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.

We live in a world where the option of not turning to medication is almost non-existent. While once issues like fatigue and body aches were restricted to the elderly, it has now started to appear in youngsters as well. Many people depend on drugs for immediate relief in today's fast-paced world. Medication can help, but the best way to stay healthy is to make beneficial habits every day. But according to Dr. Mandeep Singh Basu, Director of Mirasa Ayurveda, there are some small, regular changes that can be made to your lifestyle for quicker healing, balance, and better immunity. You may start making five simple yet effective adjustments right away.

Medicine-free ways to feel energetic

1. Eat Fresh, Balanced, and Natural Foods: Your diet has a big effect on your overall health. Instead of processed and junk foods, eat fresh fruits, vegetables, nutritious whole grains, and meals you make at home. A balanced diet helps your body fight off sickness naturally, boosts your energy levels, and assists with digestion. It's just as crucial to eat on time and avoid overeating.
2. Make sure you get enough sleep: Your body repairs itself as you sleep. Stress, a weak immune system, weight gain, and lifestyle-related problems can all happen if you don't get enough sleep. Get 7-8 hours of uninterrupted sleep every day. Creating a regular sleep routine as well as limiting time spent on electronic devices prior to bedtime would significantly help improve your sleep quality.
3. Stay Physically Active: Regular physical activity benefits both your body and your mind. You don't have to spend hours working out to notice benefits. Simple things like walking, doing yoga, or stretching will help a lot. Daily exercise naturally increases blood flow, speeds up metabolism, and helps control diabetes and high blood pressure.
4. Manage Stress Effectively: Long-lasting stress is one of the key contributors to multiple health issues. Stress that lasts long will negatively affect your heart, digestion, quality of sleep, and eyesight. Incorporate relaxation techniques such as yoga, meditation, deep breathing, and mindfulness into your daily lives. You can also help relieve stress by getting outside into nature or performing hobbies.
5. Cleanse your body in a natural way: Your body naturally removes toxins, but unhealthy habits might slow the process down. If you drink enough water, eat foods high in fiber, and live a healthy life, your body starts to detox in a better way. Drinking warm water or herbal tea first thing in the morning is a simple thing you can do to aid your digestion and your health in general.

By adopting a mindful way of living, you may greatly enhance your physical, mental, and emotional well-being without having to rely on medication. You may also achieve full health and wellness by making relatively simple adjustments to how you live your life every day.

Vaccination has been the most powerful and effective tool in modern medicine that improves the body's immune system and fights off diseases, saving millions of lives annually.

Vaccines reduce the risk of getting a disease by working with your body’s natural defenses to build protection. Vaccines are available to prevent more than 30 life-threatening diseases and infections, helping people of all ages live longer, healthier lives.

According to the World Health Organization (WHO), immunization currently prevents 3.5 million to 5 million deaths every year from diseases like diphtheria, tetanus, pertussis (whooping cough), influenza, and measles.

Also Read: Cancer-Hit US Couple Opens Up On ‘Nightmare’ Experience

While vaccines are available for both young and old, former director of AIIMS New Delhi, Dr Randeep Guleria, in a post on social media platform Instagram, urged doctors to recommend these based on people's age and the presence of comorbidities.

“Two very important factors one has to consider when recommending a vaccine for the adult population. One is the age, and if you have a patient over the age of 60 years, vaccination is definitely something you should recommend, or if a patient has associated comorbidities which increase the chance of vaccine-preventable diseases,” said the noted pulmonologist from Medanta Hospitals, Gurugram, in a Doctor's Special Series.

He recommended doctors to prescribe six types of vaccines for adults, namely:

• Influenza Vaccine

“It can be given as a pre-winter vaccine, which is a northern hemisphere vaccine, or it can be given in May or June when it is a southern hemisphere vaccine,” he added.

A flu vaccine typically reduces the risk of influenza infection, prevents severe illness, and complications.

Also read: This Common Vaccine At Higher Dose Can More Than Halve Alzheimer’s Risk In Older Adults

• Pneumococcal Vaccine

“For the pneumococcal vaccine, we now have a conjugate vaccine, which is available as PCV20, which is once in a lifetime, and that has made things much more easier,” Dr. Guleria said.

The PCV20 vaccine guards against 20 strains of pneumococcal bacteria. It also prevents serious pneumonia, invasive infections, and related complications. It is recommended for adults aged over 65 and those with weakened immune systems.

• Shingles Vaccine

The vaccine against shingles prevents the risk of viral infection that causes a painful rash and nerve damage. It also helps prevent long-term nerve pain and prevents serious complications from shingles. The vaccine is safe for adults 50 and older.

• Tdap vaccine

The Tdap vaccine protects against pertussis infection, also known as whooping cough. It guards against tetanus infections and reduces the risk of diphtheria and related complications.

• HPV vaccine

Beyond cervical cancer, the HPV vaccine also protects against anal and throat cancer. It prevents 90 percent of HPV-related cancers, is safe, and effective. It also prevents genital warts.

Also read: Health Tests Every Woman Should Do Once A Year

• Region-specific vaccination

Also read: How Vaccinations Help Build Immunity? List Of Vaccines You Should Get

For most parents, even a slight rise in temperature can feel alarming. The instinct is to act quickly: cooling up the body, layering up, or trying every home remedy possible. But not everything we’ve grown up hearing about fever may actually be correct.

In a post on social media platform Instagram Dr. Ravi Malik, a New Delhi-based Pediatrician shared few simple, and scientific facts that can make managing fever far less stressful and far more effective.

Cold Water Isn’t The Answer

The use of cold water sponging is one of the most frequently used methods against fever. However, it can turn out to be counterproductive. Very cold water may cause discomfort and might even induce shivering, which results in increased body temperature instead of reduced one. Therefore, the safest and most efficient way of cooling the body down gently is by using the water from a normal tap.

Light Clothing Helps The Body Regulate

It may appear to be a good idea to cover a child with fever, but overdressing inhibits the heat from escaping. In fact, the body must be given a chance to release heat, and clothes that are too heavy prevent that. Clothes that are loose and made of fabrics that allow better air circulation facilitate the body's natural temperature regulation.

Don’t Rush To Sponge At 100°F

There are times when a temperature increase should not be considered a problem. Sponging a fever of about 100°F is not necessary and could be painful. Fever is the body's way of fighting infection, and mild fever does not always need the application of strong cooling measures.

Hydration Is Key

Fever makes the body lose fluids at an increased rate which can rapidly lead to dehydration. Therefore, providing fluids is absolutely essential to the care process. It does not matter whether it is water, milk, or any other liquid - giving the child plenty of fluids is the first step towards healing and is also a means of temperature control from the inside.

Sponging Should Be Full-body

When sponging, concentrating only on the forehead is clearly insufficient. Fever is a systemic response, not a localized one. So gentle, full-body sponging especially on areas like arms, legs, and torso will enable more efficient cooling.

Fans And ACs Are Not The Enemy

A player in the span of fever myths is that a fan or air conditioning must be turned off. However, in fact, a well-ventilated, comfortably cool room actually helps the body relax. It is perfectly okay to continue running the fan or AC, as long as the room is not excessively cold.

Not Every Temperature Is A Fever

A temperature of 99°F often causes unnecessary panic, although it is not a real fever. Being aware of this helps prevent overreaction and allows parents to keep their eyes on the actual symptoms rather than just numbers.

The Takeaway

Dr. Ravi Malik, also the Chairman of Radix Healthcare, points out that handling fever isn't about short-term fixes, but rather about understanding and taking care. When the method is correctly followed - mild cooling, enough water intake, and a composed state of mind fever is much less challenging. And quite often, it is as beneficial to know what not to do as knowing what to do.