Posts Tagged ‘symptoms’

I Can Feel it in My Bones: The Ins and Outs of Arthritis

Monday, December 7th, 2009

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Hand on a shoulder“I think it’s going to snow, I can feel it in my bones.” Predictions like this are all too common from arthritis sufferers as the cold winter months settle upon us. Many people who suffer from arthritis believe that they can predict the weather with the increased pain that they might feel during cold, snowy and rainy weather. What would normally be an arthritic stiff joint or dull ache can easily become a shooting pain during the winter months.

Over 43 million Americans, or one in six people, deal with the pain associated with arthritis. It is a common condition with pain that can often become unbearable during the winter. In this winter-edition blog I have provided some information on the most common types of arthritis, warning signs, treatments, and how to deal with weather-induced aches and pains.

According to the National Institute on Aging, arthritis is the most common cause of disability in the United States, limiting the activities of nearly 19 million adults. There are many kinds of arthritis, each with different symptoms and treatments. Most types of arthritis are chronic however, meaning that they can go on for a long period of time. Below are the most common types of arthritis.

Osteoarthritis (OA) is the most common type of arthritis in older people. OA starts when cartilage that pads bones in a joint begins to wear away. When the cartilage has worn away, your bones rub against each other. OA most often happens in the hands, neck, lower back, or the large weight-bearing joints of your body, such as knees and hips.

OA symptoms range from stiffness and mild pain that comes and goes to pain that doesn’t stop, even when you are resting or sleeping. Sometimes OA causes your joints to feel stiff after you haven’t moved them for awhile, like after riding in the car. The stiffness goes away when you move the joint. Over time, OA can make it hard to move your joints. It can cause a disability if your back, knees, or hips are affected.

Why do you get OA? Growing older is what most often puts you at risk for OA, possibly because your joints and the cartilage around them become less able to recover from stress and damage. Also, OA in the hands may run in families. Or, OA in the knees can be linked with being overweight. Injuries or overuse may cause OA in joints such as knees, hips, or hands.

Rheumatoid arthritis (RA) is an autoimmune disease, a type of illness that makes your body attack itself. RA causes pain, swelling, and stiffness that lasts for hours. RA can happen in many different joints at the same time. People with RA often feel tired or run a fever. RA is more common in women than men.

RA can damage almost any joint. It often happens in the same joint on both sides of your body. RA can also cause problems with your heart, muscles, blood vessels, nervous system, and eyes.

Gout is one of the most painful kinds of arthritis. It most often happens in the big toe, but other joints can also be affected. Swelling may cause the skin to pull tightly around the joint and make the area red or purple and very tender.

Eating foods rich in purines like liver, dried beans, peas, anchovies, or gravy can lead to a gout attack. Using alcohol, being overweight, and taking certain medications may make gout worse. In older people, some blood pressure medicines can also increase the chance of a gout attack. To decide if you have gout, your doctor might do blood tests and x-rays.

Here are some warning signs that you might have one of these types of arthritis:

  • Ongoing joint pain
  • Joint swelling
  • Joint stiffness
  • Tenderness or pain when touching a joint
  • Problems using or moving a joint normally
  • Warmth and redness in a joint

If any one of these symptoms lasts more than 2 weeks, see a doctor.
Properly treating any of these common forms of arthritis includes getting enough rest, doing the right exercise, eating a healthy, well-balanced diet, and learning the right way to use and protect your joints are keys to living with any kind of arthritis. The right shoes and a cane can help with pain in the feet, knees, and hips when walking. There are also gadgets to help you open jars and bottles or to turn the doorknobs in your house.

Some medicines may also help with pain and swelling. Acetaminophen might ease arthritis pain. Some people find NSAIDs (nonsteroidal anti-inflammatory drugs), like ibuprofen, naproxen, and ketoprofen, helpful. Some NSAIDs are sold without a prescription, while others must be prescribed by a doctor.

Along with taking the right medicine and properly resting your joints, exercise might help with arthritis symptoms. Daily exercise, such as walking or swimming, helps keep joints moving, lessens pain, and makes muscles around the joints stronger.

Three types of exercise are best if you have arthritis:

Range-of-motion exercises, like dancing, might relieve stiffness, keep you flexible, and help you keep moving your joints.

Strengthening exercises, such as weight training, will keep or add to muscle strength. Strong muscles support and protect your joints.

Aerobic or endurance exercises, like bicycle riding, make your heart and arteries healthier, help prevent weight gain, and also may lessen swelling in some joints.

Along with exercise and weight control, there are other ways to ease the pain around joints. You might find comfort by using a heating pad or a cold pack, soaking in a warm bath, or swimming in a heated pool.
Your doctor may suggest surgery when damage to your joints becomes disabling or when other treatments do not help with pain. Surgeons can repair or replace some joints with artificial (man-made) ones.

If you suffer from weather-induced arthritis there are several measures that can be taken. According to health.gmnews.com winter is a time when we not only catch colds and flu but also when chronic ailments are exacerbated by the cold, wind and damp. People with arthritis may experience their condition worsening in the winter months with even achier bones and joints. The cold and snow associated with winter can cause tendons, ligaments and muscles surrounding joints to contract and cavities in joints can also be affected by atmospheric pressure.

Although weather can affect arthritis, weather does not cause arthritis. No matter the cause, those painful joints can be the result. It is advised that arthritis sufferers wrap up affected areas very well if braving the elements and pay particular attention to extremities by wearing warm socks and gloves and try to maintain good circulation by moving around more.

It is also suggested that people with weather-induced arthritis keep warm, avoid the strains of activities of activities like shoveling snow, and to be careful on slippery surfaces to avoid injuries.

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Slumber Setbacks: Sleep Disorder Problems

Wednesday, August 19th, 2009

sleep image 3Sleep disorder problems haunt a vast number of people nightly. Chronic sleep disorders can be the result of a specific event or health condition, or they can surface for no apparent reason. But we all know that when we’re not sleeping well, just a few rough days can trigger a downward spiral.

It’s important to look at both the quantity and the quality of sleep to detect a problem. As found on health.com when it comes to sleep quality, problems aren’t always obvious to the people who suffer from them. An insomniac who lies awake at night can easily tell that something is wrong, but someone with sleep apnea who repeatedly stops breathing in his sleep might have no idea there’s a problem.

The most significant sign of a sleeping disorder is how you feel during the day. If you generally wake up alert and refreshed, you’re a healthy sleeper. If you chronically wake up sleepy, irritable, and unfocused and stay that way throughout the day, you may have a sleep disorder.

“No matter what is bothering you, whether its difficulty falling asleep, staying asleep, snoring, restless legs, fatigue and exhaustion during the day these conditions are not normal; they’re not just something you should have to live with,” says Gary Zammit, PhD, director of the Sleep Disorders Institute in New York City. “You don’t have to wait until a sleep disorder destroys your life before you get help.”

Here are a few questions to ask yourself to determine if you may have a sleep disorder problem:

• Am I experiencing performance or concentration problems during the day?
• Have my mood and social capabilities suffered?
• Do I feel refreshed and rested most mornings, or am I fatigued and not looking forward to starting the day?

Below is a list of some of the more common sleep disorders and symptoms associated with each according to health.com.

Insomnia
The medical term for difficulty falling asleep or staying asleep is insomnia. Insomnia can include:
• Difficulty getting to sleep (taking more than 45 minutes to fall asleep).
• Frequent awakenings with inability to fall back to sleep.
• Early morning awakening.
• Feeling very tired after a night of sleep.

But insomnia usually is not a problem unless it makes you feel tired during the day. If you are less sleepy at night or wake up early but still feel rested and alert, there usually is little need to worry. Fortunately, home treatment measures successfully relieve occasional insomnia.

Occasional insomnia may be caused by noise, extreme temperatures, jet lag, changes in your sleep environment, or a change in your sleep pattern, such as shift work. Insomnia may also be caused by temporary or situational life stresses, such as a traumatic event or an impending deadline. Your insomnia is likely to disappear when the cause of your sleep problem goes away.

• Short-term insomnia may last from a few nights to a few weeks and be caused by worry over a stressful situation or by jet lag.

• Long-term insomnia, which may last months or even years, may be caused by:

  • Advancing age. Insomnia occurs more frequently in adults older than  age 60.
  • Mental health problems, such as anxiety, depression, or mania.
  • Medicines. Many prescription and nonprescription medicines can cause sleep problems.
  • Chronic pain, which often develops after a major injury or illness, such as shingles or back problems, or after a limb has been amputated (phantom limb pain).
  • Other physical problems, such as asthma, coronary artery disease, or chronic obstructive pulmonary disease (COPD).
  • Alcohol and illegal drug use or withdrawal.
  • Cigarettes and other tobacco use.
  • Drinking or eating foods that contain caffeine, such as coffee, tea, chocolate, or soft drinks (for example, Coke, Pepsi, or Mountain Dew).

Sleep apnea
Sleep apnea is one of several sleep disorders. Sleep apnea refers to repeated episodes of not breathing during sleep for at least 10 seconds (apneic episodes). It usually is caused by a blockage in the nose, mouth, or throat (upper airways). When airflow through the nose and mouth is blocked, breathing may stop for 10 seconds or longer. People who have sleep apnea usually snore loudly and are very tired during the day. It can affect children and adults. See pictures of a normal upper airway during sleep and a blocked upper airway.

sleep image 2Narcolepsy
Narcolepsy is a sleep disorder that has distinct symptoms, including:
• Sudden sleep attacks, which may occur during any type of activity at any time of day. You may fall asleep while engaged in an activity such as eating dinner, driving the car, or carrying on a conversation. These sleep attacks can occur several times a day and may last from a few minutes to several hours.
• Sudden, brief periods of muscle weakness while you are awake (cataplexy). This weakness may affect specific muscle groups or may affect the entire body. Cataplexy is often brought on by strong emotional reactions, such as laughing or crying.
• Hallucinations just before a sleep attack.
• Brief loss of the ability to move when you are falling asleep or just waking up (sleep paralysis).

Parasomnias
Parasomnias are undesirable physical activities that occur during sleep involving skeletal muscle activity, nervous system changes, or both. Night terrors and sleepwalking are two types of parasomnias. Sleep can be difficult for people who experience parasomnias. While “asleep,” a person with parasomnia may walk, scream, rearrange furniture, eat odd foods, or pick up a weapon.

Parasomnia can cause odd, distressing, and sometimes dangerous nighttime activities. These disorders have medically explainable causes and usually are treatable.

Restless legs syndrome
Restless legs syndrome (RLS) is a condition that produces an intense feeling of discomfort, aching, or twitching deep inside the legs. Jerking movements may affect the toes, ankles, knees, and hips. Moving the legs or walking around usually relieves the discomfort for a short time.

The exact cause of restless legs syndrome is not known. The symptoms of restless legs syndrome most often occur while a person is asleep or is trying to fall asleep. The twitching or jerking leg movements may wake the person up, causing insomnia, unrestful sleep, and daytime sleepiness.

When a sleep problem or lack of time keeps you from getting a good night’s sleep, excessive daytime sleepiness may occur. While almost everyone experiences daytime sleepiness from time to time, it can have serious consequences such as motor vehicle accidents, poor work or school performance, and work-related accidents.
Sleep problems can also be a symptom of a medical or mental health problem. It is important to consider whether a medical or mental health problem is causing you to sleep poorly. Treating a long-term sleep problem without looking for the root cause may conceal the real reason for your inadequate sleep.

Visit your doctor if you suspect any type of sleep disorder problem. Besides disrupting your schedule, they may carry serious long-term health risks including depression, substance abuse, high blood pressure, and heart disease. With lifestyle changes, therapy, or medications, sleep disorders are largely manageable. The right treatment can largely enrich your days and your nights.

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Swine Flu Overview: Details about the H1N1 Virus and What it Means to Your Health

Monday, August 17th, 2009

H1N1 image 1We’ve all been following the progression of the H1N1 virus since it first appeared on the world’s health scene last spring. With school’s re-opening their doors after summer vacation it’s important to re-educate ourselves on the H1N1 virus and what it means to you and your family’s health.

According to the Centers for Disease Control and Prevention website, H1N1 is a new influenza virus causing illness in people throughout the globe. The new virus was first detected in the United States in April 2009. It spreads from person-to-person in much the same way that regular seasonal influenza viruses spread. On June 11, 2009, the World Health Organization signaled that a pandemic of novel H1N1 flu was underway.

Is H1N1 Contagious and How Does it Spread?
H1N1 is contagious and spreads from human to human the same way that seasonal flu spreads. Flu is spread through coughing and sneezing. People may also become infected by touching something such as a surface or object that has the flu virus on it and then touching their mouth or nose. People infected with seasonal and novel H1N1 may be able to infect others from 1 day before getting sick to 5 to 7 days after.

It’s important to note the signs and symptoms associated with H1N1 virus. Symptoms include fever, cough, sore throat, runny or stuffy nose, body aches, headache, chills, and fatigue. Some have also reported diarrhea and vomiting. Most people who have become ill with this new virus in the United States have recovered without requiring medical treatment. However, as with any illness effects have ranged from mild to severe.

How Does H1N1 Differ From Seasonal Flu?
Seasonal flu most commonly affects people 65 years of age and older, children younger than five years old, pregnant women, and people of any age with chronic medical conditions. Seasonal flu can cause mild to severe illness with an average of 36,000 fatalities from flu-related complications in the United States and more the 200,000 hospitalizations from flu-related causes. Of those hospitalized, 20,000 are children younger than 5 years of age. Over 90% of deaths and 60% of hospitalization occur in people older than 65.

On the other hand with H1N1 virus, CDC research shows that H1N1 flu has caused greater disease burden in people younger than 25 years of age than older people. At this time, there are few cases and few deaths reported in people older than 64 years old, which is unusual when compared with seasonal flu. Laboratory studies have shown that children and adults younger than 60 years old do not have existing antibody to the virus and about one third of adults older than 60 have antibodies against the virus.

However, pregnancy and other previously recognized high risk medical conditions from seasonal influenza appear to be associated with increased risk of complications from H1N1. These underlying conditions include asthma, diabetes, suppressed immune systems, heart disease, kidney disease, neurocognitive and neuromuscular disorders and pregnancy.

Prevention and Treatment
There is no vaccine available right now to protect against the H1N1 virus, however, there is a vaccine that is currently in production and may be ready for the public sometime in the fall. But there are a few everyday actions that can help to prevent the spread of germs that cause illnesses like influenza. Here’s a few actions that the CDC recommends you take to ward H1N1 from you and your family:
H1N1 image 2
• Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash after you use it.
• Wash your hands often with soap and water, especially after you cough or sneeze. CDC recommends that when you wash your hands, wash with soap and warm water for 15 to 20 seconds. When soap and water are not available, alcohol-based disposable hand wipes or gel sanitizers may be used.
• Avoid touching your eyes, nose or mouth. Germs spread this way.
• Try to avoid close contact with sick people.
• If you are sick with flu-like illness, CDC recommends that you stay home for at least 24 hours after your fever is gone, except to get medical care or for other necessities. (Your fever should be gone without the use of a fever-reducing medicine.) Keep away from others as much as possible to keep from making others sick.
• Follow public health advice regarding school closures, avoiding crowds and other social distancing measures.
• Be prepared in case you get sick and need to stay home for a week or so; a supply of over-the-counter medicines, alcohol-based hand rubs, tissues and other related items might could be useful and help avoid the need to make trips out in public while you are sick and contagious.

What Should I do if I get Sick?
If you become ill with flu-like symptoms, including fever, body aches, runny or stuffy nose, sore throat, nausea, or vomiting or diarrhea, you should stay home and avoid contact with other people. CDC recommends that you stay home for at least 24 hours after your fever is gone. Data collected during spring 2009 found that most people with the H1N1 influenza virus who were not hospitalized had a fever that lasted 2 to 4 days; this would require an exclusion period of 3 to 5 days in most cases. Those with more severe illness are likely to have a fever for longer periods of time.

If you acquire the virus, stay away from others as much as possible to keep from making others sick. Keeping people with a fever at home may reduce the number of people who get infected, since elevated temperature is associated with increased contagiousness of influenza virus.

Many people with flu viruses are contagious until 24 hours after their fevers go away, but at lower levels than during their fever. Shedding of influenza virus can be detected for 10 days or more in some cases. Therefore, when people who have had influenza-like illness return to work, school, or other community settings they should continue to practice good respiratory etiquette and hand hygiene and avoid close contact with people they know to be at increased risk of influenza-related complications. Because some people may shed influenza virus before they feel ill, and because some people with influenza will not have a fever, it is important that all people cover their cough and wash hands at all times.

If you feel any of the symptoms described above, contact your health care provider or seek medical care. Your health care provider will determine whether flu testing or treatment is needed.
If you become ill and experience any of the following warning signs, seek emergency medical care.

In children, emergency warning signs that need urgent medical attention include:
• Fast breathing or trouble breathing
• Bluish or gray skin color
• Not drinking enough fluids
• Severe or persistent vomiting
• Not waking up or not interacting
• Being so irritable that the child does not want to be held
• Flu-like symptoms improve but then return with fever and worse cough

In adults, emergency warning signs that need urgent medical attention include:
• Difficulty breathing or shortness of breath
• Pain or pressure in the chest or abdomen
• Sudden dizziness
• Confusion
• Severe or persistent vomiting
• Flu-like symptoms improve but then return with fever and worse cough

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