Many of us may have taken ibuprofen, sometimes two pills at once, especially when we are struggling with menstrual cramps. Well, as good these pills may be in treating the pain, they are not recommended for your health, especially if you are someone who consumes it on a daily basis or frequently. Gastroenterologist Trisha Pasricha, MD, writes in The Washington Post about why should you avoid taking nonsteroidal anti-inflammatory drugs, or NSAIDs, such as ibuprofen, naproxen and aspirin.

What happens when you consume pain killers?

She writes that NSAIDs are great in treating short term pain. They comprise of a group of drugs that inhibit the production of prostaglandins, which serve as a variety of purposes in the body. Some of which also includes contracting the uterus during menses and regulating blood flow in our vessels.

While one to two doses every now and then is okay, following a regular dosage routine, which could range from several times a month, or twice in an hour or so could lead to health risk. NSAIDs are well known to increase intestinal permeability. This means, these painkillers could damage the lining of your gut.

A 2018 review by Ingvar Bjarnason et. al., also writes about how NSAIDs can reduce the blood flow in the tiny vessels that feeds our guts. It can also disrupt the intestinal cells forming a barrier between the outside world and your insides.

What can be done?

While people with conditions like migraines, chronic back pain or bad period cramps can find NSAIDs to be helpful. It is always advisable to have a chat with your physicians to explore NSAID alternatives.

Pasricha suggests acetaminophen.

However, if someone is in dire need of NSAID, her tip is to take the pill right at the start of your symptoms. She says that the drug can do a far better job at stopping things at the source than chasing after all prostaglandins.

Why is it a concern?

NSAIDs are available as over the counter drug, which means people do not need a prescription for it and can make medical decision about them without the guidance of a physician.

A 2018 study published in the Official Journal of the International Society for Pharmacoepidemiology by David W Kaufman, et.al., found that 15% of adult ibuprofen users in the US have exceeded the maximum recommended daily dose. The study also mentions that more than a third of ibuprofen users were taking other NSAIDs, like aspirin and naproxen, while consuming ibuprofen at the same time. Out of these, 61% did not realise that they were using NSAIDs.

Pasricha talks about how it ruptures the gut wall, as she herself has rushed to the hospital in the middle of the night "far more times than" she can count "to perform an emergency endoscopy on someone who was bleeding profusely from an ulcer caused by NSAID".

Another 2009 study published in the American Journal of Gastroenterology states that as many as 1 in 4 chronic NSAID users will get an ulcer and about 4% will bleed or rupture through the gut wall.

An older study from 2005 titled A quantitative analysis of NSAID-induced small bowel pathology by capsule enteroscopy, found that as 75 percent of people regularly using NSAIDs develop low-grade inflammation in their small bowels. NSAIDs can also lead to development of fatty liver disease. This happens because your gut lining becomes more permeable, more toxins and bacteria from the outside world enters your liver and leads to inflammation.

A 2011 study titled Haemoglobin decreases in NSAID users over time: an analysis of two large outcome trials, states that as many as 6% of people taking NSAIDs regularly have found their blood count dropping within a few months of starting the medicines, this suggests that this is due to the small, slow amount of bleeding in the gut overtime.

Although brain tumours are more commonly associated with older adults, they can occur at any age, including during adolescence and young adulthood. Recognising the warning signs early can help ensure timely diagnosis and treatment. Here, an expert explains the symptoms and highlights when medical attention should be sought.

What is a brain tumour?

In an interview with Health and Me, Dr Rakesh Patil, Consultant Medical Oncologist, AIMS Hospital, Dombivli, spoke about brain tumours and their rising incidence among younger Indians.

Brain tumours occur when abnormal cells grow uncontrollably within the brain or surrounding tissues. These tumours may be benign (non-cancerous) or malignant (cancerous). While brain tumours are not among the most common cancers affecting young adults, cases do occur in this age group. The exact cause of most brain tumours remains unknown. However, certain genetic conditions, a family history of brain tumours, previous exposure to radiation therapy, and rare inherited disorders may increase the risk. In many cases, affected individuals have no identifiable risk factors. Early diagnosis and appropriate treatment remain crucial for achieving the best possible outcomes.

Why are brain tumour symptoms missed?

One of the major challenges is that the early symptoms of a brain tumour can be mistaken for stress, migraines, sleep deprivation, or eye strain. Persistent headaches, especially those that worsen over time; nausea; vomiting; blurred or double vision; balance problems; unexplained seizures; weakness in an arm or leg; personality changes; memory difficulties; and problems with speech or concentration should not be ignored and warrant prompt medical evaluation.

Why are brain tumour cases rising among young Indians?

Many young adults are occupied with studies, careers, and social commitments, which may lead them to overlook symptoms or delay seeking medical attention. If left untreated, a brain tumour can affect important brain functions, including movement, speech, vision, memory, and behaviour. In some cases, it can become life-threatening.

What are the best treatment options for brain tumour?

Advances in imaging technology, neurosurgery, radiation therapy, and targeted treatments have significantly improved outcomes for many patients. Following a thorough evaluation and diagnosis, the treating physician will determine the most appropriate treatment plan based on the type, size, and location of the tumour. Some patients may also benefit from neurorehabilitation as part of their recovery.

Young adults should seek medical evaluation if they experience persistent headaches, develop neurological symptoms, or have seizures without an obvious cause. Greater awareness and timely medical attention can help improve outcomes and, in some cases, save lives.

Air pollution is one of the most impactful issues for the people of Delhi, as the city is known for having heavy air pollution, and the whole NCR faces this particular health hazard due to very high PM2.5 concentrations.

Though until now there was a public perception that the effect of this situation on babies was not massive, but that hopeful thinking has been shattered by a new study done by the All India Institute of Medical Sciences (AIIMS), Delhi.

The study by AIIMS has revealed that when fine particulate matter is found in the air, it can damage the placenta, restrict fetal growth, and increase the risk of low birth weight.

It was published in EMBO Molecular Medicine and focused on the effect of fine particulate matter in the air on pregnancy through laboratory study, animal models, and human data.

The research team observed that the presence of fine particulate matter in the air causes harm to placental function, including blood vessel formation, nutrient transport, and fetal growth.

In animal trials, the team has observed that the rats exposed to pollution have smaller litters, abnormal placentas, and babies with reduced birth weight and growth.

The research was supported by an analysis of 994 pregnancies from regions with different pollution levels. The team of AIIMS also stated that they have seen PM2.5 exposure was associated with a greater risk of low birth weight and preeclampsia.

How To Reduce Climate-related Health Risks

To reduce climate-related health risks, the experts recommend staying informed about weather conditions, remaining hydrated, limiting outdoor exposure during extreme heat, and taking precautions against mosquito bites.

People with chronic conditions such as hypertension, diabetes, heart disease, and kidney disease are advised to maintain adequate medication supplies and consult healthcare providers during periods of extreme heat.

Also Read: Meningitis Alert at UK University: Preventive Antibiotics and Vaccination Offered to Students

According to the experts, awareness and early action remain critical to protecting public health as climate change continues to reshape disease patterns around the world.

To reduce the risk of mosquito-borne diseases, people should make sure that water does not get collected in buckets, coolers, flower pots, or other containers around the home. Additional precautions include the use of mosquito repellents, sleeping under nets when necessary, and wearing clothing that covers the arms and legs.

Dr Sabine said food and water safety are particularly important after heavy rain or flooding. Proper food storage, clean drinking water, and good hygiene practices can go a long way in preventing many infections. Those with pre-existing medical conditions should also have essential medicines within easy reach during extreme weather.

Back pain was once considered a problem of ageing, heavy labour, or injury. Today, it is increasingly common among people in their 20s and early 30s. Many young Indians now walk into clinics with persistent lower back pain, neck stiffness, shooting pain down the leg, or recurrent muscle spasms—symptoms that were earlier seen more often in older adults.

Why are spine problems becoming more common?

The reasons are closely linked to the way modern life has changed. Long hours at desks, laptop use from beds or sofas, prolonged mobile phone scrolling, reduced physical activity, irregular sleep, stress, and weight gain are all placing unusual strain on the spine at a younger age.

Dr Satish Satyanarayana, Neurosurgeon, Apollo Hospitals, Bengaluru, said, "The spine is designed for movement. It depends on strong muscles, flexible joints, healthy discs, and good posture to function well. When a person sits for eight to ten hours a day, often slouched over a screen, the muscles supporting the spine become weak and tight. The discs between the vertebrae also experience uneven pressure. Over time, this can lead to chronic pain, early disc degeneration, nerve irritation, and, in some cases, slipped disc symptoms."

Posture problems among working professionals

One of the biggest contributors is poor sitting posture. Many young professionals work with rounded shoulders, forward-bent necks, and unsupported lower backs. This posture increases the load on the neck and lumbar spine. Similarly, “tech neck," caused by looking down at phones for long periods, can trigger neck pain, headaches, shoulder stiffness, and upper back discomfort.

Work-from-home habits have made the problem worse. Dining chairs, couches, beds, and low tables are not designed for long working hours. A person may feel comfortable initially, but the spine quietly absorbs the stress. By the time pain becomes persistent, the underlying muscle imbalance may already be significant.

Can lack of exercise make you prone to spine problems?

Lack of exercise is another major factor. Many young adults focus on work but neglect strength and mobility. Walking alone may not be enough if the core, hip, back, and gluteal muscles are weak. These muscle groups act like a natural brace for the spine. When they are weak, even simple activities such as bending, lifting a bag, climbing stairs, or sitting for long periods can trigger pain.

Stress also plays a role. Mental stress increases muscle tension, especially around the neck, shoulders, and lower back. Poor sleep reduces tissue recovery and increases pain sensitivity. In some people, repeated stress and inadequate rest can turn occasional discomfort into chronic pain.

Is back pain the same as posture pain?

Back pain should not always be dismissed as “posture pain." Medical evaluation is important if pain lasts more than two to three weeks, keeps returning, travels down the leg, causes numbness or weakness, worsens at night, follows an injury, or is associated with fever, unexplained weight loss, or bladder and bowel problems. These symptoms may suggest nerve compression, infection, inflammatory disease, or other serious spine conditions.

Can exercise help?

The good news is that most early spine problems are preventable and manageable. Young adults should take movement breaks every 30 to 45 minutes, set up an ergonomic workstation, keep screens at eye level, use a chair with lower back support, and avoid working from bed. Regular strengthening exercises, stretching, weight control, hydration, and good sleep are equally important.

It is better to exercise caution while undertaking heavy weightlifting, and it is certainly not advisable to do so without professional trainer supervision. It is also important to lift correctly, avoid sudden heavy gym workouts without supervision, and treat early pain seriously rather than relying repeatedly on painkillers. Pain medicines may provide temporary relief, but they do not correct the cause.

Back pain is often the body’s warning that the spine is under more stress than it can handle. The earlier young people correct their posture, improve their strength, and seek proper medical advice, the better their chances of avoiding long-term spine problems.