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Management of Anaphylactic reaction (Type 1 Hypersensitivity Reaction)

Posted Sept. 14, 2014

The Anaphylactic reaction may be seen in patient during or after taking the blood sample.

You may see this reaction due to trauma , pain or any unusual situation.

So every technician and ordinary man or women should know how to deal in such situation.

First try to know how these patients will have presentation, or sign and symptoms.

Patient will show :

  1. Nervousness.
  2. Itching of the skin.
  3. Feeling of confusion.
  4. Nausea, vomiting, and diarrhoea.
  5. Abdominal or back pain.
  6. There will be flushing, pallor or cyanosis.
  7. Urticaria.
  8. Laryngeal edema leads to stridor.
  9. Tachycardia.
  10. There is low blood pressure.
  11. Convulsions.
  12. Respiratory depression.
  13. Bronchospasm leads to asthmatic attack.


  1. Immediately perform the following measures.
  2. Stop taking the blood sample.
  3. Lie the patient flat and raise the legs.
  4. Maintain the airway.
  5. Call the doctor for the help.
  6. Give injection of anti histamine or decadron (hydrocortisone).
  7. Give oxygen if needed.
  8. Give cardiopulmonary resuscitation if needed.
  9. If patient does not improve then transfer the patient to hospital.

This article is written for even general public.This will be helpful to everybody.

Prof.Riaz Bhutta

Possible References Used

Breakfast and its Important facts

Posted Sept. 7, 2014

There are various theories about the importance of breakfast.Some of the school of thoughts believes in good heavy breakfast.

Some believes  that have breakfast like kings and have dinner like poor people.

I was working in TB hospital and our medical superintendent advised us on our first day to have good breakfast before coming to hospital.

His hypothesis was that morning breakfast improves immunity and protect from getting Tuberculosis.

Now there are conflicting reports for breakfast and one of the report is that desire to lose weight  is one of the most frequently cited reasons for skipping breakfast. But many observational studies have found that people who skip breakfast are more likely to be overweight.It is believed that people who skip breakfast missing  calories in the morning , eat more  at lunch or take more snakes all day.

DR. Krista Casazza, PhD, RD disagree and he believes that skipping breakfast does not influence the intake and calories. 

Cornell University researchers in Physiology & Behavior in 2013 found that college students ate about 145 calories more at lunch when they skip breakfast.

But if we consider that their breakfasts averaged about 625 calories, skipping it still resulted in a savings of about 450 calories by day’s end, according to the study

Clouds and their Beautiful Presentation

Posted Aug. 29, 2014

Nature presents in various ways and one of these are the clouds.I will like to show some of the beautiful patterns of clouds.

See the contrast of green ,white and blue colors.

There is contrast of black and white colors.

Whether you believe or not these are the clouds and not  mountain.

                                                                                                                           Clouds with black , blue and pink focus.

Dr Riaz Bhutta

Nature and Colors

Posted Aug. 28, 2014

The natural colors of the flowers are interesting and miracle of nature.

All these beautiful colors of the flowers influence our mood and even health by giving soothing effects to our mind.

People always admire the beautiful colors of flowers but rarely does anyone know the perfect science that goes into the color production of one of the earth’s greatest natural beauties. The reason a flower has color is the same reason a person may be born with brown or blond hair, possess blue or green eyes, dress in colorful clothing or make up of the ladies.

The color of flowers, such as the red in Roses  and yellow in marigolds, are found in pigments that are decided upon in the hereditary genome of the plant. Flower colors of red, pink, blue and purple come mainly from the pigments called , which are in Anthocyanins  the class of chemicals called Flavanoids, gives plants their color. Other pigments are carotenoids, found in tomatoes and carrots, that provide yellow, red and orange in the plastids. Chlorophyll is the most well known pigment, 

I am going to present you some of the beautiful colors of the flowers.

Enjoy the different colors of flowers . 

Dr.Riaz Bhutta

Cold Feet

Posted Aug. 26, 2014

This may be found in so many people.

In this condition usually there are cold toes or dorsum of the foot.

  • One of the cause may be poor circulation which is usually seen in the smokers.
  • Other cause may be hypertension or heart disease.
  • In diabetic patients may be  due to nerve damage (neuropathy).
  • Hypothyroidism or anemia. may lead to cold feet.           

This is important to consult the physicians and have complete work up, 

Marriages in Pakistan ,and Medical aspects

Posted Aug. 3, 2014

Pakistani marriages
In Pakistan mostly the the marriages are arranged marriages.This percentages is more than 80 %. Even sometime the couple see each other on their wedding.
For successful marriages there is need for the work up of both the couple.
I think and suggest that should be premarital screening of boy and girl.
The work up of boys includes :
1. Screening for viral markers like hepatitis B and C.
2. Screening for tuberculosis .
3. Must have semen analysis report .
4. Blood grouping .
The work up of girl includes :
1. Screening for hepatitis B and C .
2. Screening for tuberculosis .
3. Blood grouping .
4. Must have work up for fertility .
Even this work up may be mandatory by the law.This work up will decrease the number of failure of the marriages.
After Medical check up then both have counseling for marriage which will includes :
1. Boy should be asked for reason to marry. He should satisfy that he is mentally prepared for the marriage.
2. He should be asked how he will look after his wife . How he will fulfill the needs for marital life and his wife.
3.He should be advised to respect the parents and close relatives of wife.
3. Girl should have training how she is going to run the house.
4. Girl should have training to look after the kitchen .
5.She should be taught the importance of husband parents and his other close relations.
Post marital training of both husband and wife should be done and this traning will includes “how to look after the children”
This training is very important for the happy couple.This will consist of two phases.

  1. Phase one is from birth of baby to preschool period.
  2. Phase two is school period

.These both phases are also very important for the normal upbringing of the baby.
Prof.RiSaz Bhutta

Parents and Their Respect

Posted June 22, 2014

There are so many articles on the respect of the parents.
I received these lines some of my friend and I think these are worth reading and may guild you to look after the parents.
35 Ways to Respect your Parents

  1. Put away your phone in their presence
  2. Pay attention to what they are saying
  3. Accept their opinions
  4. Engage in their conversations
  5. Look at them with respect
  6. Always praise them
  7. Share good new with them
  8. Avoid sharing bad news with them
  9. Speak well of their friends and loved ones to them.
  10. Keep in remembrance the good things they did.
  11. If they repeat a story, listen like it’s the first time they tell it.
  12. Don’t bring up painful memories from the past
  13. Avoid side conversations in their presence.
  14. Sit respectfully around them
  15. Don’t belittle/criticize their opinions and thoughts
  16. Avoid cutting them off when they speak
  17. Respect their age
  18. Avoid hitting/disciplining their grandchildren around them
  19. Accept their advice and direction
  20. Give them the power of leadership when they are present
  21. Avoid raising your voice at them
  22. Avoid walking in front or ahead of them
  23. Avoid eating before them
  24. Avoid glaring at them
  25. Fill them with pride even when they don’t think they deserve it.
  26. Avoid putting your feet up in front of them or sitting with your back to them
  27. Don’t speak ill of them to the point where others speak ill of them too
  28. Keep them in your prayers whenever possible
  29. Avoid seeming bored or tired of them in their presence
  30. Avoid laughing at their faults/mistakes
  31. Do a task before they ask you to
  32. Continuously visit them
  33. Choose your words carefully when speaking with them
  34. Call them by names they like
  35. Make them your priority above anything
    • Parents are treasure on this land and sooner than you think, that treasure will be buried. Appreciate your parents while you still can (Rabbir Hamhuma Kama Rabbayanee Sagheera.
My Lord! Bestow on them YOUR Mercy as they did bring me up when I was young.([Al-Qur’an, Surah: Al-Isra; Ayat: 24).
  • Once a person came to Hazrat Mohammad (Piece be upon him) and told that he has took his mother for pilgrimage on his back for so many time and have compensated my mother what she did for me.The holly prophet said NO.You do not know when you urinated at night and the bed was wet. She put you in the dry area and she slept on the wet area. You have not even paid for that.
  • In Islam there are so many examples when Prophet Mohammad (Piece be upon him) gave the stress on the respect of parents.

Prof.Riaz Bhutta