Giving #Paracetamol in cases of mild #Viral #fever may be harmful
1. It is a common practice to give paracetamol (acetaminophen) to children or adults suffering from viral fever. Research evidence shows that we may be causing more harm than good by this practice.
#MedTwitter
2. Fever is not a disease; it is a symptom of viral infection. Paracetamol can not kill the virus.
Acute infections, including those due to Corona virus and other viruses, often stimulate a febrile response.
3. A mild fever appears to improve #outcome; as it diminishes viral replication by several mechanisms, including virion entry into host cells and genome transcription, and improving host defense mechanisms against the pathogen.
4. High fever (39-40 degree celsius) may damage host cellular and tissue function and increase metabolic demands.
However, at temperatures at the lower end of the febrile range, the benefit of the fever appears to outweigh the detrimental effects.
5. Over-prescription of paracetamol occurs due to two reasons-
a) Self-prescription by patients or parents (as paracetamol is an over-the-counter drug);
b) doctor's prescription due to "fever #Phobia in many patients and parents (of children)
6. Conclusions
*Avoid paracetamol in cases of mild fever due to viral infections,
*Paracetamol should be given, if temperature reaches 39-40 Celsius (102-104 Fahrenheit)
#Pediatrics
Ref: doi.org/10.12998%2Fwjc…

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More from @hyderabaddoctor

Dec 7
#hearingaids reduce the risk of #Dementia in people with #hearingloss

1. Age-related hearing loss is the most common sensory deficit in the elderly and has been identified as the highest modifiable risk factor for dementia (Livingston et al., 2020).
#MedTwitter #NeuroTwitter
2. In a recent meta-analysis, the usage of hearing restorative devices (hearing aids or cochlear implants) by participants with hearing loss was associated with a 19% decrease in hazards of long-term cognitive decline.
Ref: jamanetwork.com/journals/jaman…
3. Furthermore, usage of these devices was significantly associated with a 3% improvement in cognitive test scores that assessed general #cognition in the short term.
To be beneficial, hearing aids should be worn for a minimum 4 hours per day.
Read 5 tweets
Dec 6
A man who would become unconscious after singing romantic Kishore Kumar's Songs
1. 6 months ago, a 45-year-old man visited me for evaluation of a fainting episode that occurred while he was singing for a private gathering. He was a schoolteacher and singing was his passion.
2. On the fateful day, he had uneventfully sung a few songs of other singers.
On public demand, he sang “Pal pal dil ke paas”, a popular Kishore Kumar's song. A few minutes after completing the song, he collapsed on the stage and became unconscious.
3. His pulse rate was 110 beats per minute and BP was 160/100 mmHg. He was shifted to a hospital for evaluation.
He had regained consciousness while being taken to the hospital.
ECG, Echocardiogram and Cardiologist evaluation were normal.
Read 12 tweets
Dec 4
Food myth busted: Potato is not bad for diabetics

1. Potato has got a bad name, and diabetics are advised to avoid it because of its high glycemic index. However, findings of a recent research busts this myth.

#nutrition #healthyfood #diet #MedTwitter #diabetes #weightloss
2. This was an 8-week randomized, controlled feeding study comparing Potato and Bean diets (50-55% carbohydrate, 30-35% fat, 15-20% protein).
Thirty-six participants (18-60 years, BMI: 25-40 kg/m2) with insulin resistance were enrolled.
Ref: doi.org/10.1089/jmf.20…
3. Among study completers, HOMA-Insulin resistance in the bean group showed an average decrease of 1.4 from baseline (P = .02 ); a similar decrease of 1.3 occurred in the potato group (P < .05) with no significant difference between the two diets.
Read 5 tweets
Dec 4
Painful muscle cramping in runners- why do they occur and how to manage them?
1.Many runners have experienced cramps (involuntary painful muscle contractions). Besides pain, it can derail one’s aim for the personal best; in worst cases, runner is unable to even complete the run.
2. Common muscles affected- Cramps usually affect calves, hamstrings and glutei, but other muscles too can get affected.
#runner #running #cramps
3. Risk factors for cramps-Long distance running (> 30 km), presence of fatigue, running at a pace faster than that of training pace; age>40, longer history of running, higher BMI, shorter daily stretching time, irregular stretching habits, training <3 times/week, family history
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Dec 3
Lesser night #sleep and daytime #napping increases the risk of inflammatory bowel disease (#IBD)

1. 4,88,000 people aged 40-69 were followed up for 12 years. 1 in 200 (0.5%) were diagnosed to have IBD. 31% had Crohn's disease, 69% ulcerative colitis
#MedTwitter #Gastroenterology
2. Compared with participants with a sleep duration of 7 hours/day, those with a sleep duration of ≤5 hours/day had a higher risk of:
Inflammatory bowel disease: 36% higher
Crohn's disease: 53% higher
Ulcerative colitis: 29% higher
3. Compared with participants without daytime napping, those with daytime napping had a higher risk of:
Inflammatory bowel disease: 13% higher
Crohn's disease: 25% higher
Ulcerative colitis: 9% higher
Read 4 tweets
Dec 2
Shorter #stride length is associated with higher incidence of life threatening clinical events in #olderadults
1. 14,000 people (Av age 75 yrs) were followed up for 33 months. 10% of them sustained #Falls. Stride length was shorter in fallers as compared to non-fallers. Image
2. In a sub-analysis based on gender, the stride length was longer and #walking speed slower in males compared to females.

#running #fitness #healthylifestyle
3. Major adverse events (MAEs) were 36% higher, physical disability 26% higher and #mortality 69% higher in older people with shorter stride length.
MAEs included physical disability, falls, dependency, institutionalization, and mortality.
#MedTwitter
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