• Published on: May 02, 2020
  • 1 minute read
  • By: Dr Vibhash Mishra

Corona, Cricket And Telemedicine

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Corona, cricket and telemedicine

As schoolboys, gossiping about cricket and cinema was our favorite pastime. Decades later when even our children are not school kids anymore, I must confess the nature of our pastime has not become any more serious. The COVID-19 lockdown has inadvertently provided a large chunk of humanity with a rare luxury. Otherwise who has the time in today’s world to stop and stay at home to catch a breath? So catching a breath is what one does these days. Call it reflection and introspection, if you will. 

R Ashwin is considered something of an intellectual in the sport of cricket. The other day I happened to come across an interview in which he says we take sport too seriously. That is the large scheme of things, there are other far more important matters. That sports should be seen in a wider perspective and given a place that is not out of proportion. 

That took me back by several years. To 1980 to be precise when India and England were playing the golden jubilee test. Bob Taylor was given out by the umpire but the Indian captain Gundappa Viswanath thought otherwise and insisted that he was recalled. The rest, as they say, is history. Now Viswanath himself was not an also-ran by any means. Not quite an intellectual like Ashwin, but a batting genius all the same and a giant of a human being. 

We can debate the relative value of intellectuals and good human beings to society but that is not the point of my musing, although, I do believe that the world needs several-fold more good human beings than intellectuals. 

Back to the point, I was closing in on. 
There were curses and kudos for Viswanath. In the midst of all that, the legendary commentator Jasdev Singh made a very poignant remark - Viswanath gave away the game but kept alive the spirit to promote which sporting events are organized in the first place. Now, what is this spirit that Jasdev was referring to? Fairness? Justice? Healthy competition? Honesty? Integrity? But then, are those, not the values the world should be guided by anyway? Would the world not do well to adopt those values in wider life? Would you still say we take sports too seriously? Just reflecting.

Meanwhile, you all stay in and be safe, the principles of which are well-known by now - social distancing and hand hygiene. And don’t ignore your other health issues. It may be months before normalcy is restored. Your medical condition can get worse in the interim. You may think I am encouraging you to visit a hospital and risk being turned down for lack of capacity or catching an infection. I am not. I am asking you to think of an alternative way of seeking medical help. Have you considered telemedicine? Online consultation with a specialist anywhere in the world? Have you heard of www.secondmedic.com? That’s where we are.

Dr. Vibhash Mishra
Chief Medical Officer Second Medic Inc

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caffeine

Health Problems Linked to Excessive Caffeine Intake: When Too Much Becomes Harmful

Caffeine is one of the most widely consumed stimulants in the world. Found in coffee, tea, energy drinks and many soft drinks, it is often used to improve alertness and combat fatigue. While moderate caffeine consumption can be safe for most people, understanding the health problems linked to excessive caffeine intake is important, especially as daily consumption levels continue to rise in India.

Urban lifestyles, long working hours and increased reliance on energy drinks have made caffeine overconsumption a growing public health concern.

 

How Caffeine Works in the Body

Caffeine stimulates the central nervous system by blocking adenosine, a chemical responsible for promoting sleep and relaxation.

This results in:

  • increased alertness

  • faster heart rate

  • heightened mental activity

However, overstimulation places stress on multiple body systems.

 

What Is Considered Excessive Caffeine Intake?

According to WHO and global health guidelines:

  • up to 400 mg per day is considered safe for most healthy adults

Excessive intake occurs when:

  • multiple caffeinated beverages are consumed daily

  • energy drinks are used frequently

  • caffeine is consumed late in the day

Many people unknowingly exceed safe limits.

 

Nervous System Overstimulation

Excess caffeine overstimulates the brain.

Common symptoms include:

  • restlessness

  • nervousness

  • tremors

  • irritability

Chronic overstimulation can worsen stress and reduce emotional stability.

 

Anxiety and Panic Symptoms

Caffeine increases adrenaline release.

This can:

  • trigger anxiety attacks

  • worsen panic disorder

  • increase feelings of unease

ICMR mental health studies note caffeine as a common trigger for anxiety symptoms in sensitive individuals.

 

Sleep Disruption and Insomnia

Sleep is one of the first systems affected.

Excessive caffeine:

  • delays sleep onset

  • reduces deep sleep

  • shortens total sleep duration

Even caffeine consumed 6–8 hours before bedtime can impair sleep quality.

 

Impact on Heart Health

High caffeine intake affects the cardiovascular system.

Possible effects include:

  • increased heart rate

  • palpitations

  • irregular heart rhythm

People with underlying heart conditions are particularly vulnerable.

 

Blood Pressure Elevation

Caffeine temporarily raises blood pressure.

Chronic excessive intake may:

  • worsen hypertension

  • increase cardiovascular risk

NFHS-5 data highlights rising hypertension prevalence in India, making caffeine moderation important.

 

Digestive System Problems

Caffeine stimulates stomach acid production.

This can cause:

  • acidity

  • heartburn

  • gastritis

  • bloating

People with sensitive digestion may experience symptoms even at lower doses.

 

Dependency and Withdrawal Symptoms

Regular high intake leads to caffeine dependence.

Withdrawal symptoms include:

  • headaches

  • fatigue

  • irritability

  • difficulty concentrating

Dependence reinforces overconsumption cycles.

 

Effect on Bone Health

Excessive caffeine:

  • increases calcium loss through urine

  • may affect bone density over time

This is particularly concerning for older adults and women.

 

Dehydration and Electrolyte Imbalance

Caffeine has a mild diuretic effect.

High intake without adequate hydration may lead to:

  • dehydration

  • muscle cramps

  • fatigue

Hot climates increase this risk.

 

Impact on Blood Sugar and Metabolism

Caffeine affects glucose metabolism.

Excessive intake:

  • worsens insulin sensitivity

  • increases stress hormone release

This may increase diabetes risk when combined with poor lifestyle habits.

 

Energy Drinks and Hidden Risks

Energy drinks often contain:

  • very high caffeine levels

  • added sugar

  • stimulants

Lancet reports associate energy drink overuse with heart rhythm disturbances and metabolic stress.

 

High-Risk Groups

Certain individuals should be especially cautious:

  • people with anxiety disorders

  • those with heart disease

  • pregnant women

  • individuals with sleep disorders

Safe limits may be lower for these groups.

 

Signs You May Be Consuming Too Much Caffeine

Warning signs include:

  • frequent palpitations

  • chronic insomnia

  • persistent anxiety

  • digestive discomfort

  • reliance on caffeine to function

These signals indicate the need for reduction.

 

How to Reduce Caffeine Intake Safely

Effective strategies include:

  • gradual reduction rather than abrupt stopping

  • switching to decaffeinated options

  • avoiding caffeine after mid-afternoon

  • improving sleep and nutrition

Small steps prevent withdrawal symptoms.

 

Healthier Alternatives for Energy

Better ways to improve energy include:

  • adequate sleep

  • balanced meals

  • hydration

  • regular physical activity

These support sustained energy without overstimulation.

 

Role of Preventive Health Awareness

Preventive healthcare focuses on:

  • identifying lifestyle triggers

  • reducing dependency habits

NITI Aayog highlights lifestyle modification as key to non-communicable disease prevention.

 

Long-Term Health Consequences of Ignoring Excess Intake

Chronic caffeine overuse increases risk of:

  • sleep disorders

  • anxiety and mood issues

  • heart rhythm problems

  • digestive disorders

These conditions often develop gradually.

Conclusion

The health problems linked to excessive caffeine intake extend beyond temporary jitters or sleep loss. Chronic overconsumption strains the nervous system, disrupts sleep, affects heart rhythm, worsens anxiety and impacts digestion and metabolism. While caffeine can be enjoyed safely in moderation, recognising personal limits and maintaining balance is essential for long-term health. Listening to early warning signs and adopting healthier energy habits can prevent serious health consequences.

 

References

  • World Health Organization (WHO) – Caffeine Intake and Health Guidelines

  • Indian Council of Medical Research (ICMR) – Nutrition and Mental Health Studies

  • National Family Health Survey (NFHS-5) – Hypertension and Lifestyle Risk Data

  • Lancet – Energy Drinks, Caffeine and Cardiovascular Effects

  • NITI Aayog – Preventive Health and Lifestyle Modification Reports

  • Statista – Caffeine Consumption Trends in India

See all

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