Chronic obstructive

Chronic obstructive

Chronic obstructive pulmonary disease


Many do not know about the disease, although it is the fourth leading cause of death in the world and is expected to become the third cause by 2030 according to the World Health Organization.


COPD is a pulmonary disease that causes obstructive air flow from the lungs. The main causes are smoking and exposure to gases, chemicals or dust for long periods. Studies and statistics indicate that people with it are more likely to develop heart disease, lung cancer and various other diseases.


How is obstructive pulmonary disease diagnosed?


  • By breath measurement: A simple test that measures a person’s breathing depth and the speed of air entering and exiting their lungs.
  • X-rays on the chest.
  • And also by examining the oxygen content of the blood.


What are the complications of Chronic obstructive?

  • Respiratory infections:  People with COPD are more likely to have recurrent colds, influenza and pneumonia.
  • High blood pressure:  This disease may cause high blood pressure in the arteries that bring blood to the lungs (pulmonary hypertension).
  • Heart disorders:  For incomprehensible reasons, the risk of heart disease, including heart attacks, increases.
  • Lung cancer:  Smokers with chronic bronchitis are at higher risk of lung cancer than smokers without chronic bronchitis.
  • Depression:  Some patients may become depressed due to difficulty breathing and inability to carry out normal life activities.


Can Chronic obstructive embolism be treated?


Studies have shown that long-term oxygen therapy can increase oxygen in the blood and provides a range of benefits that include

  • Improving life expectancy
  • Reducing hospital treatment
  • Improving the quality of life
  • Reduce fatigue and shortness of breath
  • Increase mobility and maintain social life
  • Increase sleep and improve quality
  • Improving the functioning of the heart


Please visit the nearest hospital when you have breathing difficulties with your nearest doctor at Ram Clinic.


Regular health checks

Regular health checks

Regular health checks

One of the most important preventive measures to protect against infection with many chronic diseases, such as heart disease, diabetes, cancer, and others, is the regular examination of the general health of man, and comprehensive medical analyses are an integral part of the annual periodic examination, which is preferable for all persons over the age of forty, Especially in cases of a family medical history of one or some chronic diseases.
In many cases, doctors may limit them to routine blood tests, while others may be necessary to predict the possibility of certain diseases and to take the necessary preventive measures,

The following are the most important medical tests that must be performed at the regular dates to ensure your health.

Regular health checks

• Basic comprehensive medical tests
• A complete blood test, which gives a clear indication of how well the liver and kidneys work, and of course, the balance of blood composition.
• Cholesterol and triglycerides: Total cholesterol and high-density cholesterol, low-density cholesterol levels are also measured.
• triglyceride levels, which is known as lipid scans.
• Diabetes test: The measurement of sugar is essential for diagnosing diabetes and also for prediction of coronary artery disease
• Measurement of minerals: measuring levels of calcium, potassium and iron.
• Test of thyroid gland function. Mainly, in the analysis of thyroid gland function, it is possible to rely mainly on measuring the levels of the hormone stimulating the thyroid gland (TSH).
• Test of liver function. The doctor usually suffices with “ALT and AST” tests in addition to the albumin level in the blood, and this analysis gives a clear indication of the efficiency of the work of the liver.
• Testing kidney function, here the diagnosis is based on measuring creatinine level in the blood.

You can do these tests at Ram Labs.

Regular health checks

In addition to the aforementioned, there are examinations that are recommended for women:
• Self-examination and clinical examination for breast cancer; to ensure that there are no abnormal lumps. If a woman reaches the age of forty or less and has had a history of family in someone with breast cancer, it is preferable to start examining the mammogram of the breast once every year or two. Smear from the cervix to detect cancer in this organ once every year or 3 years in normal conditions
• •In case of pregnancy, tests are performed, such as ultrasound, urine tests, blood tests, and genetic tests.





Asthma is a common disease that affects all ages without exception and due to its prevalence many people believe it is a simple and non-serious disease and this is a big mistake, where recent studies have shown an increase dissimilarity of asthma.


What is the difference between asthma and chest allergies?

is a tightness of the airways (tubes or ducts inside the chest and not vesicles) resulting in chest tightness and difficulty breathing with a wheezing in the chest or cough (cough) and in acute cases may develop into a lack of oxygen, these symptoms may be temporary and may disappear automatically or using medications.


As for allergies, it is one of the factors that cause asthma, and it occurs in some people as a result of exposure to the causes of allergies with a congenital predisposition to them and the symptoms of this sensitivity vary according to the affected part. The eyes, increased secretions and bronchial sensitivity, result in asthma.


 What are the causes of asthma?
 Multiple causes or asthma tics, possibly caused by an unknown or external cause, due to the presence of known causes or triggers inside or outside the home cause the patient an asthma attack when exposed to it, including:


  • Pollen, trees, grass escapees and various other
  • Roses and flowers of various kinds include dried
  • Birds of all
  • Domestic animals, especially cats, and allergies occur as a result of exposure to the removals of these animals, especially saliva, urine or crusts falling from their Pillows stuffed with bird feathers.
  • To be exposed to smoke, whether incense, coal, firewood or other
  • Exposure to cigarette smoke directly, such as smoking or indirectly, by the presence of the patient in the smoking
  • Exposure to strong odors such as perfumes, pesticides, paints, detergents or other
  • Viruses (colds), sinusitis or
  • Exposure to sudden change in the atmosphere (from cold to hot or vice versa).
  • Emotional emotions.


  • Exposure to a muscular effort such as sports of all
  • Exposure to fungi usually lives in places with high humidity such as water conditioners, air conditioner filters, refrigerators, bathrooms, kitchens, abandoned trash baskets open inside the house or old



Dry cough

Dry cough

Dry cough
With the onset of winter, we note that most of those around us get coughs, as various viral diseases spread, making most of people’s attention about dry cough and its causes and treatment methods.
People go to different ways to treat chronic and normal dry cough, some of whom tend to take home remedies, while others prefer medications prescribed by their doctor.

differs from other types of cough in that it may not necessarily be associated with influenza or other seasonal viral diseases, but that accompanying and continuing to any of them may be caused by other health reasons.

• Congestion and runny nose.
• Annoying congestion in the throat.
• Swelling of the throat as a result of swelling of the lymph nodes.
• Whistling sounds.
• Feeling nauseous.
• The appearance of different symptoms similar to exposure to influenza.
• Vomiting.
• The occurrence of bleeding of the gums.
• Fatigue and fatigue. When does a it become a medical emergency?

• Consult your doctor immediately if:
• If you have a dry cough is less than 5 years old.
• If a dry cough contains mucus or blood.
• If dry cough is associated with shortness of breath.
• If you have a dry cough mainly at night, it is accompanied by a feeling of pain for longer than 10 days.
• If you’re a smoker.
• If you have high fever, persistent headaches or a rash or ear infections.
• If you have lost a lot of weight and suffer muscle pain.
• If you have high blood pressure, heart disease, asthma or stomach problems.
• If you are pregnant or during breastfeeding, certain medications can affect your health and your baby’s health.
• If you are taking other medications continuously or during your dry cough.
• If you are allergic to certain medications.

can be treated by:
Medications: can be treated simply through medications prescribed by your doctor, or sometimes the pharmacist.
• Steam sessions, in which the patient inhales hot vapor that reduces cough.
• Naturalrecipes, there are some home remedies that may work in the treatment of dry cough

Consult your doctor at Ram clinics when you have the flu or cough to treat it.





It was previously known as a brain vascular event that occurs when blood flow to one part of the brain stops or severely disrupts, depriving brain tissue of much-needed oxygen and other bio-nutrition suppository substances. As a result, brain cells die within a few minutes.

Stroke is a medical emergency, and immediate treatment is vital, as it can reduce damage to the brain and prevent potential complications after a stroke.


Fortunately, a stroke can be treated. Raising control over most stroke risk factors, such as hypertension, smoking and hypercholesterolemia, is probably the main cause of a decrease in stroke.


To learn about stroke symptoms, we should pay attention to the following early signs:

Walking difficulties: If a person has a stroke, he or she may stumble, feel dizzy, lose balance or lose coordination (between the senses, movement and speech)

Difficulties in speaking: If a person has a it, his speech may become slack or he may lose the ability to find the right words to describe what is happening to him and with the loss of language, try to repeat a simple sentence. If you can’t do that, you probably have a it.

Paralysis or numbness on one side of the body: If a person has a stroke, he or she may lose sensation, or feel paralic (paralysis on one side of the body). Try to lift your arms over your head at the same time. If one of them starts to fall, you probably have a stroke.

Vision difficulties: If a person has a stroke, he or she may experience sudden vision distortion, he may lose vision for a few moments, or he or he may suffer from a lip (double vision, or double vision

Headaches: Headaches that appear suddenly and without warning, or unusual headaches, which may be accompanied by a spasm in the neck, facial pain, pain between the eyes, sudden vomiting or changes in cognitive condition – may sometimes indicate stroke.


Although it rates are equal in women and men, women are more likely than men to die from it. People with brown skin are more likely to have a stroke than people of other ethnic origins.



Awareness of risk factors and the adoption of a healthy lifestyle are the right steps that can be taken to avoid a stroke.

A healthy lifestyle includes:

  • Treatment of hypertension (high blood pressure)
  • Reduce consumption of foods rich in cholesterol and fats
  • Avoid smoking
  • Diabetes Treatment
  • Maintaining a healthy weight
  • Exercise regularly
  • Treatment of stress
  • Avoid alcoholic beverages
  • Avoid drugs
  • Maintain a balanced and healthy diet

You can now visit the Neurology Clinic at Dam Clinics.


False diabetes

False diabetes

False diabetes
Symptoms of pseudo diabetes
The main complaint in the case of pseudo diabetes is the excessive feeling of thirst, and the removal of large amounts of diluted urine, ranging from two and a half liters to about fifteen liters of urine depending on the severity of the condition and the amount of water consumed daily.
Other symptoms of the disease
High temperature,
Vomiting, diarrhea.
Involuntary urination.
Dry skin with cool ends
Delayed development in children.
Weight loss.
unjustified feeling of sadness and crying.

Causes of the disease

False diabetes

Pseudo-diabetes occurs when the mechanism by which your body regulates the discharge of water and the fluid swells is disrupted, the blood and urine formation are filtered by the kidneys under the influence of the anti-diuretic hormone Vasopressin, which is responsible for the concentration and dilution of the resulting urine.
This mechanism is sometimes disrupted when the pituitary gland of the vasopressin is dislocated, either after surgical removal or as a result of a tumor, or as a result of a head injury or inflammation of the enclosed meningococcal membranes of the brain, which affects the production and storage of the hormone. Pseudo-diabetes is also caused by a malfunction in the urine-nominated kidney tubes, resulting in the loss of large amounts of water in the urine, which is called pseudo-kidney sugar, a condition that is sometimes genetically inherited and affects males more than females, and is caused by certain medications such as lithium at other times. Pseudo-diabetes also occurs during pregnancy or as a result of a defect in the center of thirst in the brain.

Complications of pseudo diabetes cause lying diabetes to lose large amounts of water, and keep less of what the body needs to function properly, leading to a dryness in the body that appears as:
Dry mouth.
Muscle weakness.
High temperature.
Weight loss.
Accelerated heartbeat.

Diagnosis of lying diabetes due to the similarity of the symptoms of pseudo diabetes with other conditions, a number of tests are performed to diagnose the condition as false diabetes, and the type of pseudo diabetes is also determined for different treatment methods. Urine analysis is performed, a water deprivation test is performed that helps determine the cause of pseudo-sugar, and an MRI is performed in some cases to ensure the integrity of the pituitary gland.

• Drink enough liquid to prevent dehydration.
• Medications to relieve thirst and make urination at normal rates.

The disease cannot be prevented at this time, but most people can lead normal lives when following the doctor’s recommendations and controlling symptoms and signs.

If you suspect your diabetes, please visit your nearest doctor at Ram clinics to check your health.




Most people suffering from migraine disease see a link between it and an acute headache

Migraine is a common health condition, usually starting at an early age, causing bouts of severe headache with a feeling of a pulse in the head accompanied by nausea and vomiting, excessive sensitivity to light and sound with the inability to continue daily duties and activities, usually on one side, and can also cause Migraine attacks are great pain for hours or days.



Although its causes are unknown, it may be the result of abnormal activity that temporarily affects nerve, chemical and vascular signals in the brain.



  • Severe headache on one side of the head with a pulse sensation and worsens when moving.
  • Pulse around the eyes and in the head.
  • Nausea or vomiting.
  • Sensitivity to light and sound.
  • Weakness in concentration.
  • These symptoms usually last between four and three days.


Warning symptoms (temporary warning):

  • Visual problems (e.g., seeing bright lights or blind spots).
  • Numbness or tingling sensation in the hands.
  • Feeling dizzy or unbalanced.
  • difficulty in speaking.
  • Loss of consciousness.


What are the triggers of migraine disease?


  • Hormonal changes in women, especially when estrogen levels drop, as well as before and during the menstrual cycle.
  • Pregnancy or menopause.
  • Some medications (such as vasodilators) or hormonal medications (such as contraceptives).
  • Some foods (such as: salty and processed) as well as some types of cheese and meat.
  • Drinks that are highly caffeinated or have no caffeine for those who regularly drink them.
  • Nerve stress and stress.
  • Sensory stimuli (such as bright lights, sunlight, loud noises or strong smells).
  • Sleep disturbances.



Risk factors:

  • Family history.
  • Age often occurs during adolescence



While you are experiencing a migraine symptom, we recommend that you visit your neurologist at Ram Clinics.



There is no way to prevent infection, but some strategies may help reduce the number and severity of migraine attacks, which include:

  • Be sure to eat regularly and not to skip mealtimes.
  • Take enough rest regularly while avoiding staying up late.
  • Exercise regularly.


Advice for people with migraine:

  • Not taking too much pain reliever.
  • Maintaining a healthy lifestyle.
  • Reducing caffeine intake.
  • Reducing stress and dealing with it.
  • Take care to get enough rest.
  • Exercise regularly.
  • Stay away from headache stimuli.


Diabetic foot

Diabetic foot

Diabetic foot

What is a diabetic foot?

symptoms and signs in the feet of a patient with diabetes such as swelling, wounds and infections.

Is a problem?

– Diabetic foot problems are the most common causes of hospitalization among diabetics

– Every 30 seconds a leg is lost somewhere in the world due to diabetes

– 70% of amputations occur for people with diabetes.

– 80% of lower limb amputations related to diabetes caused by foot ulcers

– One in six people with diabetes will develop foot ulcers in their lifetime


The effect of diabetes on the blood vessels and nerves of the feet: When blood sugar rises in people with diabetes, blood vessels and nerves are affected over time, and the impact of nerves leads to loss of sensation in the feet, i.e. not feeling wounds and sores that affect the foot, leading to Inflammation, the impact of blood vessels may result in insufficient oxygen-laden blood being delivered to the feet, as well as difficult to heal wounds or change the shape of the foot.


Diabetic foot treatment: non-surgical treatment:

  • Cleaning wounds and covering them with gauze.
  • Use antibiotics when infected.
  • Foot deformity can be treated using a splint or medical cast.
  • Use medical shoes.
  • Control of gangrene with appropriate medications.

Surgical treatment:

  • Severe infections may be treated by removing or amputating inflamed tissue.
  • Treatment of foot deformity with a process to correct and beautify it.
  • Partial amputation of the area affected by gangrene or complete amputation.

Prevention and foot care:

  • Control of blood sugar level.
  • Self-examination of the foot, by: search for traces of wounds, bruises, pressure areas, redness and nail problems, and the mirror can be used when examined.

Diabetic foot

    • Feel each foot and how swollen it is (bloating).
    • Check between the fingers.
    • Check the sensation at every foot.
    • Focus on the following six areas in the soles of each foot: thumb tip, tip of thumb (pinky), middle finger soles, heel, and front end of the foot.
    • Avoid trying to treat anything without consulting a doctor.
  • Foot care, by:
    • Wash daily with warm soapy water, and check the water temperature before using it.
    • Avoid soaking your feet in water.
    • It is recommended to dry it with a towel and focus on drying between the fingers.
    • Moisturize with moisturizing creams and avoid applying the cream between the fingers.
    • Trim the nails straight and avoid cutting the corners of the nail to avoid wounds.
    • Inform your doctor immediately of any nail problem.
    • Avoid the use of sterile sterilizers, ointments, hot compresses and sharp feet
    • Keep warm by wearing socks, and avoid exposing them to any heat source (e.g., heaters).
    • Wear wide stockings when sleeping.
    • Not exposed directly to snow and rain
    • Avoid putting one foot over the other for a long time, because it prevents blood from flowing to the feet.
    • Avoid smoking.

Diabetic foot

  • When wearing socks and shoes:
    • Avoid walking barefoot.
    • Avoid wearing open shoes.
    • Choose the shoe carefully and experience its size at the end of the day as the size of the foot increases.
    • Make sure the shoe is comfortable before you buy it and check its size well.
    • Avoid pointed-to-end shoes as well as high heels, and choose a wide-end shoe.
    • Avoid repeating one shoe every day.
    • Feel the inside by hand before wearing it.
    • Tighten the shoelaces moderately.
    • Wear clean and dry socks and change them every day, avoiding wearing pierced sock
Rickets disease

Rickets disease

Rickets disease
Rickets are the softness and weakness of the bones in children, usually caused by severe and prolonged deficiency in vitamin D. Rare genetic problems may also cause rickets.
Vitamin D helps your child’s body absorb calcium and phosphorous from food. Vitamin D deficiency makes it difficult to maintain appropriate levels of calcium and phosphorous in the bones, which can lead to rickets.
Adding vitamin D or calcium to the diet is generally related to bone problems associated with rickets. When rickets are the result of another underlying medical problem, your child may need additional medication or other treatment. Some structural deformities caused by rickets may require corrective surgery.

Rare genetic disorders associated with low levels of phosphorous, which is another mineral component of the bone, may require taking other medications.

Signs of rickets can include the following
Arched legs, or the disintegration of the knees
Thickening of the wrist and ankle
The emergence of chest bones

When should you visit your child’s pediatrician?
Talk to your doctor at the nearest Ram clinics if your child’s bone pain increases, muscles weak, or skeletal deformity.

Rickets disease

Your child’s body needs vitamin D to absorb calcium and phosphorus from food. Rickets can occur if your child’s body does not get enough vitamin D, or if their body has problems using Vitamin D properly. Occasionally, not getting enough calcium or a lack of calcium and vitamin D causes rickets.

Vitamin D deficiency children who don’t get enough vitamin D from these its sources can get deficiency
• Sun rays. Your child’s skin produces vitamin D when it is exposed to sunlight. But children in developed countries tend to spend less time outdoors. They are more likely to use sunscreen, which blocks the rays that stimulate skin production of vitamin D.
the food. Fish oils, egg yolks, and oil-rich fish like salmon contain vitamin D. Vitamin D is also added to some foods, such as milk, cereals, and some fruit juices.
• Problems with absorption such as:

o Stomach disease
o Inflammatory bowel disease
o Cystic fibrosis
o Kidney problems




Cataract is the opacity that affects the lens of the eye, which is inherently transparent and located behind the iris, and when the cataract is formed, the natural lens begins to gradually lose its transparency and become opaque, preventing light from passing through it, and then the vision becomes blurred and blurred. It may affect humans at an age. It is one of the most important causes of total or partial blindness in the long run.

For Cataract diagnosis your doctor will perform a comprehensive eye examination to check cataracts and assess your vision, this will include an eye chart test to check your vision at different distances and measure pressure to measure eye pressure. It also uses the most common stress measurement test, where a painful puff of air is used to flatten the cornea and test your eye pressure. Your doctor will put drops in your eyes to make your eyes wider, making it easier to check the optic nerve and retina at the back of your eye for any damage. Other tests your doctor may perform include checking your sensitivity to glare and your perception ofcolors.

Symptoms vary from person to person and the most important symptoms are:
• Progressive weakness of vision without pain.
• Blurry vision with blurred.
• Inability to withstand bright light.
• Lens opacity, generally blurry vision.
• In advanced cases, the color of the eye lens gradually changes to white.

What causes Cataract?
Factors that contribute to the disease include:
• Aging.
• Diabetes.
• Smoking.
• High blood pressure.
• Diseases caused by obesity.

The diagnosis is made by an ophthalmologist by examining the patient’s vision and medical history.

When the disease affects the lens, it can cause partial or total vision loss and the only treatment is surgical intervention, and one of the most important surgical interventions: removing the cataract-affected lens and replacing it with another new, lifelong lens. This process has different ways of different situations.

The effective treatment for white water is to lift the affected lens and replace it with a surgically artificial lens called a lens implant.
A decade or more ago the patient was given time until the water is collected to include all parts of the lens, but now, thanks to medical and technological advances surgical and using modern advanced devices, it is possible to perform the operation at any time the treating physician decides to do so and in agreement with the injured patient, as it is possible to perform cataract lift in both eyes at the same time contrary to what was going on in the past, which is the second operation at least six months after the first operation, of course this depends on the general conditions of the patient, his health condition and other symptoms.

Some patients do not need to use glasses after the surgery, and some of them need, and the review of the attending doctor from time to time remains very important to check the position of the lens or the implanted lenses.

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