A huge number of people die due to heart attack on daily basis. The reason is not knowing about the basic symptoms. Most people feel the symptoms & name them as Heartburn, Muscular Pain, Digestion Problem, etc. due to lack of awareness. It is important that people should at least be aware of the basic symptoms, which are if observed then a person should immediately be taken to the hospital for proper treatment so that their life could be saved.



“Damage to an area of the heart muscle that is deprived of oxygen, usually due to blockage of a diseased coronary artery, typically accompanied by chest pain radiating down one or both arms, the severity of the attack varying with the extent & location of the damage; myocardial infarction.”


Heart & blood vessel disease is known as heart disease, includes numerous problems, many of which are related to a process called atherosclerosis. Atherosclerosis is a condition that develops when a substance called as plaque builds up in the walls of the arteries. This buildup narrows the arteries making it harder for blood to flow through. If a blood clot forms it can stop the blood flow. This can cause a heart attack or stroke.

A heart attack occurs when the blood flow to a part of the heart is blocked by a blood clot. If this clot cuts off the blood flow completely, the part of the heart muscle supplied by that artery begins to die. Most people survive their first heart attack & return to their normal lives to enjoy many more years of productive activity. But having a heart attack does mean you have to make some changes. The doctor will advise you of medications & lifestyle changes according to how badly the heart was damaged & what degree of heart disease caused the heart attack.


  • Smoking
  • High LDL (Bad Cholesterol)& Low HDL (Good Cholesterol)
  • Uncontrolled hypertension (High blood pressure)
  • Physical inactivity
  • Obesity (More than 20% over one’s ideal body weight)
  • Uncontrolled diabetes
  • High C-Reactive protein
  • Uncontrolled stress & anger
  • Alcohol abuse


  • Age
  • Gender
  • Race
  • Genetic Makeup
  • Diabetes
  • Heredity (Positive family history)


If you are suffering from a heart attack, you first need to be able to identify its symptoms.
Classical symptoms of a heart attack include:

  • SEVERE CHEST PAIN: Chest pain like squeezing, heaviness or pressing at the central or left part of the chest. The pain may also radiate to the left upper arm, neck or jaw.
  • PROFUSE SWEATING: A feeling of impending doom.

      About 90% of heart attack sufferers experience the classical symptoms. However, the elders, females & those suffering from diabetes may develop non-classical heart attack symptoms. These include shortness of breath, mild chest pain, nausea, vomiting & pain in the epigastric region (upper central portion of the abdomen).



  • Shortness of breath.
  • Headache
  • Nausea
  • Floating heart
  • Aura (Sometimes people do not feel any symptoms except for having a feeling that something is wrong in the chest)
  • Flushing of face (Redness of face)
  • Loss of consciousness
  • Mood swings
  • Light headedness
  • Extreme fatigue
  • Fainting
  • Dizziness
  • Pressure in the upper back

            Once you identify that the symptoms are of a heart attack, this is what you need to do next.


Call for the medical emergency to a hospital or ambulance as soon as possible or take the person to the hospital.

While waiting for an approach of a medical emergency team you should do:

  • Posture – Put the person in a seated position, with knees raised.
  • Chew a regular dose aspirin to help prevent blood clots.
  • Initiate CPR if the person stops breathing (if you are lucky enough that you have a person nearby who knows how to perform CPR).
  • Take with a glass of water.
  • Cough
  • If you have been prescribed nitroglycerin tablets or spray for angina, take 1-3 doses to see whether symptoms are relieved.
  • Lie down, breathe deeply and slowly, and try to stay calm.
  • Take deep breaths
  • According to Gilbert Renaud apply ice directly above each ear.
  • According to  Norman Walker, author of Colon Health, apply intense pressure with your thumb directly on the heart access point on the bottom of your left foot. (*See image)


      Remember, exertion can strain your heart & can worsen the damage caused by a heart attacker.


1. GARLIC: Several studies have found garlic to be beneficial for conditions like high blood pressure, high cholesterol & coronary heart disease. It helps slow the development of atherosclerosis or hardening of the arteries. Plus, garlic improves circulation & has antithrombotic & antiplatelet aggregatory effects.

  • Eat one or two freshly crushed garlic cloves daily as you wake up in the morning (before having breakfast).

Note: Garlic may interfere with certain medications due to its blood-thinning properties. Consult your doctor before taking this herb.

2. HAWTHORN: In western herbalism, hawthorn is a well-known herb for heart conditions because it is excellent for the cardiovascular system. It helps increase blood flow to the heart & improves cardiac muscle contractions, thus leading to a stronger pumping action. It also helps increase cardiac performance &reduces the heart’s workload. Plus, it has an anti-arrhythmic effect that helps steady the heartbeat.

Note: Though this herb is safe to use, consult your doctor before taking this or any other herbal remedy.

3. ARJUNA: Terminalia arjuna is an important Ayurvedic herb for heart conditions. It is considered a natural cardio-tonic & cardiac restorative. The herb strengthens the cardiac muscle, reduces arterial congestion & lowers blood pressure.

A study by researchers at Kasturba Medical College in India found that this herb helped reduce angina attacks by 30%. Moreover, prolonged use of this herb did not have any adverse effects.

  • Add one-half teaspoon of arjuna tree bark powder & a little honey to a glass of warm water. Drink this three times daily for a few months.

4. CHINESE HIBUSCUS: Researchers from Taiwan found that an extract of hibiscus flowers had anti-atherosclerosis activity. They believe that hibiscus contains antioxidant compounds that help prevent the oxidation of low-density lipoprotein (LDL), or bad cholesterol, which contributes to atherosclerosis & heart disease. An infusion prepared from this herb is also believed to help regulate high blood pressure.

  • Boil two petals of a hibiscus flower in one cup of water.
  • Strain & add one teaspoon of raw honey.
  • Drink this once daily for a few weeks.

5. TURMERIC: Studies indicate that turmeric can help prevent atherosclerosis. Turmeric has an active ingredient called curcumin that helps maintains heart health by reducing cholesterol oxidation, plaque buildup & clot formation.
Plus, it helps lower LDL & provides anti-inflammatory benefits. Being a potent antioxidant, it also neutralizes free radicals that contribute to aging & several chronic diseases.

  • Use turmeric regularly in your cooking.
  • You can also boil one teaspoon of turmeric powder in one cup of water or milk. Drink it once or twice daily for several weeks to a few months.

6. CAYENNE: Cayenne pepper contains a compound called capsaicin that is beneficial for treating heart & circulatory problems. It also helps reduce the risk of irregular heart rhythms & lowers cholesterol levels. The phytochemicals present in this spice also purify the blood & enhances immunity.

  • Add one-half to one teaspoon of cayenne pepper to a cup of hot water. Stir well & drink it. Repeat two or three times daily for a few weeks. You can follow up with a cup of hibiscus tea to heal the burning sensation & promote heart health.

“Keep a healthy heart, so we won’t be apart!”
– With love from The Words Craft.


As the weather is becoming cooler & winter is near, the number of mosquitoes is increasing rapidly. Mosquitoes are small, that look like flies, constitute the family Culicidae. Females of most species are ectoparasites, whose tube-like mouth parts pierce the host’s skin to consume blood leading to red bumps on the skin that causes itching.

Dengue is one of the disease that is caused by mosquitoes. It is said that malaria spreads the most in winters because the number of mosquitoes is highest at that time. But dengue does not wait for winters, in fact it is likely to spend the most in the rainy season. As the dengue mosquito lays its egg in water filled containers or places where there is enough water. The dengue larvae spreads the most in areas where water is found. Moreover, the dengue virus bearing mosquito can fly up to 400 meters finding water, to lay its egg. The peak biting periods of dengue mosquitoes are early in the morning & in the evening before the dusk.


Dengue (Deng-gey) Fever also known as Break-bone Fever is a mosquito-borne disease that occurs in tropical & subtropical areas of the world which causes flu, cough, cold, high fever, rash & muscle and joint pain. A severe form of dengue fever is also called Dengue Hemorrhagic Fever which can cause severe bleeding, a sudden drop in blood pressure (shock) & death.

According to the local media, 10,000 dengue cases were reported in year 2015, in Pakistan. Out of which 9899 cases were registered, including 7 fatalities during the course of year. Other than this, in the past 50 years the incidence of dengue worldwide has increased 30 folds.

CAUSATIVE ORGANISM: There are 4 different type of viruses that cause dengue fever but the most common is “Aedes aegypti” which is a female mosquito.



A symptom is something the patient feels or reports, while a sign is something that other people, including the doctor detects. A headache may be an example of a symptom, while a rash may be an example of a sign.

These are divided into 3 categories:

  1. Mild Dengue Fever
  2. Dengue Hemorrhagic Fever (DHF)
  3. Dengue Shock Syndrome

MILD DENGUE FEVER: Symptoms can appear up to 7 days after the mosquito carrying the virus bites & usually disappear after a week. This form of the disease hardly ever results in serious or fatal complications.

The symptoms of mild dengue fever are:

  • Aching (painful) muscles & joints
  • Body rash that can disappear & then reappear
  • High fever
  • Intense headache
  • Pain behind the eyes
  • Vomiting & feeling nauseous

DENGUE HEMORRHAGIC FEVER (DHF): Symptoms during onset may be mild, but gradually worsen after a number of days. DHF can result in death if not treated in time.

Mild dengue fever symptoms may occur in DHF, as well as the ones listed below:

  • Bleeding from mouth/gums
  • Nosebleeds
  • Clammy skin (Pale Coloured Skin)
  • Considerably damaged lymph and blood vessels
  • Internal bleeding, which can result in black vomiting & stool
  • Lower number of platelets in blood (Platelets are the cells that help clot your blood)
  • Sensitive stomach
  • Small blood spots under your skin
  • Weak pulse

DENGUE SHOCK SYNDROME: It is the worst form of dengue which can also result in death, again mild dengue fever symptoms may appear, but others likely to appear are:

  • Intense Stomach Pain
  • Disorientation (Lack of Concentration)
  • Sudden Hypotension (Fast Drop in Blood Pressure)
  • Heavy Bleeding
  • Regular Vomiting
  • Blood Vessels leaking Fluid
  • Death




Dengue fever is diagnosed by a medical care giver by the relatively characteristic sequence of high fever, rash appearance & other symptoms in a person who has a history of recent travel to dengue endemic areas (place where the disease is more common) & recalls mosquito bites while in the endemic area. However, if not all of the symptoms are present or the history is not complete, the care giver is likely to run a number of tests to obtain a definitive diagnosis.

BLOOD SAMPLE: This sample can be tested in a laboratory in a number of ways to find signs of the dengue virus. If the dengue virus is detected diagnosis is straightforward; if this fails there are other blood tests which can identify antibodies, antigens & nucleic acids, including:

  • ELISA (enzyme-linked immunosorbent assay)
  • HI assay (hem agglutination inhibition assay)
  • RT-PCR (reverse transcriptase-polymerase chain reaction)


There is no specific medicine to treat dengue infection. If you think you may have dengue fever, you should use pain relievers & avoid medicines such as aspirin, which could worsen bleeding. You should also rest, drink plenty of fluids to get hydrated & see your doctor as soon as possible. If you start to feel worse in the first 24 hours after your fever goes down, you should get to a hospital immediately to be checked for complications.

If you have severe dengue fever, you may need:

  • Supportive care in a hospital
  • Intravenous (IV) fluid & Electrolyte replacement
  • Blood pressure monitoring
  • Transfusion to replace blood loss


The complications of dengue fever are usually associated with the more severe forms of dengue fever; hemorrhagic & shock syndrome. The most serious complications, although infrequent, are as follows:

  • Dehydration
  • Hemorrhage (Bleeding)
  • Low platelets
  • Hypo-tension (Low blood pressure)
  • Bradycardia (Slow heart rate)
  • Liver damage
  • Neurological damage (Seizures, Encephalitis)
  • High fever
  • Damage to the lymphatic system
  • Damage to blood vessels
  • Bleeding from the nose
  • Bleeding from the gums
  • Liver enlargement
  • Circulatory system failure
  • Death


There are currently no vaccines for dengue fever. The best way to prevent the disease is to avoid being bitten by mosquitoes altogether. Although there is no certain treatment for dengue, it can be treated as long as it is caught before developing into dengue shock syndrome or dengue hemorrhagic fever.

There is no vaccine to prevent dengue fever. The best way to prevent the disease is to prevent bites by infected mosquitoes, particularly if you are living in or traveling to a tropical area. This involves protecting yourself & doing efforts to keep the mosquito population down.

TO PROTECT YOURSELF                                       

  • Stay away from areas that have water nearby.
  • Use mosquito repellent. Permethrin can be applied to your clothing, shoes & bed netting. You can also buy clothing made with permethrin already in it. For your skin, use a repellent containing at least a 10% concentration of DEET.
  • When outdoors, wear long-sleeved shirts & long pants.
  • When indoors, have net doors & mosquito killers installed.
  • Make sure window & door screens are secure & free of holes or unnecessary opening. If sleeping areas are not screened, use mosquito nets.
  • If you have symptoms of dengue, immediately speak to your doctor.
  • To reduce the mosquito population, get rid of the places where mosquitoes can breed. These include plantation/flower pots, bird & pet’s water dishes, open areas, water storage, etc.



  • High Grade fever (104°F)
  • Chills, Headache, Pain under the eyes & Body ache
  • Appearance of Rash (Spots on body).
  • Bradycardia (Decrease Heart Rate)
  • Hypo-tension (Low Blood Pressure)If you are feeling these signs and symptoms then you must approach to your health care provider.






Sweet! A term seems really sweet to all but actually can be worse than bitter for a few.

The mother of all diseases lies on this simple word “Sweet.” Without sweets life is tasteless. The excess can make you gain weight & even become diabetic patient, but the restriction & control can make all your worries fly away. There are a few things that one should know in order to stay healthy, especially those who are suffering from this health condition.

Diabetes is a metabolic condition which is characterized by either simple carbohydrate intolerance or either by the absolute or relative deficiency of insulin or its receptors. Understanding the normal can make you understand the abnormality.


When we ingest any carbohydrates, fats & glucose (sweet) containing product in our diet this undergoes metabolism where these carbohydrates, fats & other products are broken down into glucose. Here the mechanism starts, where this glucose tries to enter into the human body cells that require INSULIN. This insulin is responsible to let the glucose molecules enter into the cell & digest further going under ATP formation. As soon as the glucose enters the cell the glucose molecules in the blood circulations gets decreased & the total serum glucose levels drops to normal, in a normal person.


This is a question that is asked by diabetic patients all around the world. Let’s figure it out!

According to the definition of diabetes; “It is either an absolute or relative deficiency of insulin or its receptors.” Now keeping this phrase in mind, we can say that, when a glucose molecule tries to enter the cell the most responsible agent INSULIN which let the glucose molecules enter are either deficient or not strong  enough to let the glucose get inside the cell.

These two problems lead to the persistent increased burden of glucose molecules in the blood ultimately leading to the high serum blood glucose levels.


People are most of the times wandering about the insulin what is it from where we can get it naturally?

Insulin is a Glycoprotein which is formed in the islets of Langerhans; the pancreatic cells generally known as Beta cells. Insulin is formed & stored in the pancreas & is released even before we ingest anything. It is an example of feet forward mechanism to compensate the normal blood glucose levels.


  • TYPE-1 DIABETES (Juvenile / Childhood Type Early Onset): The insulin is absolutely absent. It might be due to the destruction of insulin secreting gland which is the Pancreas.
  • TYPE-2 DIABETES (Late Onset / Adult Type): The insulin is usually present but the receptors are destroyed or either absent.
  • GESTATIONAL DIABETES: Occurs during pregnancy.

            As Diabetes is a major health problem worldwide people usually like to talk about it, sometimes people are worried about themselves, AM I LIKELY TO GET DIABETES TOO?”

  Always keep one thing in mind, that every normal condition converting to abnormal has some causative factors.

These include:

  • Positive family history
  • Genetic susceptibility
  • Previous viral infection (Coxsackie’s virus)
  • Auto-immune conditions (where the body starts eating its own tissues/organs)
  • Dietary factors (early exposure to cow/formula milk before age of 4months)
  • Geographical conditions
  • Genetic factor
  • Environmental factor: life style (Over-eating, junk food, artificial sweeteners, lack of exercise, stress)
  • Certain pancreatic pathology
  • Race
  • Age
  • High blood pressure
  • Other medical conditions such as PCO, Thyroid raised levels, Cushing syndrome, Pancreatitis


Honestly speaking there is no any particular sign or symptom of hyperglycemia (raised glucose levels).

People generally feel the following symptoms:

  • Polyuria (Increased frequency of urine)
  • Polydipsia (Increased frequency of thirst)
  • Generalized weight loss
  • Blurring of vision
  • Parestheisa (Loss of sensation in feet and fingers)
  • Ketoacidosis (A condition in which there is absolute insulin deficiency characterized by sweet smell in your breath)


Your health is auspicious for your loved ones; the solution is to take care of your health as much as possible. You look on your easy going life right now & after your uncontrolled diabetes how it could be:

  • Multiple attacks of infections (TB, Urinary tract infections, Prurient itching all over the body)
  • Deterioration of vision
  • Peripheral neuropathy
  • Diabetic foot (Ulcer formation leading to the amputation of foot)
  • Myocardial infarction (Heart Attack)
  • Renal failure
  • Increased risk of Alzheimer’s disease
  • Stroke


  • RBS (Random Blood Sugar)
  • FBS (Fasting Blood Sugar)
  • OGTT (Oral Glucose Tolerance Test)
  • HbA1c (Glycosylated Hemoglobin) gives the record of past 90 days the blood glucose level usually used to check the control of diabetes
  • Serum Fructosamine
  • Urine Glucose


As diabetes is the major health problem & most health concerning issue many clinical trial are performed to treat this condition but unfortunately none of the trial is proved to be beneficial. Whereas, the Insulin & Oral hypoglycemic drugs are the supportive treatment. The specific treatment which can either start the insulin secretion or can up-regulate the receptors are not yet found. Recent study was done where a vaccine is formed to treat the Type-1 Diabetes patient by killing the auto antibodies against beta cells but it has to be yet approved by FDA.

PREVENTION IS BETTER THAN CURE keeping this phrase in mind population can modify their life style & decreasing the burden of risk factors can prevent the condition to some extent.



Majority of patients are only concerned with this question so here is the answer.

The Hand Rule tells us about how much amount you can eat & what.

  • FRUITS/GRAINS & STARCHES: Choose an amount the size of your fist for each of Grains, Starches & Fruit.


  • VEGETABLES: Choose as much as you can hold in both hands.


  • MEAT & ALTERNATIVES: Choose an amount up to the size of the palm of your hand & the thickness of your little finger.


  • FATS: Limit fat to an amount the size of the tip of your thumb.


The meal should always be maintained. It should be 3 big meals & 3 small meals (snacks). The big meals are your Breakfast, Lunch & Dinner. If the breakfast contains proteins (eggs) & carbohydrates (bread) then the Lunch should contain Grains & Starch. The dinner should have Fruits & Vegetables. Taking Carbohydrates, Fats, Starch & Fruits at same time can disturb your blood glucose levels therefore it must be divided accordingly.



  • Apples
  • Asparagus
  • Avocado
  • Beans
  • Blueberries
  • Broccoli
  • Carrots
  • Cranberries
  • Fish
  • Flax seeds
  • Garlic
  • Kale
  • Melon
  • Nuts
  • Oat meals
  • Quinoa
  • Grapefruit
  • Red onions
  • Tea
  • Spinach
  • Tomatoes
  • Chicken
  • Papaya
  • Plums
  • Guava
  • Apricot
  • Brown rice
  • Porridge
  • Pulses
  • Legumes
  • Wheat


The key rule is to avoid all those things which contain artificial sugars, extra fats & are highly rich in glucose are strictly prohibited.


“Every hum,an being is the author of his own health or disease!”
– Buddha.



            Crimean-Congo Hemorrhagic Fever commonly known as Congo Fever which is caused by Congo Virus, a viral disease characterized by hemorrhage (bleeding) & fever. This is another deadly viral disease which causes hemorrhagic fever is carried by several domestic as well as wild animals & can be transmitted from animals to humans, as ticks are widely found on the animal skin.

Since Eid-ul-Adha is near & the possibility of Congo Fever cases is likely to increase. It is important that we create some basic awareness regarding it, through our writings.

CCHF is present in Africa, Balkans, Middle East & Asian countries. It is now spreading in Pakistan as well.


CCHF is a widespread disease caused by a tick-borne virus Nairovirus. The CCHF virus causes severe viral hemorrhagic fever outbreaks, with a case fatality rate of 10–40%.

The hosts of the CCHF virus include a wide range of wild & domestic animals such as cattle, sheep & goats. Many birds are resistant to infection, but ostriches are susceptible & may show a high prevalence of infection in endemic areas, where they have been at the origin of human cases. There is no apparent disease in these animals.

Animals become infected by the bite of infected ticks & the virus remains in their bloodstream for about one week after infection, allowing the tick-animal-tick cycle to continue when another tick bites. Although a number of tick genera are capable of becoming infected with CCHF virus, ticks of the genus Hyalomma are the principal vector.


The CCHF virus is transmitted to people either by tick bites or through contact with infected animal blood or tissues during & immediately after slaughter. The majority of cases have occurred in people involved in the livestock industry, such as agricultural workers, slaughterhouse workers & veterinarians.


Human-to-human transmission can occur resulting from close contact with the blood, secretions, organs or other bodily fluids of infected persons. Hospital-acquired infections can also occur due to improper sterilization of medical equipment, reuse of needles & contamination of medical supplies.


  • Headache
  • High Fever
  • Back Pain
  • Joint Pain
  • Stomach Pain
  • Vomiting
  • Red Eyes
  • Flushed Face
  • Red Throat
  • Petechiae (Red Spots)



  • Jaundice
  • Changes in mood
  • In severe cases large areas of severe bruising
  • Severe nosebleeds
  • Uncontrolled bleeding at injection sites


Few blood tests can help to make appropriate diagnosis:

  • Enzyme-linked immunosorbent assay (ELISA)
  • Antigen detection
  • Serum neutralization
  • Reverse transcriptase polymerase chain reaction (RT-PCR) assay
  • Virus isolation by cell culture


The treatment for CCHF is primarily supportive. Care should include careful attention to fluid balance & correction of electrolyte abnormalities, oxygenation & hemodynamic support & appropriate treatment of secondary infections. The virus is sensitive in vitro to the antiviral drug ribavirin. It has been used in the treatment of CCHF patients reportedly with some benefit.


As there is yet no vaccine available so the only way to reduce infection in people is by raising awareness of the risk factors & educating people about the measures they can take to reduce exposure to the virus.


  • Wear protective clothing (long sleeves, long trousers).
  • Wear light colored clothing to allow easy detection of ticks on the clothes.
  • Use approved chemicals intended to kill ticks on clothing.
  • Cover your face (mouth, mose, ears) while coming in contact with animals.
  • Use approved repellent on the skin and clothing.
  • Regularly examine clothing and skin for ticks; if found, remove them safely.
  • Seek to eliminate or control tick infestations on animals or in stables & barns.
  • Avoid areas where ticks are abundant and seasons when they are most active.
  • Reducing the risk of animal-to-human transmission.
  • Wear gloves and other protective clothing while handling animals or their tissues in endemic areas, notably during slaughtering, butchering & culling procedures in slaughterhouses or at home.
  • Quarantine animals before they enter slaughterhouses or routinely treat animals with pesticides two weeks prior to slaughter.
  • Avoid close physical contact with CCHF infected people.
  • Wear gloves & protective equipment when taking care of ill people.
  • Wash hands after caring for or visiting ill people.


It should be noted that even the infected animals might look healthy. But since we know that CCHF is spreading around, we all should be careful & take all the preventive measures to stay safe during this Eid. And in case anyone feels the above mentioned signs & symptoms, should contact a doctor immediately.

Stay safe & updated this Eid!