Remember how a few years ago, a nagging cough or chest congestion in your child almost always meant a pediatrician prescribing nebulisation? That was the norm back then. But not anymore. These days, you will notice more doctors recommending inhalers instead. What changed? No, it’s not that nebulisers are suddenly seen as harmful. The shift is more practical than that.

Dr Amit Dhamija, Pulmonologist at Sir Ganga Ram Hospital explains, “Nebulisers usually deliver a higher dose of medication, while inhalers allow for better dose control. It’s clinically proven that inhalers help in better delivery of medicines to lungs, if the technique is right. Earlier, inhalers weren’t widely used because children and elderly patients struggled with the technique - they couldn’t always coordinate breathing correctly. So doctors opted for nebulisers instead.” Now spacers are the game-changers.

Dr Viswateja Chitturi, Lead Consultant Pediatric Intensivist at Apollo Hospitals, Vizag, adds, “Earlier, doctors were concerned that patients wouldn’t use inhalers properly, so they relied on nebulisers to ensure the right dose reached the lungs. Now, with the use of spacers, even kids can use inhalers effectively. That’s why inhalers have become more common.”

There’s also a common myth floating around — that inhalers are addictive or make you dependent. This isn’t true. Inhalers are clinically proven to prevent asthma flare-ups and manage symptoms safely. And for those wary of allopathy, Dr Chitturi says that the fact is that alternative medicines often contain more steroids than your prescribed inhaler.

Apart from convenience, inhalers are far more portable and time-efficient than setting up a nebuliser every time.

But here’s the catch: don’t self-medicate. Dr Amit warns, “Every medicine, whether through inhalers or nebulisers, has side effects. These devices should never be used without a doctor’s supervision. I often meet patients who have already tried both and tell me they didn’t work. What they don’t realise is incorrect usage or wrong dosage can be risky. And sometimes, neither may even be needed. A proper diagnosis is key.”

The takeaway is that inhalers haven’t replaced nebulisers because one is better than the other. They both have their place. The choice depends on the patient, the condition, and how the medicine needs to be delivered. What’s important is to use them under medical guidance and not because you saw someone else do it or read about it online.

World Asthma Day - Make Inhaled Treatments Accessible for ALL

This year, the day will be observed on 6th May. It is a fight for combatting non-communicable disease in children and adults. This year, the theme of World Asthma Day is "Make Inhaled Treatments Accessible for ALL". The focus is to make sure that anyone with asthma has access to inhaled medications to prevent flare ups and manage asthma attack in a better manner.

A new study has found that people hospitalized with Covid-19 who developed acute kidney injury (AKI) had better outcomes if they had received a Covid vaccine compared to those who were unvaccinated. The research offers fresh insight into how vaccines help beyond preventing severe respiratory symptoms—this time, by lowering long-term risks for kidney patients.

Understanding Acute Kidney Injury and Covid-19

Acute kidney injury is a common complication seen in people infected with the Covid-19 virus. Studies estimate that as many as 46 percent of hospitalized Covid patients may experience some form of AKI. While some cases are mild and reversible, others are serious enough to require dialysis and may lead to lasting kidney damage or even death. Despite being a known risk, the long-term outcomes of AKI in Covid patients haven’t been well studied—until now.

What the New Research Reveals

Conducted by a team from the University of California-Los Angeles (UCLA), the study examined nearly 3,500 patients hospitalized with Covid-19 between March 2020 and March 2022. Out of these, 972 individuals developed acute kidney injury. Among them, 411 were unvaccinated and 467 had received at least two doses of the Pfizer or Moderna mRNA vaccines, or one dose of the Johnson & Johnson vaccine.

Published in the peer-reviewed journal Kidney Medicine, the study found clear benefits of vaccination. Vaccinated patients were significantly more likely to survive, less likely to require ongoing dialysis, and faced fewer long-term risks compared to those who hadn’t been vaccinated.

Lower Need for Dialysis in Vaccinated Patients

One of the key findings was that vaccinated patients were less dependent on dialysis, especially a type used for critically ill individuals called continuous renal replacement therapy (CRRT). About 15.8 percent of unvaccinated patients needed CRRT, compared to just 10.9 percent of vaccinated patients.

This difference carried over even after discharge. Unvaccinated patients were found to be 2.56 times more likely to continue needing dialysis after leaving the hospital.

Survival Rates Significantly Better With Vaccination

The most alarming gap emerged in survival outcomes. The study found that unvaccinated patients had a 5.54 times higher risk of dying while in the hospital. Even more strikingly, they were 4.78 times more likely to die during long-term follow-up than those who had been vaccinated.

These statistics underline not only the short-term protection that Covid vaccines offer but also their role in reducing longer-term complications, especially in vulnerable patients with other serious conditions like AKI.

Experts Urge Vaccination to Reduce Complications

Commenting on the findings, researchers stressed the importance of vaccination as a protective measure against the worst outcomes of Covid-19. “The Covid vaccine is an important intervention that can decrease the chances of developing complications from the Covid-19 infection in patients hospitalised with acute kidney injuries,” said the lead researcher from UCLA.

They further advised that individuals should discuss vaccination with their healthcare providers, especially those at risk of kidney complications. Avoiding dialysis can drastically improve a person’s quality of life and reduce the risk of further medical issues.

If you think heart attacks only happen to your grandfather or someone well into retirement, think again. In recent years, cardiologists have seen a troubling trend—more young adults, even those in their 30s and 40s, are landing in emergency rooms with chest pain, elevated blood pressure, or worse. Once considered a disease of old age, heart problems are now showing up in the prime of life. So, what’s really going on? Sedentary lifestyles, rising stress levels, poor eating habits, and misinformation are silently chipping away at heart health long before most people expect it. The good news? With the right awareness and preventive care, you can lower your risk dramatically, starting now.

Your heart is more than just a symbol of emotion, it’s a tireless organ beating over 100,000 times a day to keep you alive. Yet most people don’t think about protecting their heart until they’re sitting in an emergency room. Increasingly, heart attacks are no longer reserved for the elderly. Men and women in their 40s and even 30s are now facing cardiac issues once considered rare at their age. So what can you do—right now—to prevent this?

Dr. Evan S. Levine, a leading cardiologist at Mount Sinai Health in Scarsdale, says the answer lies in consistent, preventive care. In a widely shared video that’s sparked thousands of views online, Dr. Levine breaks down 10 fundamental rules—rooted in science and decades of clinical experience—that can help you avoid a heart attack before 60. Here’s what he wants you to know.

Rule #1: Don’t Smoke—Ever

Dr. Levine is emphatic: “Never smoke, not even once.” Cigarettes constrict blood vessels, increase your heart rate and blood pressure, and double your risk of heart attacks. Even occasional smoking damages arteries and speeds up plaque buildup. And it’s not just cigarettes, cocaine use has an equally devastating impact on your heart’s ability to pump efficiently. Nicotine and drugs aren't just bad habits, they’re cardiovascular landmines.

Rule #2: Ditch Sugary Drinks

That daily soda may seem harmless, especially if you're active, but sugary drinks are directly linked to elevated blood pressure and triglycerides. Over time, this combination raises your heart disease risk significantly. According to Dr. Levine, eliminating sweetened beverages like soda, energy drinks, and sweetened coffees is a smart and simple step to better cardiovascular health.

Rule #3: Steer Clear of Fast Food

Your heart doesn’t need another burger-and-fries night. Fast food is typically high in saturated fats, trans fats, and sodium—all of which contribute to high blood pressure, elevated cholesterol, and weight gain. Over time, these factors compound, raising the risk of cardiovascular events. Cooking more meals at home or choosing whole, unprocessed foods can dramatically improve your heart profile.

Rule #4: Move Your Body for 30 Minutes Daily

One of the simplest yet most overlooked steps? Just move. Regular exercise—at least 30 minutes of moderate activity a day helps regulate blood pressure, maintain a healthy weight, improve cholesterol levels, and reduce stress. Whether it’s a brisk walk, a bike ride, or a dance class, the key is consistency. Your heart benefits every time your body moves.

Rule #5: Consider a Coronary Artery Calcium Scan

Dr. Levine advises those with risk factors—like high cholesterol, a family history of heart disease, or obesity—to get a coronary artery calcium (CAC) scan. This test evaluates plaque buildup in your arteries and helps determine your risk of future cardiac events, even if you’re under 40. It’s a preventive tool that can lead to early interventions and even save lives.

Rule #6: Address Stress Proactively

Chronic stress is no minor inconvenience—it’s a silent contributor to heart disease. Elevated cortisol levels increase inflammation, blood pressure, and even abdominal fat. Dr. Levine recommends managing stress through practices like meditation, listening to calming music, therapy, or simply taking regular breaks. Mental health is heart health.

Rule #7: Don’t Ignore Diabetes or Hypertension

If you’ve been diagnosed with diabetes or high blood pressure, managing these conditions aggressively is critical. Both are major contributors to atherosclerosis—a buildup of plaque that narrows arteries and leads to heart attacks. Monitoring blood sugar, taking medications as prescribed, and maintaining a heart-healthy diet can make all the difference.

Rule #8: Maintain a Healthy Weight Especially Around the Belly

Dr. Levine emphasizes the risks of central obesity—fat stored around the abdomen. This type of fat is closely linked to metabolic syndrome, which includes elevated triglycerides, fatty liver, hypertension, and insulin resistance. Together, they raise the risk for a fatal heart event. Losing just 5–10% of your body weight can drastically improve heart function and metabolic balance.

Rule #9: Beware of Medical Misinformation

In the age of TikTok doctors and Instagram wellness influencers, misinformation spreads faster than ever. “Avoid them like the plague,” warns Dr. Levine. Only trained medical professionals with verified credentials can provide safe, effective heart health advice. Look for board-certified cardiologists or specialists when seeking health-related guidance.

Rule #10: Limit Your Alcohol

Alcohol in excess has a direct effect on heart health it raises blood pressure, contributes to irregular heart rhythms, and can lead to heart failure. While a single glass of wine might be acceptable occasionally, Dr. Levine advises keeping consumption to a minimum. Moderation is not just wise—it’s protective.

Heart disease remains the leading cause of death globally, but many of its risk factors are preventable. From quitting smoking to managing weight and cutting sugar, the choices we make every day can drastically reduce our risk. Dr. Levine’s message is clear: take action early, be informed, and prioritize your heart health now not after a scare.

Take a closer look at that soft or perhaps not-so-soft belly around your midsection. What appears to be a harmless sign of middle age may be causing more harm than you realize. From late-night feasting and skipped exercise to something much more sinister—environmental toxins—the culprits behind belly fat extend beyond diet. Daily exposures to plastic containers, personal care products, and more may disrupt your hormones and stealthily lead to weight gain. As we celebrate Father's Day 2025, take the discussion about so-called "dad bod" from funny to healthy—and discover what your gut may be whispering.

On the surface, the "dad bod" can look like a endearing sign of fatherhood—a physical manifestation of priorities changing after children enter the equation. That bulging belly, even affectionately referred to with colloquialisms such as "beer belly" or "potbelly," has gained cultural validation in recent times. But behind that soft (or occasionally hard) façade, there exists an emerging health issue with dire consequences.

As we honor fathers on this Father's Day, it's time to shine the spotlight on a problem that affects millions of men around the world: middle-aged abdominal fat. More than a vanity issue, this colloquially termed "dad bod" is strongly associated with chronic illness, hormonal imbalance, and even mortality.

What Is a Dad Bod?

The phrase "dad bod" has become shorthand for calling a middle-aged guy with an average body—someone who isn't obese but isn't lean either. Social media and popular culture have fully embraced this trope, providing a welcome respite from sculpted gym physiques.

But what fuels this change? Anecdotally, the change occurs after becoming a father. The physical and emotional stresses of having children frequently result in lifestyle changes: more sedentary, midnight snacking, and added stress. But it's not just anecdotal. Northwestern University conducted a study tracking more than 10,000 men that concluded that first-time dads gained more than 4 pounds following their child's birth, while men without children lost weight during the same timeframe.

Beer Belly: Why Men Store Fat in the Abdomen?

Although both men and women accumulate fat with age, men have a biological tendency to store it around the belly. Unlike women, for whom estrogen serves to store fat around hips and thighs to use as energy during pregnancy or lactation, men do not have this hormonal benefit. Instead, decreases in testosterone and natural loss of muscle mass lead to the accumulation of belly fat—in this case, the unhealthy sort called visceral fat.

This tough belly fat doesn't just fill out the midsection—it encircles internal organs such as the liver and intestines. And that's where it becomes lethal. Visceral fat triggers inflammation, derails metabolic function, and surges the bloodstream with fatty acids, elevating cholesterol and blood sugar levels.

Why Visceral Fat Around The Belly Is A Health Time Bomb

Imagine the belly as the trunk of a vehicle. A bit of storage is fine. But when that trunk is full to bursting, fat starts being deposited in unhealthy locations such as the liver, muscles, and pancreas. The overflow effect significantly increases the risk of:

• Heart disease and heart attacks
• Stroke
• Type 2 diabetes
• High blood pressure
• Fatty liver disease
• Colon and breast cancer
• Asthma and dementia

Visceral fat spews out more inflammatory cytokines and fatty acids than subcutaneous fat, the type that lies just beneath the skin. The hormonal and metabolic imbalance sets the stage for a cascade of chronic disease—most often quietly and without apparent symptoms until it is too late.

What most people don't know is that environmental chemicals also contribute to midlife weight gain. Endocrine disruptors—chemicals that interfere with hormones—are present in common products such as plastics (BPA), detergents, cosmetics, food preservatives, and even furniture. These chemicals disrupt hormone function, cause insulin resistance, and eventually lead to excess fat storage around the abdomen.

Chemicals such as phthalates, PFAS, and triclosan not only disrupt metabolism but also induce improper hormonal responses to the extent that the body will store fat or produce insulin when it's not required. In the long run, this may establish a metabolic condition that's almost impossible to change without help.

Does Fatherhood Change Men's Bodies?

Becoming a father is not only a milestone—it's a way of life disruption. From sleepless nights, at-large meals, and losing self-care habits, most fathers gradually gain weight. Eating patterns change, exercise becomes the exception, and stress increases. Factor in the psychological burden of possible postpartum depression among men—usually underrated—and the danger of gaining unhealthy lifestyle habits compound.

Even dietary habits become distorted: finishing children's meals, having snacks while driving, and favoring ease over nutrition becomes the usual. These changes, as small as they may appear, take their toll on a slow and steady build-up of visceral fat.

How to Lose the Midlife Belly?

Here's the good news: even small weight loss can significantly lower visceral fat. A study in the journal Obesity discovered that a loss of 5% of total body weight is sufficient to decrease visceral fat by 11%. For a 200-pound person, that's only 10 pounds of weight loss—but with a big health benefit.

Steps to begin with:

Get tested: Have lab testing done to determine nutrient deficiencies or hormonal disruptions that might be causing weight gain.

Cut the toxins: Get rid of products containing toxic parabens, phthalates, and BPA in your home and personal care products.

Know your genetics: Some genes play a role in how well you absorb and store fat. Knowing what your genetic makeup is can assist you in personalizing a diet and lifestyle plan that suits you.

Move more: Walking, bodyweight training, or going to the gym, all add up to burning fat and lowering inflammation.

Eat closer to nature: Lean proteins, fiber vegetables, and whole foods aid in weight loss and healthy microbiome. A healthier gut can lower inflammation and avoid obesity.

Consult medical assistance: GLP-1 receptor inhibitors such as Ozempic can be considered with a doctor's guidance for those who have resistant visceral fat or metabolic complications.

Father's Day 2025 can be more than just burgers and presents. It can also be a time for reflection. For all that energy and love dads invest in their family, now it's time to invest some of that energy into self-care. That midlife belly isn't all about image or clothing size—it's a way to your future health.