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BRAIN TUMOR AND FATIGUE

INTRODUCTION

Fatigue is a common complaint among people who have been diagnosed and treated for different varieties of brain tumors. Unlike the usual physical and emotional sensations of “being tired” that a healthy person might experience, fatigue is a debilitating, persistent loss of energy that is not relieved or improved by sleep. This unusual, whole body weariness can have a profound effect on a person’s quality of life. Fatigue can vary in intensity from day to day, or at different times of the day. Its effects are unpredictable and may last for years following brain tumor treatment. Patients affected by fatigue describe overwhelming feelings of exhaustion that interfere with their ability to carry out daily activities. The purpose of this patient education guide is to provide an overview of brain tumors and fatigue, along with suggestions for coping techniques that can be used by individuals who are affected by this condition. As
with any health concern, please consult your physician………..


Why does fatigue develop?

A variety of medical conditions and other factors can cause fatigue, including anemia, side effects from medications, insomnia, depression, dehydration, poor nutrition, and chronic pain. For this reason, anyone
experiencing symptoms of fatigue should first have a thorough medical evaluation to identify possible
reasons for their symptoms, which might be unrelated to their brain tumor. Sometimes addressing other
medical issues can reduce or even eliminate fatigue.
Once other factors have been identified and possibly treated, it’s time to approach the effects of fatigue on
an individual basis. By learning about coping techniques for each specific symptom of fatigue and applying
them one at a time, the overall impact of fatigue might be lessened. Although fatigue can affect every
aspect of a person’s life, many of these effects may be improved by the use of coping techniques.

NUTRITION AND HYDRATION

Even for healthy people who are unaffected by brain tumor issues, getting adequate nutrition and staying
hydrated can be a challenge. For anyone with a chronic health concern -- including people diagnosed with
brain tumors -- this can be even more challenging.
Many people find it easier to meet their nutritional needs by planning five or six small meals throughout the
day, rather than eating larger amounts less often. Suggestions for healthy eating including utilizing all food
groups, with an emphasis on lean protein and complex carbohydrates, combined with small amounts of
healthy fats. By filling most of your plate with vegetables, and using the remaining space for protein and
whole grains, it’s easier to maintain a healthy nutritional balance. Many nutritionists emphasize choosing
fruits and vegetables in a rainbow of colors, to maximize the nutrients in your food choices. Incorporating
healthy snacks when needed can be another source of extra nutrition for people with diminished appetite.
For people affected by nausea (from chemotherapy, radiation or other causes), palatable meals and snacks
are especially important. Dietary choices like yogurt, milkshakes, dried fruit, whole grain muffins, pudding,
cut up vegetables and dip, fresh fruit or other well tolerated foods might be more easily consumed.
Ironically, sometimes an empty stomach can promote increased feelings of nausea. Keeping “portable”
snacks like cereal bars or peanut butter crackers available at all times can be especially helpful in these
circumstances.
Drinking enough water throughout the day is also important for many bodily functions. Many healthcare
professionals suggest drinking six to eight glasses (about two liters) of water daily. Choosing water as a
beverage with meals, while avoiding dehydrating beverages with caffeine (i.e., coffee, tea, cola drinks, etc.)
can help you consume adequate fluids. Keeping bottled water handy or taking breaks every half-hour or so
for a glass of water can also help prevent dehydration.


EXERCISE

To some people who are challenged by fatigue, the idea that exercise can be helpful seems impossible.
However, inactivity actually increases levels of fatigue. This can be seen during hospitalization or other
periods of prolonged bed rest when people lose physical conditioning. Talk to your medical team about
which types of gentle exercise might be useful for your individual circumstances. Many people find walking
easy to incorporate in their daily schedule. Others may choose yoga, Tai Chi, circuit training, fitness
classes, swimming or water exercise, bicycle riding or weight training. Even people with physical limitations
can find some way to incorporate exercise into their daily lives. Consulting with a physical therapist can be
helpful when factors like altered balance, weakness, or partial paralysis are involved.


SLEEP AND REST

Getting adequate sleep is an important part of managing fatigue. While daytime naps can be helpful as
well, it’s best to limit naps to 45-60 minutes daily so they do not reduce nighttime sleepiness. Going to bed
and waking up at the same time each day helps your body develop a regular sleep routine. Keeping your
bedroom at a comfortable temperature (neither too hot nor too cold) can also be helpful. Many sleep
professionals suggest limiting bedroom activities to sleep and sexual intimacy. This promotes a restful,
relaxed atmosphere in the bedroom, which can help prevent insomnia. Avoiding beverages containing
caffeine, and eliminating any mentally or physically stimulating activities before bedtime can also promote
restful sleep. Sometimes the effects of watching a suspenseful movie or exercising in the evening can
make it difficult to relax and fall asleep. Some people enjoy a hot bath or shower before bedtime, or a light
snack. If these or other choices make it easier for you to sleep soundly, then make them part of your nightly
routine. Talk to your doctor if you have difficulty falling asleep or sleeping through the night on a regular
basis. There may be other medical conditions involved, which might be managed with the use of
medications or certain adaptive techniques.

For more Details log on to the following websites:

www.brainsciencefoundation.org/matriarch/documents/bt_and_fatigue.pdf                                                          www.tbts.org/faqDetails.asp
www.virtualtrials.com/survivesusanh.cfm
www.abta.org/index.cfm?
www.lahey.org/Medical/BrainTumor/btFAQ.asp
www.nlm.nih.gov/medlineplus/braincancer.html

 

2. Hyperacidity:

Causes for Hyperacidity, Precaution, Yogic Treatment.....

In our body gastric juices help in digestion of food these are strong acidic juices are continuously been produced in stomach excited by the vagus (X th) nerve situated in the internal glands. Too much secretion of gastric juice is hazards. If this gastric juice of acid produced in extra proportions it harms internal wall of the stomach to a very great extent. When this happens there are ulcers found in the walls of the stomach. Thus hyperacidity and formation of ulcers are complementary to each other.

Generally a person having disease of hyperacidity suffers from pain in the stomach.

The common signs of this pain are burning sensation in the heart, vomiting sensation, nausea, feeling giddy and the actual vomits. If the illness is chronic and if the necessary treatment for the ailment is not taken there is a possibility of heamatemesis (vomits of blood). Normally in this disease pain is felt on the right side of heart and under the lower ribs. This pain starts slowly and gradually, sometimes after the food is taken.

Causes for Hyperacidity:

Gluttony and Wrong diet i.e. eating more fried items, more than necessary chilies, low or no consumption of fruits, salad, fibers in the food, milk and curd. Eating at odd hours, Eating without proper chewing, eating more slippery food.
Insufficient exercise or not exercising at all are the additional reasons responsible for bad digestion are also responsible for hyperacidity. Tobacco chewing smoking Certain foods or medications (alcohol, coffee, aspirin),
Mental ill-health, Over stimulation of the vagus (Xth) nerve (vagus nerve is a part of a para-sympathetic nerve).

Precaution

* Patient should take food 3 to 4 times in small proportions.

* eat peacefully chewing thoroughly. 

* little oil.  

* those patients who have a tendency to get hyperacidity, they should eat easily digestible and fibrous food, which is fully cooked and steamed.

* Avoid heavy food completely.

Yogic Treatment for Hyperacidity:

Vajra Asana

Yoga Mudra

Bhujanga Asana

Salabha Asana

Surya Namaskara

Bhastrika Pranayama

Shitali pranayama

Shitkari pranayama

Jallundhar Bandha

Shava Asana

Kunjal Kriya

Beside the above mentioned asana and pranayama practice of yoga nidra, concentration and meditation gives the best result.

It is a good practice to seat in Vajrasana from five, ten to fifteen minutes after meals. This strengthens digestive power so, flatulence and constipation doesn’t result. This completely removes the main cause for production of acids.

The process of digestion is performed properly and perfectly by pranayama.

Pranayama relaxes the organs in the belly. Adequate supply of blood reaches the organs. The control of breathing adds special capacity to the working efficiency of the internal secreting glands.

Shitali pranayama, Shitkari pranayama are capable of reducing the burning sensation caused by strong acid liberated in the stomach. Strong acid gets washed out in Kunjal kriya and we can save our self from getting ulcer.

Note:

If this Pranayama is practised before the sunrise it is more advantageous.

 

For more Details log on to the following websites:

www.theholisticcare.com/cure%20diseases/Hyperacidity.htm
www.yogaindailylife.blogspot.com/2007/01/yoga-for-acidity.html
http://yogaindailylife.blogspot.com/2007/03/tips-to-control-avoid-acidity.html
www.yogawiz.com/
www.yoga.com/forums/forums/thread-view.asp?

 

3. Sample Body Building Exercise Plan

Monday, Tuesday, Wednesday....................

Sample Body Building Exercise Plan

Monday
Cycle 5 min
Cross Trainer 5 min Fast Speed
Seated Rowing 4 Sets 8 Reps
Pully Push Down (lats) full stretch 6 Sets 10 - 8 - 6 - 6 - 6 - 6
Bench Press (Barbell) 4 Sets 8 Reps
Incline Press (Dum) 4 Sets 8 Reps
Toe Touching Crunches 3 sets 30-30-30

Tuesday
Over Head Dum Press 6 sets 10 - 8 - 6 - 6 - 6 - 6
Side Laterls 4 sets 8 Reps
Seated Leg Press (Squats) 4 sets 8 Reps
Cobra Stretch (Incline) 6 times holding for 30 sec in each rep
Forward Bending Pose 6 times holding for 30 sec in each rep
Leg Curls 4 Sets 8 Reps

Wednesday
Treadmill 10 min (Speed per Min: 5 7 8/e 7 12  9 6/e 9 9 5)
Pully Push Down (lats) 4 Sets 8 Reps
Triceps Extension (seated) 4 sets 8 Reps
Kick Back 2 sets 8 Reps
Preacher Curls 4 sets 8 Reps
Hammer Curls 2 sets 8 Reps
Side Leg Raises 2 Sets 20 each side
Leg Raises 2 Sets U.F.
V-Pose 16 Times 6 Sec. (holding)

Thursday
Rest Day Rest Day

Friday
Stretching Exrecise (PNF) 5 Min
Seated Rowing 4 Sets 8 Reps
Single Arm (lats) 2 Sets 8 Reps
Bench Press (Barbell) 4 Sets 8 Reps
Pullovers 2 Sets 8 Reps
Alt Dum. Curls (Seated) 2 Sets 8 Reps
Single Arm Triceps Extension 2 Sets 8 Reps
Crunches (leg on flat bench) 3 sets 30-30-30
Hyper Extension 2 sets 15 reps

Saturday
Treadmill 5 min Brisk Walk
Ab Chair bent Leg Lift 2 Sets U.F.
Side Leg Raises 2 sets 20-20
Cobra Stretch (Incline) 6 times holding for 30 sec in each rep
Forward Bending Pose 6 times holding for 30 sec in each rep
Over Head Dum Press 6 sets 10 - 8 - 6 - 6 - 6 - 6
Seated Leg Press (Squats) 4 sets 8 Reps
Standing Calf Raises 4 Sets 8 Reps
Wrist Curls (Forarm) 2 Sets 8 Reps


Thank you for Reading