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Boost your immunity and
 maintain good health
        Dr Falguni Parikh
    Consultant Internal Medicine
Immunity
• Capacity of the body to keep infections at
  bay
• Occasional breakdown of defense system
  leading to illness
• Age and immunity
  Biological
  Micronutrient malnutrition
•   Lifestyle diseases
•   Deficiency diseases
•   Infectious diseases
•   Age related diseases
    cataract,prostate,hearing
    disorders,cognitive decline
Prevention
• Non infectious diseases/lifestyle diseases
• Deficiency diseases
  Infectious diseases
Lifestyle and diseases
Lifestyle changes
Vitamin B12
•   Red blood cell production
•   Functioning of nervous system
•   Immune system
•   Memory and concentration
•   Deficiency very widespread
•   Specially amongst vegetarians
Manifestations of B12 deficiency
•   Weakness, tiredness
•   Irritability
•   Depression
•   Tingling and numbness in hands and feet
•   Palpitations and dizziness
Treatment
• Failure to treat can cause anemia,
  neuropathy and dementia
• Early recognition and prompt treatment
  has good prognosis
• Oral supplementation/intravenous
• Diet mainly non vegetarian like meat,
  poultry and dairy products
Folic acid
• Pre conception in all females
• Development of spine and brain of fetus
• Megaloblastic anemia
Vitamin D


• Helps in calcium absorption and
  maintenance of calcium-phosphorus
  balance
• Rickets and osteomalacia.
• Osteoporosis - increased fracture risk
• Bones and joints
• Deficiency co exists with many diseases
• Sunscreens prevent absorption
Vitamin D deficiency
•   Poor growth in children
•   Teeth deformities
•   Muscle aches and cramps
•   Bone pain
•   Spinal deformities and posture
    abnormalities
Management of vitamin D
            deficiency
• Oral vitamin D replacement or
  intramuscular injections
• Sunlight

  Food sources -
• Milk and milk products
• Codliver oil,eggs,fish
Iron deficiency
Clinical features of Iron Deficiency
Treatment of Iron Deficiency
Vitamin A
• Needed for healthy teeth, bones, skin and
  tissues
• Needed for good vision
• deficiency causes Night blindness
Vitamin C
•   For tissue wear and tear
•   Teeth,bones,cartilage
•   Antioxidant
•   Cancer,heart disease
•   Needs to be supplemented
•   Scurvy,bleeding gums,decreased
    immunity,joint pains
Vitamin E
• Free radical scavenger
• Protects from ill effects of free radicals on
  cells and tissues
• To be taken with doctors advice
Vitamin K
• Necessary for blood clotting
• Deficiency causes bleeding disorders
• Liver disease, drugs.
Preventing infections
Common infections
• Viral infections - influenza
• Pneumonia
• Mosquito borne diseases like
  Malaria, Dengue
• Food and water borne diseases like
  Typhoid fever and hepatitis
• Tuberculosis
• Prevention by vaccines
Prevention is the key
• Regular physician visits
• Evaluation of baseline data- Age ,risk
  factors, BP monitoring,sugar,lipid profile
• Lifestyle changes
• Vaccines
• Medications
Thank you

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Deficiency disorders

  • 1. Boost your immunity and maintain good health Dr Falguni Parikh Consultant Internal Medicine
  • 2. Immunity • Capacity of the body to keep infections at bay • Occasional breakdown of defense system leading to illness • Age and immunity Biological Micronutrient malnutrition
  • 3. Lifestyle diseases • Deficiency diseases • Infectious diseases • Age related diseases cataract,prostate,hearing disorders,cognitive decline
  • 4. Prevention • Non infectious diseases/lifestyle diseases • Deficiency diseases Infectious diseases
  • 7.
  • 8. Vitamin B12 • Red blood cell production • Functioning of nervous system • Immune system • Memory and concentration • Deficiency very widespread • Specially amongst vegetarians
  • 9. Manifestations of B12 deficiency • Weakness, tiredness • Irritability • Depression • Tingling and numbness in hands and feet • Palpitations and dizziness
  • 10. Treatment • Failure to treat can cause anemia, neuropathy and dementia • Early recognition and prompt treatment has good prognosis • Oral supplementation/intravenous • Diet mainly non vegetarian like meat, poultry and dairy products
  • 11. Folic acid • Pre conception in all females • Development of spine and brain of fetus • Megaloblastic anemia
  • 12. Vitamin D • Helps in calcium absorption and maintenance of calcium-phosphorus balance • Rickets and osteomalacia. • Osteoporosis - increased fracture risk • Bones and joints • Deficiency co exists with many diseases • Sunscreens prevent absorption
  • 13. Vitamin D deficiency • Poor growth in children • Teeth deformities • Muscle aches and cramps • Bone pain • Spinal deformities and posture abnormalities
  • 14. Management of vitamin D deficiency • Oral vitamin D replacement or intramuscular injections • Sunlight Food sources - • Milk and milk products • Codliver oil,eggs,fish
  • 16. Clinical features of Iron Deficiency
  • 17. Treatment of Iron Deficiency
  • 18. Vitamin A • Needed for healthy teeth, bones, skin and tissues • Needed for good vision • deficiency causes Night blindness
  • 19. Vitamin C • For tissue wear and tear • Teeth,bones,cartilage • Antioxidant • Cancer,heart disease • Needs to be supplemented • Scurvy,bleeding gums,decreased immunity,joint pains
  • 20. Vitamin E • Free radical scavenger • Protects from ill effects of free radicals on cells and tissues • To be taken with doctors advice
  • 21. Vitamin K • Necessary for blood clotting • Deficiency causes bleeding disorders • Liver disease, drugs.
  • 23. Common infections • Viral infections - influenza • Pneumonia • Mosquito borne diseases like Malaria, Dengue • Food and water borne diseases like Typhoid fever and hepatitis • Tuberculosis • Prevention by vaccines
  • 24.
  • 25. Prevention is the key • Regular physician visits • Evaluation of baseline data- Age ,risk factors, BP monitoring,sugar,lipid profile • Lifestyle changes • Vaccines • Medications