Showing posts with label heart attack. Show all posts
Showing posts with label heart attack. Show all posts

Wednesday, July 27, 2016

EFFECTS OF DRINKING ALCOHOL ON HEALTH

HARMFUL EFFECTS OF ALCOHOL

1. Increased risk of road traffic accidents: Road traffic injuries account for 1.25 million deaths per year. They are the leading causes of death in young age group (15-29 years). Drink driving is a major risk factor for road traffic accidents. Driving under the influence of alcohol accounts for about one-third of all deaths in road accidents. It should be noted that the victims are most often the passengers, pedestrians or children, who have not consumed alcohol.
2. Increased risk of cancer: Alcohol drinking is significantly associated with cancer of seven sites in body. These are throat, larynx (voice box), esophagus (food pipe), liver, colon, bowel and breast. Drinking just 50 grams of alcohol per day can increase the risk of mouth cancer by seven times (as compared to non-drinkers). About 6% of all deaths due to cancer can be attributed to alcohol intake. This study was recently published in the Journal Addiction. The full test of the article can be accessed at the following link: http://onlinelibrary.wiley.com/doi/10.1111/add.13477/epdf
3.  Increased risk of stroke: Alcohol consumption increases the risk of high blood pressure, diabetes, obesity, atrial fibrillation and liver disease; all of these increase the risk of stroke. Alcohol consumption also leads to higher death rates in patients with stroke. People drinking alcohol more than twice a week (irrespective of the amount) have a 3-fold higher risk of death due to stroke as compared to non-drinkers.
4. Memory impairment: Consuming too much alcohol leads to severe memory impairment and dementia in later life. Alcohol causes brain shrinkage (atrophy), malnutrition, deficiency of thiamine and vitamin B12; all of which contribute to memory loss.
5. Damage to peripheral nerves: Alcohol use, if regular and heavy, can lead to damage of nerves in arms and legs, leading to numbness, weakness, burning, pain, etc.
6. Seizures (fits or convulsions): Heavy alcohol drinking can lead to seizures. Sudden withdrawal in a person dependent on alcohol can also lead to seizures.
7. Headache: Alcohol consumption can lead to hangover (with a prominent symptom of headache); worsening of migraine; or headache as a direct effect of alcohol (due to vasodilation and dehydration).
8. Liver disease: Alcohol is a leading cause of liver disease. This includes fatty liver, alcoholic hepatitis and cirrhosis.
9. Pancreatitis: Inflammation and damage of pancreas occurs in about 5% of alcoholics after 5-10 years of alcohol drinking.
10. Sexual dysfunction: Heavy alcohol drinking can lead to sexual dysfunction in about 75% of people. The most common symptoms are premature ejaculation, low sexual desire and erectile dysfunction.
11. Marital discord and divorce: Alcoholism adversely affects relationships and marriage. Alcoholics are two times more likely to have a divorce as compared to non-alcoholics. In addition, suspicion, infidelity and arguments are more common with if one or both spouses consume alcohol. People consuming alcohol also have delayed marriage.
12. Increased crime rate: Alcohol consumption leads to increase in crime rate. Most states report that alcoholism is involved in 70-85% of crimes, especially against women. These include violence, sexual exploitation, rape, kidnapping, murder, robbery, etc.
13. Increased death rate: 15 people in India die everyday due to alcohol related effects, which means every 96 minutes, one person dies due to alcohol use.

BENEFICIAL EFFECTS OF ALCOHOL
I have enumerated the harmful effects above. I am sure there are many people (especially the ones who drink), who are eager to know the beneficial effects. There are some benefits of alcohol too.
1. Feeling of euphoria and elation: Alcohol has a depressant effect on brain. So, drinking makes one carefree, elated and free from all worries. However, these effects are for short term and are seen with small amounts of alcohol. Heavy alcohol intake leads to sleepiness and confusion.
2. Reduced rate of heart attack: Moderate alcohol consumption may reduce the risk of heart attack by increasing the amount of good cholesterol (HDL). However, exercise can also have the same effect. At present, American Heart Association does NOT advise people to start drinking, if they do not already drink alcohol.
3. Increased sexual desire: Alcohol intake may reduce the inhibition and increase the sexual desire; however, it reduces the testosterone level and hence, the performance. So, the overall effect of alcohol on sex is negative. In addition, alcohol may promote the risk-taking behavior such as not using condoms.

Conclusions
1. Alcohol has several harmful effects on health.
2. Alcohol leads to increased risk of heart disease, brain stroke, dementia, peripheral neuropathy, liver disease and cancers.
3. Alcohol is directly responsible for increased road traffic accidents and deaths.
4. Alcohol is involved in most of the crimes, especially against women.
5. Alcohol use in moderation may have protective effect on heart attacks.
6. Those who do not drink should NOT start drinking alcohol.
7. Those who drink should drink in moderation.

(Disclaimer: I do not drink alcohol)

Dr SUDHIR KUMAR MD (Medicine) DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad

Phone: 0091-40-23607777/60601066

Saturday, April 2, 2016

VEGETARIAN DIET INCREASES THE RISK OF CANCER AND HEART ATTACK; AND REDUCES FERTILITY

VEGETARIAN DIET INCREASES THE RISK OF CANCER AND HEART ATTACK; AND REDUCES FERTILITY

A recent study done at Cornell University in US has shown a higher risk of cancer and heart attacks in people eating pure vegetarian food for generations. Scientists have found that long-term vegetarianism can lead to genetic mutations, which increase the risk of heart disease and cancer.

Traditionally, red meat is known to increase the risk of colorectal (intestine) cancer, however, a recent research found the reverse, a 40% higher cancer risk among vegetarians!
This study compared two sets of people- meat eating people from Kansas (USA) and vegetarian people from Pune (India).

Long term vegetarian people were found to have genetic mutation that resulted in rapid metabolism of plant fatty acids, leading to increased amounts of arachidonic acid (which increases inflammation) and reduced production of protective omega 3 fatty acid. A shift of diet from fish (rich in healthy omega 3 fats) to vegetable oils (rich in less healthy omega 6 fats) has compounded the problem.
This study has clearly shown the higher risks of heart disease and cancer in pure vegetarian people. The message to vegetarians is clear- either eat fish or use olive oil (low in omega 6) if you cannot eat fish.

Previous studies have shown other problems with vegetarian diet:

1. Low sperm count leading to reduced fertility,
2. Low fertility could also be related to intake of pesticides (used in fruits and vegetables),
3. Vegetarians are also more prone to deficiencies of iron and vitamin B12.
4. One study found lower bone mineral density in vegetarians.

Finally, there is some good news for vegetarians. All is not gloomy. Research has also shown lower risk of diabetes, stroke and obesity among vegetarians as compared to non-vegetarians.

DR SUDHIR KUMAR MD DM
Senior Consultant Neurologist
Apollo Health City, Jubilee Hills, Hyderabad
Ph: 040-23607777/60601066

Email: drsudhirkumar@yahoo.com

The article details can be found in The Telegraph:http://www.telegraph.co.uk/news/2016/03/29/long-term-vegetarian-diet-changes-human-dna-raising-risk-of-canc/

Wednesday, June 1, 2011

Homocysteine in heart and brain disease

IMPORTANCE OF HOMOCYSTEINE

Myocardial infarction (heart attacks) and brain strokes (paralysis) are the two most common causes of death and disability in the world. They occur in all regions of the world, and the prevalence increases with advancing age.

There are a number of known risk factors for causing heart attacks and brain strokes, which include high BP, diabetes, high cholesterol, smoking, positive family history and so on.

Role of homocysteine in heart attacks and brain strokes
  • Homocysteine is a normal amino acid in our blood.
  • However, elevated levels of homocysteine in the blood is an additional risk factor for causing atherosclerosis (narrowing of blood vessels for heart and brain).
  • Elevated levels of homocysteine causes injury to the inside of blood vessel.
Though there are no definite reasons for elevated homocysteine levels, they tend to occur more in smokers and pure vegetarians.

It is easy to identify high homocysteine, by doing a simple blood test in fasting state.

Treatment of elevated homocysteine is also easy. One needs to use certain vitamins (folic acid, and other B group vitamins).
Please consult your neurologist for any further information.

Dr Sudhir Kumar MD (Internal Medicine) DM (Neurology)
Senior Consultant Neurologist
Apollo Health City, Hyderabad
Phone: 0091-40-23607777/60601066
Email: drsudhirkumar@yahoo.com