Epistaksis

Nosebleed or in medical language is called epistaksis very common in children, however many parents are frightened and confused when her son was found to nosebleeds. Nosebleed itself is not a disease but a symptom of a disease, it means nosebleed can occur due to various causes of mild to severe.

Nosebleeds are symptoms of nasal bleeding that can occur due to local disorder for the nasal cavity or because of abnormalities that occur in other places of the body. Local disorder can be a trauma such as nose picking, fall, blow, foreign body in the nose, and irritation that stimulates the gas.

Another local cause is an infection of the nose and surrounding organs, tumors whether benign or malignant, sudden environmental changes such as changes in atmospheric pressure is suddenly on the pilots and divers, foreign objects into the nose without permission, and other causes not yet known with sure.

While abnormalities in other parts of the body that can cause nosebleeds, among others, heart disease and blood vessels such as high blood pressure and blood vessel disorders, blood disorders such as lower levels of platelets, blood clotting disorders, leukemia. Other disorders that cause bleeding, infection throughout the body such as dengue fever, hormonal disorders and congenital abnormalities.

It causes bleeding as described above are many and complex, which is the cause of both mild (requiring no further treatment) and that is a cause of severe alias should get special treatment.Therefore necessary that careful examination in patients with bleeding for treated carefully and appropriately.

Nosebleed treatment principle there are three that stopped the bleeding, prevent complications and prevent the recurrence of nosebleeds. For mild bleeding, stop the bleeding can be done by pressing both nostrils into the middle for a few minutes. For great bleeding and stopping the bleeding by pressing the nostrils fails then the patient should be taken to the doctor for further treatment.

Complications that often occur in patients with bleeding and anemia was shocked. Both these complications occurred due to a lot of bleeding that is not too late to get tertanggulangi or handling. Another complication is the drop in blood pressure resulting from blood loss a lot.
Do not worry, experts say 90 percent of nosebleeds will stop itself immediately, while 10 percent require special action. Origin is not too late to get treatment so severe complications did not occur.

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Nyepi Day In Bali

I finally arrived in this room after 2 days and 2 nights to celebrate nyepi days at my in-laws place in the village of Lembongan, Nusa Lembongan Island. An island that is located about 1.5 hours boat ride to the east of the Sanur Beach Denpasar Bali.

Nyepi in Nusa Lembongan has its own preoccupations, in addition to distance from the noisy city. In those moment, I also met with my wife's family. 

My Activities there are not special to tell here because just as nyepi in the city. Nyepi in Lembongan is also prohibition applies to travel outside the home. Virtually all day just to stay in-law's house. Unfortunately, electricity was also extinguished by the local power plan and the village become more quiet’s like nyepi translations.

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Hypertension (High Blood Pressure)

In  a mid the spread of fast food which contains fat and some lifestyle changes urban society, the impact of disease as a disease of lifestyle changes that will appear more and more. One such disease is hypertension or high blood pressure.

Perhaps many of us are not sure what is meant by hypertension, generally defined as hypertension may be common diseases arise in a society that is the persistent increase of arterial pressure, ie diastolic pressure above 95 mmHg. Normal blood pressure usually does not exceed the systolic pressure 140 mm Hg and diastolic does not exceed 90 mmHg. However, normal blood pressure standards are individual in nature.

Causes

As many as 90% of cases the cause is unknown. But can also be secondary to heart disease / kidney disease, diabetes, or tumors of the adrenal gland, drugs, or pregnancy.

Risk Factors

Smoking / drinking alcohol, eating lots of salt and fat, lack of exercise, obesity, and stress.

Symptoms and Signs

There are usually no symptoms until complications arise.

Complications

• Stroke
• Heart failure
• Kidney damage.

Prevention

• After 30 years of age, blood pressure check every year.
• Do not smoke / drink alcohol
• Lose weight if the excess
• Aerobic exercise
• Learn the ways to control stress.

Management

The management of hypertension are:

Without drug treatment, among other things: a diet low in salt / cholesterol / saturated fat, emotional stress relief, stop smoking / alcohol, and light physical exercise and regular.

Antihypertensive drugs. There are many types of antihypertensive drugs currently available. For the selection of appropriate drugs are expected to call the doctor.

With treatment and regular controls, and avoid the risk factors of hypertension, the mortality rate from this disease can be suppressed.

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