including the hands, feet, face, and limbs. These movements are often unpredictable and can be exacerbated by attempts to control them. Athetosis is typically caused by damage to the basal ganglia, a critical brain region involved in movement control.

• Causes and Symptoms:

Athetosis can result from cerebral palsy, stroke, traumatic brain injury, or other conditions that affect brain development or function. Symptoms can range from mild to severe and may impact daily activities, communication, and overall quality of life.

• Management and Treatment:

While there is no cure for athetosis, various treatment options can help manage symptoms. These may include physical therapy, occupational therapy, and medications such as anticholinergics or be zodiac pines. In some cases, surgical interventions like deep brain stimulation may be considered. A multidisciplinary approach is essential for developing effective care strategies and improving outcomes.

• Raising Awareness

By understanding athetosis and its complexities, we can better support individuals affected by this condition and promote improved care and outcomes. Early diagnosis and intervention are critical for maximizing treatment effectiveness and enhancing quality of life.

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Bacterial Meningitis by Nutritionist Fabiha Fatima Khan

  • Bacterial meningitis is a serious infection of the protective membranes (meninges) surrounding the brain and spinal cord. While it is not very common, it can progress rapidly and become life-threatening if not treated quickly. Understanding the condition, its warning signs, and ways to prevent it can save lives.

What is Bacterial Meningitis?

Meningitis refers to the inflammation of the meninges. When caused by bacteria, it is called bacterial meningitis. The infection leads to swelling, which can disrupt the normal function of the brain and spinal cord.

Unlike viral meningitis, which is often mild, bacterial meningitis requires immediate medical care.

Common Bacteria That Cause Meningitis Several bacteria can trigger this illness:

  • Neisseria meningitidis (meningococcus) – often causes outbreaks.
  • Streptococcus pneumoniae (pneumococcus) – the most common cause in infants and adults.
  • Haemophilus influenzae type b (Hib) – used to be common, now rare due to vaccines.
  • Group B Streptococcus – often affects newborns.
  • Listeria monocytogenes – more common in pregnant women, newborns, and older adults.

Symptoms to Watch Out For:

Symptoms can appear suddenly within hours or develop over a few days. Key warning signs include:

  • Severe headache
  • Stiff neck
  • Fever and chills
  • Sensitivity to light (photophobia)
  • Nausea and vomiting
  • Confusion or difficulty concentrating
  • Seizures
  • In infants: bulging soft spot, poor feeding, irritability

How is it Diagnosed?

Doctors usually confirm bacterial meningitis through:

  • Lumbar puncture (spinal tap): checks cerebrospinal fluid (CSF) for bacteria.
  • Blood tests: to identify infection.
  • Imaging (CT or MRI): sometimes needed to rule out other causes.

Treatment Options

Bacterial meningitis requires urgent hospitalization. Treatment usually includes:

Intravenous (IV) antibiotics – started immediately.

Corticosteroids – to reduce brain inflammation.

Supportive care – for fever, seizures, or dehydration.

Early treatment improves survival and reduces complications such as hearing loss, brain damage, or learning difficulties.

Prevention: Can Meningitis Be Avoided?

Yes – many cases can be prevented through:

1. Vaccination:

  • Hib vaccine
  • Meningococcal vaccine
  • Pneumococcal vaccine

2. Good hygiene: Handwashing, not sharing utensils, covering mouth when coughing.

3. Healthy lifestyle: Strong immunity lowers infection risk.

4. Antibiotic prophylaxis: Close contacts of meningitis patients may be given preventive antibiotics.

Bacterial meningitis is a medical emergency that should never be ignored. While it can strike suddenly, awareness, early diagnosis, and timely treatment can make the difference between life and death. Vaccination remains the strongest shield against this dangerous infection.

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Somnolence By Nutritionist Ayesha Shah

  1. Somnolence, or excessive sleepiness, is a common condition that affects millions of people worldwide. It’s characterized by an overwhelming desire to sleep during the day, disrupting daily activities and impacting quality of life. The causes of somnolence can vary, ranging from sleep disorders like sleep apnea and insomnia to certain medications and lifestyle factors. Poor sleep habits, irregular sleep schedules, and lack of physical activity can contribute to somnolence, while medical conditions like hypothyroidism and chronic fatigue syndrome can also play a role. Symptoms of somnolence include daytime fatigue, difficulty concentrating, memory problems, and mood changes like irritability and depression. Managing somnolence requires a multi-faceted approach, including establishing a consistent sleep schedule, improving sleep hygiene, exercising regularly, and seeking medical attention if necessary. By understanding the causes and implementing lifestyle changes, individuals can reduce excessive sleepiness and improve their overall well-being.­
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spasm and muscle contraction by nutritionist zujaja fida

Spasms and convulsions are both involuntary movements, yet they differ greatly in origin, mechanism, and clinical significance. A spasm is a sudden, involuntary contraction of a muscle or muscle group. It is commonly associated with dehydration, electrolyte imbalance, fatigue, or nerve irritation. Although spasms may cause sharp pain, stiffness, or visible twitching, they are typically localized and self-limiting.

In contrast, a convulsion results from abnormal electrical discharges in the brain, producing generalized, uncontrolled muscle contractions. Convulsions may present with loss of consciousness, rhythmic jerking, tongue biting, frothing, and a post-ictal state characterized by confusion or drowsiness. Causes include epilepsy, fever, head trauma, infections, or metabolic derangements.

Clinically, the distinction is crucial: spasms reflect peripheral muscular activity, while convulsions indicate central neurological dysfunction requiring urgent evaluation. Accurate recognition guides timely and appropriate intervention.


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Cerebral Ischemia by Nutritionist Manahil Zuberi

Cerebral Ischemia: How Food Can Protect Your Brain

Cerebral ischemia happens when blood flow to the brain is blocked or reduced. Without enough oxygen, brain cells can die within minutes, leading to a stroke. It’s a medical emergency — but beyond hospital treatment, your daily diet can lower risk and support recovery.

What It Is?

  • Global ischemia: whole brain affected, often after cardiac arrest.
  • Focal ischemia: one part of the brain affected, usually from a clot.
  • Short episodes may cause a mini-stroke (TIA), while longer ones can cause permanent damage.

Warning Signs

  • Call emergency services if you notice sudden:
  • Weakness or numbness on one side
  • Slurred speech or confusion
  • Vision problems or double vision
  • Dizziness, loss of balance, or fainting

Why Diet Matters?

A poor diet raises blood pressure, cholesterol, and blood sugar — all major stroke risks. Healthy eating can:

  • Keep blood vessels flexible
  • Lower inflammation
  • Protect brain cells
  • Boost recovery after an event

Simple Daily Tips

  • Half your plate = fruits & vegetables
  • Swap refined carbs for whole grains
  • Snack on nuts & seeds
  • Limit salt and processed foods
  • Stay hydrated

Final Note

Cerebral ischemia is serious, but recovery doesn’t stop at the hospital. Every meal is a chance to heal, lower future risk, and protect your brain for life.