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Health Newsletter

Good Health Matters

Volume 4, Issue 05

Tension Headache
Tension Headache is a chronic type of headache which may
be as a result of stress or fatigue. Generally tension
headache is due to physical problems, psychological issues,
or depression. Both men and women are affected, but
women are more commonly affected. Generally disease
onsets between the age of 20 and 40, and any person can
be affected.
The headache generally occurs every day, and may have
been going on for months, is chronic in case of tension
headache. It is the frequency that distinguishes episodic
from chronic headaches.
Tension Headache
It can also be chronic. You can develop tension
headaches if you stare at your computer screen for
long hours or if you drive for long periods.
Prevention is better than nothing. To prevent
future tension headaches you should keep a track
of everything which triggers stress and doing this
you can find out the cause of your tension
headaches. Is tension headache affecting your life,
consult your doctor.
These days many people experience from dengue
in India. Please read an article on Dengue in this
newsletter which will help you understand the
signs and symptoms, tests and diagnosis,
treatment and how to prevent Dengue fever.
We hope you enjoy this issue of the newsletter.
Wish you a healthy and health month ahead.
Happy reading!

Tension Headache
Health Quiz


Muscles may contract in between head and neck for hours or

Patient may be left with stiff neck
There may be soreness or tightness around head
Pain is continuous, annoying, and sometimes throbbing
Headache primarily includes forehead, temples or back
portions of head and neck
Changes in sleep patterns
Headache may have early morning/late day occurrence
Shortness of breath
Weight loss
Menstrual problems
Feelings of guilt
Fear of mental or physical disease or death
Concentration problems and poor memory

General Health Tips

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Good Health Matters

Tension Headache
Precipitating Factors
Various precipitating factors which may lead to the tension headache
Poor posture and poor lighting conditions while working
Arthritis, particularly cervical arthritis may lead to tension
Abnormal neck muscles, bones and intervertebral discs
Stress on Eye may precipitate
Abnormal alignment of teeth or jaws
Noise or lighting

The drugs commonly used for the treatment of tension headaches include

NSAIDs or Nonsteroidal Anti-inflammatory Drugs like Fenoprofen, Flurbiprofen,

Ketoprofen, Naproxen, Nabumetone, and Oxaprozine are routinely prescribed to the
Antidepressants especially Tricyclic antidepressants which dont cause any sedation
like Protriptyline, Desipramine can be prescribed to some patients
Antidepressants especially Tricyclics antidepressants which are sedatives like
Amitryptyline, Doxepin, Nortriptyline.Imipramine can also be prescribed to some of
the patients depending on case to case basis
Selective Serotonin Reuptake Inhibitors (SSRI) like Fluoxetine, Sertraline, Paroxetine,
Nefazodone, Venlafazine, Citalopram, Escitalopram are also prescribed to some

Health Quiz
Question 1: What is the name of the
whole system of bones?

Question 2: How often should we

visit the dentist?








Just when we have a tooth ache




Once a year




Every 6 months

Question 3: Which is the best

substance to rinse our mouth with
after brushing and flossing?








Health Quote
The doctor of the future will give no medicines, but will interest his patients in the care of the human frame, in diet, and in the
causes and prevention of disease.
- Thomas Edison

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Good Health Matters

No vaccine is available to
prevent Dengue fever.
Dengue fever is an acute febrile disease. It is also known
as break bone fever. It belongs to the group flavi virus.
Dengue is transmitted to the humans by the mosquito
Aedes aegypti.
The mosquito flourishes during rainy seasons which
will breed in water filled flower pots, plastic bags.
Dengue fever is seen in persons with low immunity.
There is no specific treatment for dengue fever.
Patient only need supportive therapy. Your doctor may
recommend to take plenty of fluids to avoid
Blood and its component like platelet may be transfused
depending upon condition.

Signs and symptoms

Tests and diagnosis

Dengue cannot be
spread directly
from person to

The risk of being bitten by Dengue mosquito has two

peak periods. Early morning, several hours after
daybreak, and in the late afternoon before dark. To
avoid Dengue mosquito bites:
Use mosquito repellents on uncovered skin surfaces
& mosquito nets
Keep your surroundings clean

Can papaya leaves help cure


Petechial rash with thrombocytopenia

Low platelet count
White blood cell count
Polymerase chain reaction

The extract of raw papaya leaf helps boost platelets.

Traditionally, the juice of papaya leaf has been found
to be useful in the treatment of dengue fever. The
papaya leaf juice will not be as effective during the
final stages of dengue fever since, by then, the patients
organs are already badly affected by the disease.

Treatment of Dengue fever

There is no specific cure for Dengue fever because it is caused by a
virus. Treatment for typical Dengue fever is purely concerned with
relief of the symptoms (symptomatic). Painkillers can be taken to
bring down the fever. It is important to note that aspirin and nonsteroidal anti-inflammatory drugs such as ibuprofen must be
avoided as they 'thin' the blood and can worsen the situation.
Muscle relaxants can be taken in an attempt to reduce the bone
and joint pain. Once hospitalised, patients may be placed on a drip
and have a blood test each day to monitor their platelet level. In
cases where platelets drop too far a platelet transfusion may be
given and in extreme (life threatening) situations, a blood
transfusion takes place.

To prevent Dengue fever,

do not allow water
stagnation around your

Dengue Fever Prevention

Severe headache, Muscle pain, Joint pain, Leg pain, Low blood
pressure, Fever, Rash, Petechiael rashes which appear first on the
lower limbs and the chest, Swollen glands (lymphadenopathy),
Gastritis, Abdominal pain, Nausea, Vomiting, Diarrhea,

There is no specific
medicine to cure people
who become ill with
Dengue fever.

Papaya leaves contain important nutrients that

support the immune system, including vitamins A, C,
and E.

You need 2 pieces of raw papaya leaves.

Wash thoroughly, pound and squeeze with filter


Drink 1 tablespoon per leaf. Therefore, 2

tablespoons per serving, once a day is to be taken.

Do not boil or cook or rinse with hot water, it will

lose its strength.

Papaya leaves are not known to have toxic effects

and their consumption does not have side effects.

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Good Health Matters

General Health Tips

Regular, moderate levels of exercise can help keep that cold at bay. So lace up and get going.

Socialize at least once weekly. It helps improving memory, concentration and problem
solving skills.
Recent research shows that a plant based diet with some fish is not only
good for your heart but for your brain as well.
Change the liner of your shower curtains every 3-6 months to prevent
mold and mildew accumulating on them.
Steam inhalation is one of the best ways to ease pain and congestion
caused by sinusitis.
If you have heart disease or high BP, your diet should have less than 1.5 g
of sodium. One level teaspoon salt has about 2.3 g sodium.
Activities that make you concentrate calmly in the present such as
painting, knitting and swimming have meditation like stress busting effect.
If you are 30 years or older, strength training should be a part of your fitness regime to
keep your muscles in shape and boost your metabolism.
Exercise is not only good for your physical health but also improves your concentration and thinking thereby
making you more productive.
Quiz Answers
1. A
2. D
3. C
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