Sometimes the food you eat or the behavior you exhibit can be a sign of a deficiency and condition you may have. It is similar to when your stomach growls, which signifies that you are hungry. Other signs you may not know about are feeling fatigued when you do not drink enough water, and if you are experiencing a headache then you may need to eat etc. These things happen because they are connected in one way or the other, when you body lacks a specific nutrient you need throughout your day, it can manifest in different ways, let’s take iron for example.

Iron is like the delivery truck for oxygen in your body. It helps your red blood cells carry oxygen from your lungs to all your tissues. The Red Cross Blood Donation explains that when you don't have enough iron, your body can't make enough of these oxygen-carrying cells. This is called iron deficiency, and it can lead to anemia. You might feel very tired, look pale, or get dizzy easily. Headaches, cold hands and feet, and weak hair and nails are also common signs. Because iron is so vital for many of your body's functions, a lack of it can really affect your overall health and energy levels. It's important to recognize these signs and get checked by a doctor if you suspect you might have an iron deficiency.

What is Pagophagia and Pica?

Sometimes, your body sends strange signals when it's missing something important. One unusual signal for iron deficiency is wanting to eat ice, which doctors call pagophagia. This is part of a bigger problem called pica, where people crave things that aren't food. Other examples of pica are wanting to eat dirt, clay, or even starch. It's not just these things; some people crave things like coal, chalk, paper, or hair. While kids get pica more often, adults with low iron can have it too, even if they don't have anaemia. This weird craving is your body's way of trying to tell you something's wrong, even if it seems odd.

Eating things that aren't food can be risky. For example, eating dirt could expose you to harmful germs or heavy metals. Eating large amounts of ice might not seem dangerous, but it can sometimes hurt your teeth or gums. Ingesting non-food items can lead to serious problems like poisoning, where harmful substances build up in your body. It can also cause blockages in your intestines, which can be very painful and dangerous. Symptoms like stomach pain, bloating, feeling very tired, nausea, and diarrhea can signal that something is wrong. If you find yourself constantly wanting to eat ice or other non-food items, it's really important to talk to a doctor. They can help figure out why you're having these cravings and make sure you stay safe.

How Can You Make This Better?

If you're craving ice or other non-food items, it's important to see a doctor. They'll ask about your symptoms and might do some blood tests to check your iron levels. It's possible that your cravings are caused by iron deficiency, but they could also be related to other nutritional deficiencies or even emotional problems. Things like stress, obsessive-compulsive disorder, or developmental issues can sometimes cause pica. The doctor will try to figure out the root cause of your cravings. If it's an iron deficiency, they might suggest taking iron supplements or changing your diet. If it's an emotional issue, they might recommend talking to a therapist. Getting the right diagnosis and treatment is important for your health and well-being.

The BBC Breakfast host Naga Munchetty has opened up about her experience of suffering from a painful womb condition, known as the "evil twin sister of endometriosis".

The 51-year-old Naga Munchetty explained her condition as adenomyosis, which can cause extreme pain at any time. Munchetty added that she has faced the condition even while presenting her show, The Independent reported.

Naga Munchetty said that adenomyosis has caused her severe pain since she was in her teens, and she has “become conditioned to accept” it.

“If you’re curled up on the floor screaming, sweating, flooding, passing out, vomiting, that is debilitating. But you end up normalizing that pain.”

What Is Adenomyosis

Adenomyosis is an extremely painful condition, which affects the womb and causes the uterus to enlarge. Although it affects an estimated one in 10 women, it remains undiagnosed in most women.

It is a lesser-known but significantly debilitating gynecological disorder that is commonly mistaken for endometriosis.

Adenomyosis leads to debilitating symptoms such as

• intense pain
• heavy menstrual bleeding,
• cramps,
• abdominal bloating
• fertility issues.

Differences Between Endometriosis And Adenomyosis

Adenomyosis occurs when endometrial cells—typically restricted to the lining of the uterus—break through the myometrium, the muscular wall of the uterus.

Endometriosis, on the other hand, happens when tissue similar to the lining of the uterus grows outside the uterus. These tissues commonly develop on the ovaries, fallopian tubes, or the pelvic lining.

In contrast, adenomyosis is inside the uterus but produces serious complications. These out-of-place endometrial cells continue to act as they would in a regular menstrual cycle, becoming thick and shedding, which leads to internal bleeding, inflammation, and intense pain.

Adenomyosis: The Condition Without Treatment

Despite going to the doctors several times, Naga Munchetty was not diagnosed until recently, as she was led to believe the pain she was experiencing was “normal”.

No absolute cure for adenomyosis exists except for a hysterectomy, which involves the removal of the uterus. Nevertheless, several treatment options can alleviate symptoms and enhance quality of life. These include:

1. Pain Relief

Ibuprofen and naproxen, over-the-counter pain medications, are usually prescribed to relieve menstrual cramps and pain.

2. Hormonal treatment such as

• Birth control pills
• Hormonal IUD (Intrauterine Device)
• Progesterone therapy

GnRH agonists, such as Lupron, induce temporary menopause by suppressing estrogen production, thereby reducing adenomyosis symptoms. However, these injections can cause severe side effects, including mood swings, hot flashes, and bone density loss, making them unsuitable for long-term use.

4. Surgical Intervention

• Endometrial Ablation: This involves the removal of the uterine lining to manage heavy bleeding, but it is not a permanent solution and is not suitable for women who want to become pregnant.
• Uterine Artery Embolization (UAE): A non-surgical procedure that cuts off the blood supply to the affected areas, reducing the size of the adenomyotic tissue.
• Hysterectomy: The only permanent solution for adenomyosis, a hysterectomy is usually considered as a last option for women who have finished their childbearing years.

Hypertension, or high blood pressure, is caused by excessive salt intake; however, according to scientists, there are more reasons. Experts also blame a brain glitch. A part of the brain that makes us breathe while laughing or coughing could also cause a blood pressure spike, as per researchers from New Zealand and Brazil. This could explain why medication is not enough for controlling BP in some people. According to experts at the University of Auckland, there is a part of the brain that could cause high BP, thereby suggesting that the brain is responsible for hypertension.

Is the brain responsible for high BP?

Experts say that the lateral parafacial region is located in the brainstem. It is the oldest part of the brain and regulates heart rate, digestion, and breathing. Its action causes one to exhale during a cough, laugh, or workout. These actions are driven by abdominal muscles. Researchers also found that this area could connect to the nerves that tighten blood vessels and raise blood pressure. However, it is possible to reverse this action by inactivating this region.

What is hypertension?

Hypertension, or high blood pressure, is a condition wherein blood pushes against the walls of the blood vessels with too much force. Initially, it has no symptoms, but it is a silent killer. Over time, untreated high BP can lead to a stroke or a heart attack. While it is mostly believed to be a consequence of smoking, drinking alcohol, eating salty foods, and not exercising, experts have found other causes as well. As per research by the University of São Paulo in Brazil and the University of Auckland in New Zealand, published in the journal Circulation Research, rat brains had their brain cells in the lateral parafacial region switched off.

How is high BP triggered by the brain?

Researchers in the study successfully reactivated neurons in some rats and found that brain circuits ultimately raised BP. Experts mapped out what happened and compared it with rats that did not have hypertension. In the hypertensive group, lateral parafacial region neurons were helping with breathing but were also raising BP. This suggests that changes in breathing, which involve abdominal muscle contractions, can also trigger high BP. This is why patients with sleep apnoea experience interrupted breathing while sleeping and high blood pressure.

Apart from normal breathing, lateral parafacial region neurons are activated when oxygen levels are low. Experts also checked whether they could trigger the brainstem with medication. They noted that it was tricky because drugs would work on the entire brain and not a specific region. It could be activated by signals from the neck cells near the carotid artery. These can be safely targeted with medication.

How to control persistent high BP?

To control persistent high BP, medication every day is a must. But to intensify the benefits, try the following simple tricks:

1. Reduce salt intake
2. Meditation
3. Quit smoking
4. Lose weight
5. Limit alcohol intake

Chronic kidney disease (CKD) is no longer a distant public health concern—it is something we are seeing in clinics every day. With over 600 million people affected globally and a rapidly increasing burden in India, the usual culprits—diabetes and hypertension—are well established. However, in routine practice, one factor that is consistently overlooked is chronic underhydration.

Dr Anurag Gupta, Senior Consultant Nephrologist and Dialysis Director at Sir Ganga Ram Hospital, in an interview with Health and Me, spoke about the consequences of dehydration on the kidneys.

In Indian settings, especially during summers, it is not uncommon to see patients—drivers, outdoor workers, even hospital staff—going long hours with minimal fluid intake. Many of them present with recurrent stones, urinary infections, or unexplained decline in kidney function. While we may not always label dehydration as the primary cause, it is often a silent contributor.

What happens when you are dehydrated?

From a physiological standpoint, the explanation is straightforward. Reduced fluid intake leads to lower renal perfusion and higher vasopressin levels, resulting in concentrated urine and increased tubular workload. When this becomes a daily pattern rather than an isolated event, it is reasonable to believe that cumulative injury occurs. Emerging data from heat-stressed regions, including parts of India, are now supporting this clinical observation.

Another issue is the widespread misunderstanding around hydration. Some patients barely drink water through the day, while others—after a diagnosis—swing to the opposite extreme, assuming excessive water intake will “clean” the kidneys. Both approaches are problematic. Overhydration, particularly in the elderly, can lead to hyponatremia, something we do encounter in practice. What works better is simple, practical advice—maintaining a light-coloured urine is often more useful than prescribing a fixed number of litres.

Is hydration the only factor?

At the same time, hydration cannot be viewed in isolation. Our dietary and lifestyle patterns are equally concerning. High salt intake remains the norm rather than the exception, directly contributing to hypertension and kidney damage. Sedentary lifestyle and poor glycemic control further compound the problem. Another area we tend to underestimate is the indiscriminate use of over-the-counter painkillers and alternative medications. Many patients do not even consider these harmful, yet we frequently encounter kidney injury linked to them.

Is your diet giving you kidney disease?

Protein intake is often a source of confusion, particularly with the rising popularity of high-protein diets. In otherwise healthy individuals, moderate intake is not an issue. However, in CKD patients, unchecked protein consumption can accelerate disease progression. On the other hand, excessive restriction—sometimes self-imposed—can lead to malnutrition. This is where individualised guidance becomes essential, rather than blanket advice.

In day-to-day nephrology practice, doctors often focus heavily on pharmacological management. While necessary, it should not overshadow basic preventive measures. Adequate hydration, reduced salt intake, sensible protein consumption, and avoidance of nephrotoxins are simple interventions, but they are not emphasised enough.

If we are serious about addressing the growing CKD burden in India, these “basic” measures need to be brought back to the center of our conversations—with patients and within the medical community.