Achalasia is motility disorder of esophagus. Achalasia is a rare disorder affecting about 1.6 per 100,000 individuals. Both men and women are equally affected. The disease usually occurs between the ages of 25 and 60 years. The primary cause of Achalasia is unknown. Secondary cause of Achalasia can be due to Chagas disease caused by protozoan parasite, Trypanosoma Cruzi which occurs predominantly in Central and South America.

Achalasia4

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Approximately 63% of Australian people are overweight or obese. This would include 14.8 million individuals, five million of whom have a greater BMI > 30. Obesity increases the risk of cardiovascular diseases, diabetes mellitus and etc. Therefore, it is important to manage weight well in health range of BMI 20-25.

Losing weight can be difficult for some of us and discipline is required to achieve a good outcome. First, having a good and balance diet is important. The recommended diet will be to have 3 meals in a day which include breakfast, lunch and dinner. Avoid snack in between meals. A good and balance diet include vegetables, fruits and some protein meals. Breakfast should be 'king' which means we should eat well every morning as during the daytime, we are active either at work and busy with day chores which will require a lot of energy to do so. Lunch meal should be adequate. Dinner should be less as it is closer to night when we tends to be less active and going to bed later. 

People should exercise 5 days per week for 30 minutes each day. There is research showed that this will help to lose weight and improve fitness of our body. Exercise could be running, walking, cycling and swimming.

Tinea is a fungal infection of skin, nail and hairs. Tinea is usually caused by filamentous fungi such as Trichophyton, Microsporum and Epidermophyton. Among those fungi, Trichophyton is the most common cause of Tinea in human skin.

Tinea can be spread by skin to skin contact or indirectly through sharing of towels, clothes or walking with barefoot on floors. Tinea tends to grow on warm, sweat prone areas of the body.

There are few types of Tinea which depends on the locations of the body affected:

  • Tinea corporis- Infection of body surfaces other than feet, groin, face, scalp hair or beard hair
  • Tinea pedis- Infection of the foot (Athelete's foot)
  • Tinea cruris- Infection of the groin (Jock itch)
  • Tinea capitis- Infection of scalp hair
  • Tinea unguium (dermatophyte onchomycosis)- Infection of the nail

Symptoms:

  • Itching and stinging
  • Circular red scaly rash with central clearing (usually happens on body, groin, arms and legs)
  • Blister scaly rash due to intense inflammatory reaction 
  • Yellow or white discolouration of the nails. Loosening or separation of fingernail or toenail from its bed
  • Bald spots on the scalp known as Kerion

Treatment:

  • Antifungal cream such as Lamisil cream can be used to treat Tinea but it takes time to work and can be expensive. Canestan cream does not work well in treatment of Tinea
  • Terbinafine tablet. More effective but also take time to work. The medication is generic and therefore, even without approval from PBS authority, the price is still reasonable to purchase privately
  • Azole tablets such as Itraconazole and Fluconazole  
  • Griseofulvin

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