Stress is an unavoidable part of life, and while it often carries a negative connotation, it is actually a fundamental survival mechanism. When faced with a perceived threat, whether physical or emotional, the body instinctively reacts to protect itself. This automatic response is commonly known as the "fight, flight, or freeze" response. While it serves an essential function in dangerous situations, chronic activation of this response due to daily stressors can have significant consequences for mental and physical health.

The body’s response to stress is rooted in human evolution. When our ancestors encountered a predator, their nervous systems immediately prepared them to either confront the threat (fight), escape to safety (flight), or become still and unnoticed (freeze). While modern-day stressors may not include wild animals, our nervous system reacts similarly to job pressures, financial worries, or social conflicts.

According to the Cleveland Clinic, stress is the body's response to change, activating a physiological reaction that helps us adapt and protect ourselves. While short-term stress can be beneficial, prolonged exposure can lead to an overactive stress response, negatively impacting overall well-being.

The Three Stress Responses: Fight, Flight, and Freeze

1. Fight

The fight response prepares the body for direct action. When triggered, the nervous system releases adrenaline, increasing heart rate, blood pressure, and muscle tension. While this reaction once helped early humans fend off predators, today it manifests as irritability, frustration, or aggression.

For instance, the employee who has experienced too much workload may work extremely long hours just to succeed. In short term, the action may produce good results but mostly ends in burnout, anxiety, and physical illness, for example, tension headache or digestion problems.

2. Fight

The flight response triggers an intense need to remove oneself from a stressful situation. Just as our ancestors would flee from danger, modern individuals may avoid conflict, quit jobs impulsively, or detach from relationships when overwhelmed.

Flight mode is linked with restlessness and anxiety. Individuals may have a sense of needing to get up and go-pacing, changing environments constantly, or avoiding tasks that seem too overwhelming. Someone with a flight response might have the desire to change jobs constantly, relocate constantly, or become reclusive in order to avoid perceived dangers.

3. Freeze

The freeze response occurs when the nervous system perceives a threat as too overwhelming to fight or flee. Rather than taking action, individuals shut down, feeling numb, disconnected, or paralyzed by fear.

Unlike fight or flight, which involve heightened activation, freeze mode slows down physiological functions. A person experiencing freeze mode may feel physically unable to move, struggle to make decisions, or find themselves dissociating from their emotions. This can manifest in situations such as public speaking anxiety, where someone might "blank out" or feel stuck in the moment.

What Happens in the Body During A Stressful Event?

When faced with a stressor, the autonomic nervous system (ANS) activates, triggering physiological changes, including:

• Increased heart rate and breathing: The body pumps more oxygen to muscles and the brain in case action is needed.
• Muscle tension: The body prepares for movement, sometimes causing trembling or stiffness.
• Dilated pupils: Vision sharpens to detect potential threats.
• Dry mouth: Saliva production decreases as the body redirects energy to essential functions.
• Changes in skin tone: Blood flow is directed to vital organs, sometimes making the skin appear pale or flushed.

For those experiencing the freeze response, the body undergoes a different reaction, often reducing heart rate and causing physical immobility rather than heightened activation.

Strategies for Coping and Managing the Stress Response

While the stress response is necessary for survival, frequent activation due to daily stressors can take a toll on health. Recognizing your default response—whether fight, flight, or freeze—can help in developing effective coping mechanisms.

1. Moving to a Safe Space

If possible, changing your environment can help signal to your brain that the threat has passed. Stepping outside for fresh air, finding a quiet place, or distancing yourself from overwhelming stimuli can help regulate emotions.

2. Practicing Controlled Breathing

Deep, slow breathing can be used to counteract the stress response by engaging the parasympathetic nervous system, which promotes relaxation. Techniques such as diaphragmatic breathing or the 4-7-8 method (inhale for four seconds, hold for seven, exhale for eight) can be particularly effective in calming the body.

3. Engaging in Physical Activity

This helps release pent-up energy and aids in the endorphin cascade, natural boosters for our mood.

4. Seeking Social Support

Relieving oneself from stress can come in many ways, but sharing it with trusted friends, a family member, or a good therapist will sure give that psychological boost of hope. Social support is an especially effective way of cushioning people against the stressors that they are subjected to in chronic forms.

When to Seek Professional Help

While occasional stress is normal, chronic activation of the fight, flight, or freeze response can indicate underlying mental health concerns, such as anxiety disorders or post-traumatic stress disorder (PTSD). If stress is affecting daily life—leading to sleep disturbances, difficulty concentrating, or persistent feelings of fear—it may be time to consult a mental health professional.

World Thyroid Day is observed on 25 May every year. This day aims to spread awareness about thyroid disorders, their symptoms, and management options that can help women. However, one concern that continues to linger with respect to thyroid disorders is why they occur more often in women. Hormonal changes, lifestyle factors, and a higher risk of autoimmune conditions can increase the risk of thyroid problems in women. Yes, that’s right! Hence, women should ensure they go for timely health check-ups. Here, an expert highlights vital tips for women. Read on to know more about this and seek timely help. Remember, thyroid problems should not be left untreated at all.

In an interview with Health and Me, Dr Shruti Kotangale, Consultant Gynaecologist, Obstetrician, and Infertility Expert at AIMS Hospital, Dombivli, explained why thyroid problems are more common among women. Read here to know how gender makes a difference.

Why do thyroid disorders occur more often in women?

Thyroid disorders are rising among many women. The thyroid is a small gland in the neck, but it plays a critical role in controlling metabolism, energy levels, and maintaining hormonal balance. Women can suffer from thyroid problems because of frequent hormonal changes during puberty, pregnancy, and menopause. These changes can impact thyroid health. Lifestyle factors such as stress, poor diet, and lack of sleep can also worsen thyroid imbalance. Hence, women are at a higher risk of suffering from autoimmune conditions, where the body’s immune system attacks the thyroid gland.

Hypothyroidism vs hyperthyroidism

Conditions such as hypothyroidism (underactive thyroid) and hyperthyroidism (overactive thyroid) are commonly seen in women. Hypothyroidism occurs when the thyroid gland is underactive. Symptoms can include tiredness, weight gain, dry skin, hair fall, constipation, feeling cold, a slow heartbeat, and low mood or depression. Hyperthyroidism occurs when the thyroid gland becomes overactive, and women may experience weight loss, a fast heartbeat, sweating, anxiety, tremors, irritability, frequent bowel movements, and even difficulty sleeping. Women are advised to seek immediate medical attention and manage these symptoms without any further delay.

How to manage thyroid disorders?

Thyroid disorders may be concerning, but they are manageable with appropriate care and management tips as recommended by experts. Both hypothyroidism and hyperthyroidism can be managed with timely diagnosis, regular screening, and taking medications as suggested by the doctor. It is also important to eat a balanced diet, exercise daily for at least 30 minutes, get sound sleep at night, and de-stress through yoga and meditation. This World Thyroid Day, the focus should be on awareness, regular check-ups, and taking small steps to stay healthy and manage thyroid problems. Moreover, follow the doctor’s advice and do not self-medicate, as doing so can be risky.

So ladies, this World Thyroid Day, make an effort to know more about this group of disorders that affects your gender more often than men. Be it fatigue, mood swings, or weight fluctuations, it is imperative to know the early warning signs of this condition in order to work towards a more preventive approach.

IBD or Inflammatory Bowel Disease is a growing health concern worldwide - particularly amongst young adults. The two main types of IBD are Ulcerative Colitis and Crohn’s disease. However, these can be confused because they share symptoms.

Some of these are abdominal pain, diarrhea, fatigue, and weight loss. They affect the digestive tract differently, thus also have different complications and treatment plans. It is important to understand these differences so that patients may seek out timely diagnosis and better disease management.

1. Different Parts of the Digestive Tract Are Affected

Ulcerative Colitis is limited to the colon and rectum. Inflammation begins in the rectum and spreads continuously upwards. In Crohn’s disease, any part of the digestive system can be impacted. Including the mouth, esophagus, stomach, small intestine, and colon. However, it is most commonly the small intestine that is involved in Crohn’s disease.

2. Inflammation Pattern is Different

In ulcerative colitis, inflammation is continuous. There are no healthy gaps in between the affected areas. Crohn’s disease causes patchy inflammation. Meaning, there are sections of healthy tissue known as “skip lesions”.

3. Crohn’s Disease causes more serious damage

Ulcerative colitis affects only the innermost lining of the bowel. Crohn’s disease, on the other hand, can involve all layers of the intestinal wall. This increases the risk of complications such as fistulas, bowel obstruction, and intestinal narrowing.

4. Symptoms May Look Similar, But Often Differ

Both conditions can cause diarrhea, abdominal cramps, fatigue, and unintended weight loss. However, bloody stools are more common in ulcerative colitis. Crohn’s disease may also cause mouth ulcers, severe nutritional deficiencies, and pain in the anal region.

5. Nutritional Problems Are More Common in Crohn’s Disease

Because Crohn’s disease frequently affects the small intestine, patients may struggle to absorb nutrients properly. This struggle results in anemia, a vitamin B12 deficiency, low iron levels, and weight loss.

6. Surgery Has Different Outcomes

Ulcerative colitis can be cured by removing the colon. In Crohn’s disease, surgery is used mainly to treat complications, but inflammation can affect another part of the digestive tract.

7. Smoking Affects the Diseases Differently

Smoking worsens Crohn’s disease. It increases the risk of flare-ups, complications, as well as repeat surgeries. However, Ulcerative Colitis does not show the same pattern. Some studies have found lower rates of ulcerative colitis among smokers. Although smoking is never recommended as a treatment because of its serious health risks.

8. Treatment Approaches

Both conditions are treated with anti-inflammatory medications, immunosuppressing drugs, and dietary changes. But in Crohn’s disease, often more aggressive and long-term treatment is required. This is because it can affect the deeper layers of the bowel and multiple parts of the digestive tract.

Most people who hear the words “robotic surgery” picture something from a science fiction film. A machine operating independently, the surgeon watching from across the room. The reality is considerably less dramatic and considerably more reassuring.

In robotic-assisted surgery, the surgeon is in control throughout the procedure. The robotic system does not make independent decisions. It functions as a precision instrument, translating the surgeon’s movements into actions with a degree of accuracy that is difficult to achieve through conventional techniques alone. A useful parallel is GPS navigation — the driver still steers, still makes every turn, still decides the route. The technology makes the execution more reliable.

What this means for patients, practically, is a procedure designed to do what it needs to do with less disruption to the surrounding tissue. Less disruption means less post-operative pain. Less pain means rehabilitation begins sooner. And sooner rehabilitation means the things patients actually care about — walking without discomfort, climbing stairs, travelling, returning to work — come back faster.

This is why robotic surgery has gained traction in orthopedics in particular. Joint replacement patients are not looking for a technical achievement. They are looking to move again. They want to walk to the kitchen without wincing, attend a family function without sitting out the evening, and pick up their grandchildren. The recovery is the point, and the precision that robotic assistance enables is what makes that recovery more predictable.

There are persistent myths worth addressing directly. That robotic surgery is risky because it relies on machines — it is not, because the surgeon remains in control and the system includes multiple real-time safety checks. That it is only accessible in premium or specialty settings — increasingly, it is not. That the higher upfront cost cannot be justified — for many patients, the shorter hospital stay, lower post-operative pain, and reduced likelihood of complications make the calculus straightforward.

Healthcare is moving toward precision and personalization, and patients are moving with it. The question most people are now asking before surgery is not only whether the procedure will work. It is how quickly and how fully they will get their life back afterward. Robotic-assisted surgery was built to answer that question.