Yoga Can Decrease Your Liver Size: Best Asanas That Promote Liver Health

Updated Oct 12, 2024 | 11:53 PM IST

SummaryYoga can help decrease liver size and improve liver function. Additionally, it can also help patients with other liver conditions like fatty liver disease, fibrosis, and hepatomegaly.
Yoga

Yoga (Credit: Canva)

Liver is the largest organ in the human body and regulates most of the chemicals in the human body. Besides a well-balanced diet, an active lifestyle is equally crucial for a healthy and toxin-free liver. Yoga—specifically those which involve twists and turns—increases your blood flow to the liver, thereby, aiding detoxification and ensuring your liver gets an adequate supple of oxygen and nutrients.

1. Bhujangasana (Cobra Pose)

How to Perform: Lie face down with your legs extended. Place your hands under your shoulders, elbows close to your body. Inhale and gently lift your chest while keeping your pelvis on the floor. Hold for a few breaths and release.

2. Naukasana (Boat Pose)

How to Perform: Sit on the floor with your legs extended. Lean back slightly and lift your legs off the ground, keeping them straight. Extend your arms forward, parallel to the floor. Hold the position while engaging your core.

3. Balasana (Child's Pose)

How to Perform: Kneel on the floor, touch your big toes together, and sit on your heels. Bend forward, extending your arms in front or resting them alongside your body. Relax your forehead on the mat and breathe deeply.

4. Ardha Matsyendrasana (Half Lord of the Fishes Pose)

How to Perform: Sit with your legs extended, then bend your right knee and place your foot outside your left thigh. Twist your torso to the right, using your left elbow against your right knee for leverage. Hold and then switch sides.

5. Gomukhasana (Cow Face Pose)

How to Perform: Sit with your legs crossed, stacking your knees. Reach your right arm overhead and bend it to grab your left hand behind your back. Hold the pose, keeping your spine straight, and then switch sides.

6. Salamba Bhujangasana (Sphinx Pose)

How to Perform: Lie face down with your legs extended. Place your forearms on the ground, elbows under your shoulders. Lift your chest while pressing your forearms into the floor, keeping your neck relaxed.

7. Setu Bandhasana (Bridge Pose)

How to Perform: Lie on your back with knees bent and feet flat on the floor, hip-width apart. Inhale and lift your hips toward the ceiling, pressing your feet and arms into the ground. Hold and breathe, then lower back down.

8. Shashankasana (Hare Pose)

How to Perform: Kneel on the floor, sit back on your heels, and stretch your arms forward on the mat. Lower your forehead toward the ground, relaxing your neck and shoulders. Hold and breathe deeply in this calming position.

End of Article

What Is Shy Bowel Syndrome?

Updated Jul 5, 2025 | 08:00 AM IST

SummaryShy bowel and bladder syndromes involve anxiety-related difficulty using public restrooms. Linked to social anxiety, they’re treatable through therapy, relaxation techniques, and gradual exposure.
What Is Shy Bowel Syndrome?

Credits: Canva

Returning to shared spaces—like schools or offices—also means returning to public restrooms. For some individuals, this transition comes with more than just minor discomfort. The anxiety around using public toilets, especially for defecation or urination, can be so intense that it interferes with daily functioning. This condition is medically recognized as parcopresis (shy bowel syndrome) and, in some cases, paruresis (shy bladder syndrome).

What Is Shy Bowel and Shy Bladder Syndrome?

Parcopresis refers to the difficulty or inability to defecate in the presence of others, especially in public restrooms. Similarly, paruresis describes the difficulty in urinating under similar circumstances. These conditions are not simply a preference for privacy—they are marked by psychological and physiological barriers that inhibit normal bodily functions.

Individuals with parcopresis often find themselves unable to initiate or complete a bowel movement unless they are in a perceived safe, private, and predictable environment, typically at home. The same applies to paruresis, where individuals may only be able to urinate in the comfort of familiar surroundings.

In public or semi-public restrooms, anxiety can trigger the sympathetic nervous system—the body’s fight-or-flight response—which disrupts the relaxation of pelvic muscles required for urination or defecation. As a result, individuals may freeze mid-process, feel pressured to rush, or avoid the restroom altogether, leading to discomfort or medical complications such as constipation or urinary retention.

The Psychological Link

Both shy bladder and shy bowel syndromes are linked to social anxiety disorder. The fear is not necessarily of the act itself but of being heard, judged, or perceived negatively by others. This can create a feedback loop: the more one worries about not being able to go, the harder it becomes.

Over time, this anxiety can escalate to significant social avoidance. People may plan their day around access to private restrooms, avoid travel, limit hydration or food intake, and even decline job opportunities or social engagements. In severe cases, this avoidance behavior can lead to agoraphobia—a fear of being in places where escape might be difficult.

Possible Contributing Factors

While psychological in nature, these syndromes may be more pronounced in individuals with pre-existing physical conditions. For instance, inflammatory bowel disease, irritable bowel syndrome, urinary tract infections, or prostate conditions can exacerbate restroom-related anxiety due to urgency or frequency, increasing the likelihood of distress in public settings.

Management and Treatment

Despite the challenges, both conditions are treatable. The first step is a medical evaluation to rule out or address any underlying physical health issues. Once physical causes are excluded or managed, psychological approaches become central to treatment.

Cognitive-behavioral therapy (CBT) is considered the gold standard. It helps individuals identify and challenge negative thought patterns and gradually exposes them to anxiety-inducing situations—a process known as exposure therapy. In this case, it may involve slowly increasing comfort with public restroom use.

Relaxation techniques, including deep breathing and mindfulness, can help regulate physiological responses to anxiety. In some cases, short-term use of anti-anxiety medications may be recommended to support behavioral therapy.

With the right interventions and support, individuals affected by shy bladder or bowel syndromes can regain confidence and return to normal daily functioning—including using public restrooms without distress.

End of Article

The 'Big Beautiful Bill' Now Awaits Trump's Sign To Become A Law As Deadline July 4 Is Here; What It Means For Healthcare

Updated Jul 5, 2025 | 04:00 AM IST

SummaryThe new U.S. health bill slashes Medicaid by $930 billion, weakens ACA access, and defunds key services, prompting experts to warn of increased uninsured rates and overburdened emergency care systems.
The "Big Beautiful Bill" Now Awaits Trump's Sign To Become A Law As Deadline July 4 Is Here; What It Means For Healthcare

Credits: Canva

In a controversial move with far-reaching health consequences, the U.S. House passed the Trump administration’s sweeping domestic agenda legislation—dubbed the “Big Beautiful Bill”—just before the July 4 deadline set by the president.

While its proponents claim it will make the country “stronger, safer and more prosperous,” leading health experts warn the bill is a dangerous and unethical setback for public health in the U.S.

With major cuts to Medicaid, significant changes to the Affordable Care Act (ACA), and reduced access to basic nutrition and reproductive services, the legislation’s health implications are vast and immediate.

What’s at Stake

At the heart of the bill is a $930 billion cut to Medicaid funding over the next decade—the deepest reduction to the program in its history.

In addition, for the first time, work requirements will be imposed on certain able-bodied adults aged 19 to 64 to retain their Medicaid benefits. Parents of children aged 14 and older must also meet this 80-hours-per-month rule through employment, training, volunteering, or school.

Dr. Jason M. Goldman, president of the American College of Physicians (ACP), as reported in healio.com, called the cuts “devastating” and warned they would cripple the U.S. health care system and worsen public health outcomes.

Similar concerns were echoed by the American Medical Association (AMA), the American College of Obstetricians and Gynecologists, and the Emergency Nurses Association, all of whom opposed the bill.

Dr. Arthur L. Caplan, founding head of the Division of Medical Ethics at NYU Grossman School of Medicine, called the bill “immoral, unethical, and tragic,” also reported in healio.com.

“Slashing Medicaid and imposing work requirements is punishing our poorest, most vulnerable, and mentally ill populations,” Dr. Caplan said.

“It’s unconscionable that the solution to economic reform is to cut basic health care.”

No Access To Affordable Care Act

The bill also weakens the Affordable Care Act (ACA), which could lower enrollment rates and disrupt access to care. One of the major changes is the elimination of automatic re-enrollment in ACA plans. Policyholders must now update their information annually, and the open enrollment window has been shortened by a month.

For individuals applying outside the open enrollment period—due to life events like job loss or family additions—advance premium subsidies will no longer be available immediately. Under current rules, applicants get up to 90 days of help while their paperwork is processed. The new law forces applicants to wait for full documentation approval before receiving assistance.

According to the Congressional Budget Office (CBO), the result will be catastrophic: an estimated 11.8 million more uninsured Americans by 2034.

“These patients don’t disappear,” Dr. Caplan said. “They flood emergency rooms with preventable issues—headaches, infections, chest pain—overburdening a system already stretched thin.”

Emergency Rooms on the Brink

With millions projected to lose insurance, ERs may become the default safety net—a role they are not equipped to handle.

“Hospitals will close. Services will shrink. Waiting times will skyrocket,” Dr. Caplan warned. “And it won’t just affect the poor—it will affect everyone.”

He also criticized the bill for ignoring the root cause of health care costs in the U.S.

“We have the most expensive, inefficient system in the world. Yet instead of tackling pricing, this bill cuts access,” he said.

SNAP Benefits, Nutrition & Health Impact

The bill also drastically alters the Supplemental Nutrition Assistance Program (SNAP), affecting roughly 42 million Americans. The age for work requirements has been raised from 54 to 64, and overall benefits will be reduced.

Many families will now receive less support—$292 for an individual and $975 for a family of four.

Nutrition is a cornerstone of preventive health, and public health experts say this rollback will contribute to higher rates of malnutrition, particularly among older adults and low-income families.

Reproductive Health and Planned Parenthood Defunded

In another blow to health access, the bill defunds Planned Parenthood, making it ineligible to serve Medicaid patients. According to the Contraceptive Access Initiative, 10% of Medicaid-covered women who received family planning services in 2021 did so through Planned Parenthood.

The move will severely limit access to contraception, STD testing, cancer screenings, and reproductive counseling, particularly in underserved areas.

Physician Payments, Rural Hospitals, and more

To soften the backlash, the bill includes a 2.5% temporary increase to Medicare Physician Fee Schedule rates in 2026, and reinstates certain telehealth flexibilities, as noted by the American Telemedicine Association.

However, experts like Dr. Caplan argue that these are inadequate responses to a much deeper crisis.

“That’s like saying the ship is sinking, but we’ve added two lifeboats,” he said. “Increased reimbursement won’t matter if your patient population loses coverage.”

End of Article

Study Finds Women Who Work Night Shifts Have A Greater Risk Of Asthma

Updated Jul 5, 2025 | 03:00 AM IST

SummaryA new UK study has found that women working permanent night shifts face a significantly higher risk of moderate to severe asthma, unlike their male counterparts. Researchers link this increased risk to hormonal differences and disrupted circadian rhythms. Speaking to Health and Me, Dr. Sunil Kumar K, a pulmonologist, explained how night shifts impair lung function and immunity, especially in women.
Study Finds Women Who Work Night Shifts Have A Greater Risk Of Asthma

Credits: Canva

A new UK-based study published in ERJ Open Research, has found that women who work permanent night shifts face a significantly higher risk of developing moderate to severe asthma compared to those who work during the day.

The findings add to the growing body of evidence that shift work, particularly night shifts, can have adverse effects on health—this time, with a gender-specific warning.

How Was The Study Conducted?

The study, conducted by researchers using data from over 280,000 participants in the UK Biobank, observed that 5.3% of the cohort had asthma, and 1.9% had moderate to severe asthma. Among these, female night shift workers stood out: those who worked permanent night shifts were found to have 50% higher odds of developing moderate-severe asthma than female day workers.

Interestingly, this association was not observed among male shift workers.

Circadian Disruption and Lung Health

Dr. Sunil Kumar K, Lead Consultant - Interventional Pulmonology at Aster CMI Hospital, Bangalore, explained how circadian rhythm disruption could increase respiratory risk.

“When our body’s natural rhythm is thrown off by night shifts or irregular sleep, it impacts not just our sleep cycles but also lung function,” he explained.

“The lungs don’t get the recovery time they need. Over time, this can impair breathing, reduce oxygen levels, weaken immunity, and elevate the risk of serious respiratory issues—especially in those already predisposed to asthma or COPD.”

The Hormonal Link

The researchers also suggested that hormone levels—specifically testosterone and sex hormone-binding globulin (SHBG)—may play a protective role against asthma. Women, especially post-puberty, tend to have lower levels of these hormones, possibly explaining their greater vulnerability.

Dr. Sunil noted that recent studies have reinforced the protective role of testosterone in reducing airway inflammation, which is a key concern in asthma management. “This could explain why asthma tends to be more severe in women after puberty,” he said. While hormone testing is not standard in asthma diagnosis yet, he believes that advancing research may soon shift clinical protocols.

Gender-Specific Vulnerability

The study further found that women who had undergone hysterectomies—with or without oophorectomies—also faced a higher risk of moderate to severe asthma, suggesting that hormonal changes could further exacerbate vulnerability.

“Female biology is more sensitive to circadian disruption,” Dr. Sunil pointed out. “Estrogen may worsen airway inflammation when sleep cycles are disturbed, while testosterone seems to offer some protection—something men naturally benefit from.”

He added that these findings should encourage workplaces to consider flexible schedules or regular lung health screenings for female night shift workers.

Underdiagnosed, Underdiscussed

Women working night shifts also reported more frequent symptoms such as wheezing or chest whistling and had greater odds of obstructed lung function compared to their male counterparts.

“In practice, we often see female patients with wheezing and breathlessness, but the link to lifestyle factors like night shifts is rarely discussed,” Dr. Sunil said. “These patterns are crucial for early diagnosis and management but remain under-addressed.”

Could HRT Be a Solution?

Given the hormone connection, researchers suggested that hormone replacement therapy (HRT) might be explored as a preventive measure for postmenopausal women doing night shifts.

“HRT could help balance hormone levels, protect lung function, and reduce inflammation,” Dr. Sunil said. “But it must be approached cautiously, given known risks like blood clots or heart disease. Tailored care strategies and careful risk assessment are key.”

End of Article