You can see pus in between your teeth and gums when they are pressed
You have chronic bad breath or a bad taste in your mouth
You notice a change in your bite or in the way your teeth fit together
Your teeth are loose or they are separating
The fit of your partial dentures have changed
Gum disease is caused by plaque & tartar remaining around the gum lines of the teeth. The bacteria in plaque produce acids & other toxins that can destroy bone & gum tissue over a period of time. The only way to remove tartar is to have your teeth professionally cleaned by your dentist.
Limit intake of milk, take one or two tea spoons of milk in tea
Avoid rice and noodle at night, take two atta (wheat) roshi or two pieces of brown bread
Finish your dinner before 8:00 pm
Your ideal breakfast should also be two atta roshi or two pieces of brown bread
Avoid fruit every day, take fruit once in every three days (ideally a small piece of green apple today and after three days a small piece of papaya (not fully ripe) and then after three days one green banana (boiled or steamed))
Avoid coconut water
Avoid taking three or four big meals every day, eat in small quantities in greater frequency
You can take a handful of rice or noodle (ideally basmathi rice or red rice) at lunch time only
Walk everyday for about 45 minutes
Written by
Dr. Biju,
Physician
MBBS, MD, FICCM
Dr. Biju is available at AMDC every day from 10:00 am to 01:30 pm. Please contact our front office for appointments.
Recent data’s reveal that breast cancer is the leading cancer among women in the world, and it is over numbering uterine cervical cancer in many of the developing countries of the world. Even though accurate data’s are not available about incidence and prevalence of cancer in Maldives, it can be technically predicted that the change of lifestyle from traditional to modern life in Male’, will reflect on the incidence of cancer here as it has happened in neighboring countries like India.
Uterine cancer is showing a declining trend which breast cancer is making uneven and over numbering.
It has been proved that diet is the most important factor influencing human body. High intake of food rich in animal fat can lead to breast cancer. Food rich in micronutrients and fiber can lower the incidence of breast cancer.
Global results from several epidemiological studies indicate that sexual and reproductive factors affect the incidence of breast cancer. Studies show that late age at just child birth and nulliparity increase the risk of breast cancer. Familial inheritance has very strong relationship in occurring of breast cancer. The overall relative risk of breast cancer is increased to 1.5 to 3 fold if a first degree relative (mother, sister or daughter) is affected by breast cancer. The risk is increased to 5 fold if the first degree relative has cancer in both breasts. This risk is again higher when first degree relative is affected by breast cancer before attaining menopause.
Starting of menses at an early age and getting regular ovulating cycles before 12 years have been associated with two fold increase in breast cancer. Nulliparous women are also at higher risk of developing breast cancer compared with multiparous women.
Some genetic factors are operating in the incidence of breast cancer. Benign (harmless) swellings in breasts are also increasing the risk of breast cancer. Some abnormal cellular features of harmless growth are also directly related to the incidence of breast cancer.
Breast cancer occurs as painless hard lumps in the breasts. Color change of breast, orange peel appearance of skin, nipple retraction, discharge from the nipple, especially bloody discharge, swellings in arm pits etc are presentations.
Self examination of the breasts by the women is the most effective method to detect a palpable tumor mass in the breast. A specialist doctor can easily detect the tumor if it is sufficiently large to detect. Mammogram is a modern device by which breast tumors can be detected.
Breast cancer after spreading to various parts of the body is difficult to cure. Hence early detection of breast cancer is very essential to save the life of the patient. Operation, radiation and chemotherapy are the three main types of treatment. Breast cancer very rarely occurs in men.
Written by Dr. Thomas,
Oncology
MBBS, MD (Radiotherapy)
Dr. Thomas,