Tuesday, July 12, 2011

What is the cause of hyperhidrosis?

Although neurologic, metabolic, and other systemic diseases can sometimes cause excessive sweating, most cases occur in people who are otherwise healthy. Heat and emotions may trigger hyperhidrosis in some, but many who suffer from hyperhidrosis sweat nearly all the time, regardless of their mood or the weather.

What is the treatment for hyperhidrosis?

Through a systematic evaluation of causes and triggers of excessive sweating, followed by a judicious, stepwise approach to treatment, many people with this annoying disorder can achieve good results and improved quality of life.
The approach to treating hyperhidrosis generally proceeds as follows:
  • Over-the-counter antiperspirants: Home remedies like these are usually tried first because they are readily available. Antiperspirants containing aluminum chloride (for example, Certain-Dri) may be more effective when other antiperspirants have failed. So-called "natural" antiperspirants are often not very helpful.

Hyperhidrosis

Hyperhidrosis is a medical condition in which a person sweats excessively and unpredictably. People with hyperhidrosis may sweat even when the temperature is cool or when they are at rest.

Causes

Sweating helps the body stay cool. In most cases, it is perfectly natural. People sweat more in warm temperatures, when they exercise, or in response to situations that make them nervous, angry, embarrassed, or afraid.

Exams and Tests

Visible signs of sweating may be noted during a doctor's visit. A number of tests may also be used to diagnose excessive sweating. Tests include:
Tests include:
  • Starch-iodine test. An iodine solution is applied to the sweaty area. After it dries, starch is sprinkled on the area. The starch-iodine combination turns a dark blue color wherever there is excess sweat.
  • Paper test. Special paper is placed on the affected area to absorb the sweat, and then weighed. The heavier it weights, the more sweat has accumulated.
You may be also be asked details about your sweating, such as:
  • Location
    • Does it occur your face, palms, or armpits, or all over the body?
  • Time pattern
    • Does it occur at night?
    • Did it begin suddenly?
  • Triggers
    • Does the sweating occur when you are reminded of something that upset you (such as traumatic event)?
  • What other symptoms do you have, for example:
    • Weight loss
    • Pounding heartbeat
    • Cold or clammy hands
    • Fever
    • Lack of appetite

Hyperhidrosis Treatment:

Important facts about Hyperhidrosis:
  • Hyperhidrosis affects between 1 and 2% of the worlds population.
  • In certain geographic regions the percentage appears to be more than 2% (Taiwan, Philipines, etc).
  • There is no known difference in those who are affected with regard to race or gender.
  • Family genetic history is believed to play a major role in hyperhidrosis.
  • The most common areas of localized hyperhidrosis are the hands, feet and armpits.
  • Hyperhidrosis can negatively affect people both socially and functionally in their daily lives.
  • Those suffering from excessive sweating for whom conservative treatments have failed there are now new outpatient surgical procedures available to end hyperhidrosis.
  • Historically doctors have underestimated and or misunderstood the significant impact hyperhidrosis has on patient's lives.
  • Continual advancements are being made in instrumentation and techniques.
  • Conservative treatments have limited success rates.
  • There are now unique and highly effective surgical treatments for each type of sweating (hands, feet and armpits)
Hyperhidrosis Treatments:
The wish to control excessive sweating with simple means such as pills, lotions, etc is very old. Doctors have tried to treat excessive sweating with pills, lotions, deodorants, electric devices, acupuncture, bio-feedback. The success rate with these treatment for severe cases of excessive sweating is extremely limited. Surgical treatments were available for the last 50 to 60 years. Obviously the initial surgical approaches were quite invasive and had complications. Since the development of optical surgical equipment, endoscopic surgeries became the yardstick for different procedures. Sympathectomy can be done now on an outpatient basis. There are minimal small incisions and the patient can return to normal activity in a short amount of time. Dr. Reisfeld has been a world leader in the development of endoscopic thoracic sympathectomy and now lumbar sympathectomy.

Hyperhidrosis - What Is It?

Stop Sweating and Start Living - Mike Ramsey
Hyperhidrosis affects millions of people around the world – nearly 3% of the population according to some studies. So what’s new you might ask. Well this is no ordinary sweat problem; we are discussing a scenario in which your hands feet or underarms are damp sticky or even drenched with sweat from morning to night through to the next morning. In other words you are sweating excessively at all times in different external conditions.
If you display these symptoms it is probably time to read up on hyperhidrosis (excessive sweating). In simple terms hyperhidrosis is a medical disorder characterized by excessive sweating. This kind of excessive sweating typically occurs either on your palms in your underarms (axillary hyperhidrosis) on your face (facial hyperhidrosis) or in your feet (plantar hyperhidrosis).

hyperhidrosis

Hyperhidrosis or excessive sweating is a common disorder affecting many people. Palmar hyperhidrosis or sweaty palms is the most common form of hyperhidrosis, causing excessive sweating of the hands.
Hyperhidrosis can also cause excessive foot, underarm and facial sweating. It is thought that hyperhidrosis is a result of over activity of the sympathetic nervous system.
Sweating is often uncontrollable, embarrassing and not anticipated . Normal sweating is needed for thermal regulation however in people suffering from hyperhidrosis, sweating exceeds the bodys need for physiological thermal regulation.
Hyperhidrosis is an inherited problem that has been seen in almost every ethnic group. People don’t get used to living with hyperhidrosis but they continue to suffer throughout their lives from it.
Hyperhidrosis can have severe physiological consequences such as cold and clammy hands, dehydration, and skin infections secondary to maceration of the skin. Hyperhidrosis can also have devastating emotional effects on one’s individual life.
Affected people are constantly aware of their condition and try to modify their lifestyle to accommodate this problem. This can be disabling in professional, academic and social life, causing daily embarrassments. Many routine tasks become impossible chores, which can psychologically drain these individuals on a constant basis.

Monday, June 27, 2011

graves disease

Graves ' disease is an autoimmune disease where the thyroid is overactive, producing an excessive amount of thyroid hormones (a serious metabolic imbalance known as hyperthyroidism and thyrotoxicosis). This is caused by autoantibodies (TSHR-Ab) that activate the TSH-receptor (TSHR), thereby stimulating thyroid hormone synthesis and secretion, and thyroid growth (causing a diffusely enlarged goiter). The resulting state of hyperthyroidism can cause a dramatic constellation of neuropsychological and physical signs and symptoms.
Diagnosis is usually made on the basis of symptoms, although thyroid hormone tests may be useful. However, Graves’ thyrotoxicosis often gradually affects the life of the patients, usually for many months, but sometimes years, prior to the diagnosis. This is partially because symptoms can develop so insidiously that they go unnoticed; when they do get reported, they are often confused with other health problems. Thus, diagnosing thyroid disease clinically can be challenging. Nevertheless, patients can experience a wide range of symptoms and suffer major impairment in most areas of health-related quality of life

Saturday, June 25, 2011

Symptoms of Scarlet Fever



scarletfever_illustration

The rash is the most striking sign of scarlet fever. It usually begins looking like a bad sunburn with tiny bumps and it may itch. The rash usually appears first on the neck and face, often leaving a clear unaffected area around the mouth. It spreads to the chest and back, then to the rest of the body. In body creases, especially around the underarms and elbows, the rash forms classic red streaks. Areas of rash usually turn white when you press on them. By the sixth day of the infection the rash usually fades, but the affected skin may begin to peel.
Aside from the rash, there are usually other symptoms that help to confirm a diagnosis of scarlet fever, including a reddened sore throat, a fever above 101° Fahrenheit (38.3° Celsius), and swollen glands in the neck. The tonsils and back of the throat may be covered with a whitish coat
ing, or appear red, swollen, and dotted with whitish or yellowish specks of pus. Early in the infection, the tongue may have a whitish or yellowish coating. A child with scarlet fever also may have chills, body aches, nausea, vomiting, and loss of appetite.
When scarlet fever occurs because of a throat infection, the fever typically stops within 3 to 5 days, and the sore throat passes soon afterward. The scarlet fever rash usually fades on the sixth day after sore throat symptoms began, but skin that was covered by rash may begin to peel. This peeling may last 10 days. With antibiotic treatment, the infection itself is usually cured with a 10-day course of antibiotics, but it may take a few weeks for tonsils and swollen glands to return to normal.

Scarlet fever

Scarlet fever is a disease caused by exotoxin released by Streptococcus pyogenes.Once a major cause of death, it is now effectively treated with antibiotics. The term scarlatina may be used interchangeably with scarlet fever, though it is commonly used to indicate the less acute form of scarlet fever that is often seen since the beginning of the twentieth century.
It is characterized by:
  • is fine, red, and rough-textured; it blanches upon pressure.
  • appears 12–48 hours after the fever.
  • generally starts on the chest, armpits, and behind the ears.
  • spares the face (although some circumoral pallor is characteristic).
  • is worse in the skin folds. These Pastia lines (where the rash runs together in the armpits and groin) appear and can persist after the rash is gone.
  • may spread to cover the uvula.
The rash begins to fade three to four days after onset and desquamation(peeling) begins. "This phase begins with flakes peeling from the face. Peeling from the palms and around the fingers occurs about a week later." Peeling also occurs in axilla, groin, and tips of the fingers and toes

Fenugreek

fenugreek illustration

Fenugreek is a native to India and southern Europe. For centuries it has grown wild in India, the Mediterranean and North Africa. where it is mainly cultivated. A limited crop grows in France. It was used by the ancient Egyptians to combat fever and grown in classical times as cattle fodder. Commercially, it is used in the preparation of mango chutneys and as a base for imitation maple syrup. In India it is used medicinally, and as a yellow dyestuff. It is also an oriental cattle fodder and is planted as a soil renovator. In the West, fenugreek’s therapeutic use is now largely confined to the treatment of animals, though historically. it has been used in human medicine. The name derives from the Latin ‘Greek hay” illustrating its classical use as fodder.
Preparation and Storage
Dried seeds should be lightly roasted before using (don’t overdo it though, or they will become bitter). After roasting, they are easily ground. A small amount will complement many other spices, but too much can be overpowering. If the seeds are required as part of a curry paste they can be soaked overnight to swell and soften, and be easily mixed with the other ingredients.

Culinary Uses
The major use of fenugreek is in curry powders, figuring in many mixtures, especially vindaloo and the hot curries of Sri Lanka. It is an ingredient of Panch phoron, the Indian five-spice mixture. In home-made powders, the amount used can be controlled, but in cheap bought powders it often overpowers. When fish is curried, particularly strong-tasting fish such as tuna and mackerel, fenugreek is frequently included in the spice mixture. Many chutneys and pickles incorporate it and it gives a tangy aroma to vegetables. The leaves, both fresh and dried, are used in meat curries, dhal and vegetable dishes and chutneys. The seeds are an ingredient of the Middle Eastern confection halva. Flour mixed with ground fenugreek makes a spicy bread. In India the roasted ground seeds are infused for a coffee substitute or adulterant. A tea can be made by infusing teaspoon of seed with two cups of water for five minutes.

Attributed Medicinal Properties
Fenugreek is a digestive aid. As an emollient it is used in poultices for boils, cysts and other complaints. Reducing the sugar level of the blood, it is used in diabetes in conjunction with insulin. It also lowers blood pressure. Fenugreek relieves congestion, reduces inflammation and fights infection. Fenugreek contains natural expectorant properties ideal for treating sinus and lung congestion, and loosens & removes excess mucus and phlegm. Fenugreek is also an excellent source of selenium, an anti-radiant which helps the body utilize oxygen. Fenugreek is a natural source of iron, silicon, sodium and thiamine. Fenugreek contains mucilagins which are known for soothing and relaxing inflamed tissues. Fenugreek stimulates the production of mucosal fluids helping remove allergens and toxins from the respiratory tract. Acting as an expectorant, Fenugreek alleviates coughing, stimulates perspiration to reduce fevers, and is beneficial for treating allergies, bronchitis and congestion. In the East, beverages are made from the seed to ease stomach trouble. The chemical make-up is curiously similar to cod liver oil, for which a decoction of the seed is sometimes used as a substitute. Many other properties are ascribed to it in India and the East and not surprisingly include aphrodisiac.
Fenugreek seeds contain alkaloids, including trigonelline, gentianine and carpaine compounds. The seeds also contain fiber, 4-hydroxyisoleucine and fenugreekine, a component that may have hypoglycemic activity. The mechanism is thought to delay gastric emptying, slow carbohydrate absorption and inhibit glucose transport.
Fenugreek may also increase the number of insulin receptors in red blood cells and improve glucose utilization in peripheral tissues, thus demonstrating potential anti-diabetes effects both in the pancreas and other sites. The amino acid 4- hydroxyisoleucine, contained in the seeds, may also directly stimulate insulin secretion.

fenugreek, What are the Benefits of Fenugreek?

Due to its estrogen-like properties, fenugreek has been found to help increase libido and lessen the effect of hot flashes and mood fluctuations that are common symptoms of menopause and PMS. In India and China it has also been used to treat arthritis, asthma, bronchitis, improve digestion, maintain a healthy metabolism, increase libido and male potency, cure skin problems (wounds, rashes and boils), treat sore throat, and cure acid reflux. Fenugreek also has a long history of use for the treatment of reproductive disorders, to induce labor, to treat hormonal disorders, to help with breast enlargement, and to reduce menstrual pain. Recent studies have shown that Fenugreek helps lower blood glucose and cholestrol levels, and may be an effective treatment for both type 1 and 2 diabetes. It is also being studied for its cardiovascular benefits.

Uses of Fenugreek


Home Remedy for Balancing Cholesterol

Studies have found people who took 2 ounces (56g) of fenugreek seed each day had significantly (around 14 percent) lower cholesterol levels after 24 weeks, and had lowered their risk of heart attack by more than 25 percent. Therefore, a recommended remedy for lowering cholesterol is to take 2 ounces of seeds throughout the day. The seeds can be sprinkled onto prepared food, or they can be consumed with water if they are in capsule form.

Treating Diabetes and Lowering Blood Sugar Levels

Studies have shown that participants with type 2 diabetes had significantly lower blood sugar levels after eating fenugreek. Therefore, a recommended home remedy for treating Type 2 diabetes is to consume 500mg of fenugreek twice daily. Herbal Cure for Skin Inflammation
Research has shown that Fenugreek is an effective topical treatment for skin problems such as abscesses, boils, burns, eczema, and gout. Therefore, a simple skin inflammation remedy is the following:
  • Take a spoonful of fenugreek and grind it into a powder.
  • Mix the ground powder with warm water.
  • Take a simple piece of clean cloth and soak it into the mixture.
  • Apply the soaked cloth directly onto the affected skin as a poultice.

fenugreek, Fenugreek Seed for Increasing Milk Supply





Effect on milk production
Fenugreek (Trigonella foenum-graecum L.) appears to be the herb that is most often used to increase milk supply. It is an excellent galactagogue, and has been used as such for centuries. In one study of ten women, "the use of fenugreek significantly increased volume of breastmilk" [Swafford 2000].
Mothers generally notice an increase in production 24-72 hours after starting the herb, but it can take two weeks for others to see a change.
Dosages of less than 6 capsules/day (approx 3500 mg/day) produce no effect in many women. One way to determine if you're taking the correct dosage is to slowly increase the amount of fenugreek until your sweat and urine begin to smell like maple syrup. If you're having problems with any side effects, discontinue use and consider alternative methods of increasing milk supply.
Fenugreek can be used either short-term to boost milk supply or long-term to augment supply and/or pumping yields. There are no studies indicating problems with long-term usage. Per Kathleen Huggins "Most mothers have found that the herb can be discontinued once milk production is stimulated to an appropriate level. Adequate production is usually maintained as long as sufficient breast stimulation and emptying continues" [Huggins].

fenugreek


Scientific classification

fenugreek is a plant in the family Fabaceae. Fenugreek is used both as a herb (the leaves) and as a spice (the seed, often called methi). The plant is cultivated worldwide as a semi-arid crop and is a common ingredient in many curries.
The name fenugreek or foenum-graecum is from Latin for "Greek hay". The plant's similarity to wild clover has likely spawned its Swedish name: "bockhornsklöver" as well as the German: "Bockshornklee", both literally meaning: "ram's horn clover".
Zohary and Hopf note that it is not yet certain which wild strain of the genus Trigonella gave rise to the domesticated fenugreek but believe it was brought into cultivation in the Near East. Charred fenugreek seeds have been recovered from Tell Halal, Iraq, (radiocarbon dating to 4000 BCE) and Bronze Age levels of Lachish, as well as desiccated seeds from the tomb of Tutankhamen. Cato the Elder lists fenugreek with clover and vetch as crops grown to feed cattle (De Agri Cultura, 27).

Natural Remedies for Gray Hair

Given below are some natural remedies to cure grey hair. These need to be done diligently and patiently for some months for the results to be visible. Continued use would provide long-lasting results.
  1. Take 100 gms of curd. Add about 1 gm of black pepper to it. Mix it well and apply it evenly on the hair and scalp. Keep it for an hour and then wash with warm water and mild shampoo. Do this treatment once a week to see the remarkable difference in the texture and color of your hair. Your hair will become silkier and regular use will also make the hair dandruff-free. Curd helps in curing dandruff and making the hair softer while black pepper helps make the hair black. So one recipe gives 3 benefits – a) dandruff-free hair b) soft and silky hair and c) black hair. Doing this once a week helps in maintaining the hair color and delaying greying to a great extent. This recipe should be avoided by people who have a tendency to catch frequent colds and coughs. Curd causes a cooling effect on the head and this may worsen a cold situation.
  2. Rubbing your left and right hand nails with each other is a splendid way to cure hair fall, increase hair growth and get back the lost color. The beauty of the method lies in its simplicity and the fact that it is free, needs very little time and has absolutely no side-effects. Regular use brings back lost color. The new hair that grows back is also colored and not white. You need to fold both your palms inwards and place the fingernails of both hands against each other. Then with regular swift motions, rub them against each other. This rubbing procedure increases the blood flow to the scalp and helps in strengthening the roots. It is simple and can be done anywhere anytime. Do it for about 5-7 minutes twice a day. It is tried and tested and is guaranteed to show results. It is well popularized by naturopaths and ayurvedic experts in India. You need to be patient though. You will begin to notice a difference in about a month and by the end of 6 months you will se remarkable improvements in your hair.
  3. Mix sesame oil or olive oil in juice of bottle gourd and apply to hair. This helps make the hair long, black, thick and shiny. This helps prevent gray hair and hair fall and is very good for the overall health of hair.

gray hair : Causes of Gray Hair

Gray hair is supposedly a sign of wisdom. Well, Gray hair is caused when the follicle is unable to add color to the hair or when there is lack of melanin in the body. Melanin is responsible in giving color to the hair and due to the lack of which the hair starts to grey. Grey hair in old days was the sign of reaching mid life or starting with old age. But in today’s life even very young people get gray hair.
There are a lot of reasons for having grey hair. One reason could be stress and tension. Lot of stress and tension leads to early graying of hair. Another reason could be age. If a person is around 40 it is natural for him to start graying. It is not that every person who reaches 40 or 40+ has grey hair but generally this is the scenario every where. As you age your body capacity to produce melanin decreases and you tend to grey fast. Smoking can also be one of the reasons for gray hair at an early age. Smoking is generally said to be injurious to health so it has to be injurious to your hair too. Certain Illness can also lead to graying or premature ageing of hair. Some drugs can also lead to change of color of hair early.

Grey Hair Treatment

There are some grey hair treatment available. Apart from temporary cosmetic treatments like dyeing and coloring, you can try natural methods for gray hair treatment. While coloring could rid you of the problem for some months, to dye grey hair means you will face with the problem again in less than a month. Other cosmetics available in the market may just help you keep your hair in a good condition and healthy but they would not help in delaying the process of getting gray hair. Natural remedies are a better option as discussed in the next section.

gray hair : Natural Remedy to Reduce or Reverse Gray Hair?

Many of us point to our jobs as the reason for gray hair, but we sought the biological cause of those pesky reminders of our own mortality. We typed "gray hair cause" into the Yahoo! search box and set off in search of some answers. We clicked around and learned the ugly truth about gray hair.
When our bodies are functioning well, cells in our hair follicles called melanocytes generate pigments -- the chief one being melanin. When the melanocytes stop producing these pigments, we sprout a transparent hair, which appears as an unsightly gray due to the color of the dead cells that comprise the strand.
Why does this happen? The most common reason is heredity; premature gray hair is yet another thing we can blame on our parents. But there are also several medical conditions characterized by graying of the hair. A B-12 deficiency, a thyroid imbalance, and anemia can all cause premature gray hair. And if you needed yet another reason to quit smoking, there is new evidence that smokers are four times more likely to go gray at a young age.
The common belief that psychological shock or trauma can turn hair gray overnight is cause for a fair amount of controversy. While some people claim such an occurrence, many scientists question the actual time frame involved.

Thursday, June 23, 2011

Chronic fatigue syndrome

Chronic fatigue syndrome is a condition of prolonged and severe tiredness or weariness (fatigue) that is not relieved by rest and is not directly caused by other conditions.

Causes

The exact cause of chronic fatigue syndrome (CFS) is unknown. Some researchers suspect it may be caused by a virus, such as Epstein-Barr virus or human herpes virus-6 (HHV-6). However, no specific virus has been identified as the cause.
Studies suggest that CFS may be caused by inflammation along the nervous system, and that this inflammation may be some sort of immune response or process.
Other factors such as age, prior illness, stress, environment, or genetics may also play a role.
CFS most commonly occurs in women ages 30 to 50.
The Centers for Disease Control (CDC) describes CFS as a distinct disorder with specific symptoms and physical signs, based on ruling out other possible causes. The number of persons with CFS is unknown.
CFS is diagnosed after the health care provider rules out other possible causes of fatigue, including:

Lemon Party

The Lemon Party of Canada (Parti Citron) is a frivolous Canadian party which has operated on a federal level, as well as provincially in Quebec. The party was officially registered on January 8, 1987, by then leader, Denis R. Patenaude and deregistered on November 14, 1998 for failing to have at least ten candidates stand for election. The party is headed by "Pope Terence the First", whose existence is unconfirmed. Their official agent is Mary-Gabrielle Blay II.
Their 2004 national convention produced a platform of policies which were "placed in small green plastic boxes and sold to industrial pig farms in Mexico", according to a large party spokeswoman. The subsequent electoral campaign, under the slogan "For a bitter Canada," received minor, but sympathetic, media coverage. Their most recent press release was published online 5 days prior to the 2006 Canadian elections, ridiculing both Liberal Paul Martin and Conservative Stephen Harper. The Lemon Party prides itself on its record on fiscal discipline and in pushing for economic growth. Their economic plan was allegedly authored by Montreal economist Ianik Marcil.
The Lemon Party has not been officially registered as a political party since the early 1990s, when it was registered only in Quebec.

Monday, June 20, 2011

Fibromyalgia


Fibromyalgia is a chronic condition that causes pain, stiffness, and tenderness of the muscles, tendons, and joints. Fibromyalgia is also characterized by restless sleep, awakening feeling tired, chronic fatigue, anxiety, depression, and disturbances in bowel function. Fibromyalgia is sometimes referred to as fibromyalgia syndrome and abbreviated FMS. Fibromyalgia was formerly known as fibrositis.
While fibromyalgia is one of the most common diseases affecting the muscles, its cause is currently unknown. The painful tissues involved are not accompanied by tissue inflammation. Therefore, despite potentially disabling body pain, patients with fibromyalgia do not develop body damage or deformity. Fibromyalgia also does not cause damage to internal body organs. In this sense, fibromyalgia is different from many other rheumatic conditions (such as rheumatoid arthritis, systemic lupus, and polymyositis). In those diseases, tissue inflammation is the major cause of pain, stiffness, and tenderness of the joints, tendons and muscles, and it can lead to joint deformity and damage to the internal organs or muscles.
The cause of fibromyalgia is not known. Those affected experience pain in response to stimuli that are normally not perceived as painful. Researchers have found elevated levels of a nerve chemical signal, called substance P, and nerve growth factor in the spinal fluid of fibromyalgia patients. Levels of the brain chemical serotonin are also relatively low in patients with fibromyalgia. Studies of pain in fibromyalgia have suggested that the central nervous system (brain) may be somehow supersensitive. Scientists note that there seems to be a diffuse disturbance of pain perception in patients with fibromyalgia.
Also, patients with fibromyalgia have an impaired non-rapid eye movement, or non-REM, sleep phase (which likely, at least in part, explains the common feature of waking up fatigued and unrefreshed in these patients). The onset of fibromyalgia has been associated with psychological distress, trauma, and infection.


fibromialgia : Most Common Symptoms OF fibromialgia



The problem with fibromyalgia is that there are so many symptoms that you feel like a hypochondriac, especially when no one can see any of your pain, brain fog and exhaustion. Your symptoms are mostly invisible to others. Added to this is a tremendous variability of symptoms between one person with fibromyalgia and another. These complications cause physicians to be perplexed and patients to be frustrated.

In addition, research has shown strong links between sleep disruptions and pain. Symptoms of poor sleep resemble many of those found in fibromyalgia, such as muscle achiness, fatigue, memory and concentration difficulties.

fibromialgia

,Fibromyalgia produces widespread pain, disturbed sleep, and exhaustion from head to toe. Although the muscles hurt everywhere, they are not the only cause of your discomfort. Instead, the diffuse, body-wide symptoms are greatly magnified by malfunctions in the way the nervous system processes pain.
Regional muscle pain also occurs in the majority of people with fibromyalgia. Patients experience firm knots in their muscles, often causing restricted movement and radiating pain. Recent research has found that 90 percent of the tender points used to diagnose fibro are actually myofascial trigger points.
The symptoms of fibromyalgia are unpredictable and most patients are frustrated by their physical limitations and inability to make plans. The fatigue is much more than being tired. Patients describe it as though you have to "push yourself" to get things done.
People with fibromyalgia say that their muscles feel like they have been pulled or overworked, and sometimes they twitch or cramp. Even the skin may feel badly sunburned. To help your family and friends relate to your fibromyalgia symptoms, have them think back to the last time they had a bad flu. Every muscle in their body shouted out in pain. In addition, they felt devoid of energy as though someone had unplugged their power supply.
Given that the symptoms may be similar to a viral flu, experts in the field of fibromyalgia and chronic fatigue syndrome believe that these two illnesses may be one and the same. Gulf War syndrome also overlaps with these two conditions

Sunday, June 19, 2011

Causes and Risk Factors of Hyperthermia

Hypertermiais the general name given to a variety of heat-related illnesses.

Description of Hyperthermia

Warm weather and outdoor activity go hand in hand. However, it is important for older people to take action to avoid the severe health problems often caused by hot weather.
Health Factors That Increase Risk
The temperature does not have to hit 100 degrees for a person to be at risk. Both one's general health and/or lifestyle may increase a person's chance of suffering a heat-related illness.
Health factors which may increase risk include:
  • poor circulation
  • inefficient sweat glands, and changes in the skin caused by the normal aging process
  • heart, lung and kidney disease as well as any illness that causes general weakness or fever high blood pressure or other conditions that require changes in diet
For example, people on salt-restricted diets may increase their risk of being unable to perspire, caused by medications including diuretics, sedatives and tranquilizers, and certain heart and blood pressure drugs.
Other factors include being substantially overweight or underweight, and drinking alcoholic beverages.
Lifestyle factors that can increase risk are:
  • unbearably hot living quarters
  • lack of transportation - which prevents people from seeking respite from the heat in shopping malls, movie houses, and libraries
  • overdressing - because they may not feel the heat, older people may not dress appropriately in hot weather
  • visiting overcrowded places - trips should be scheduled during non-rush hour times
  • not understanding weather conditions - older persons at risk should stay indoors on especially hot days.

Symptoms of Hyperthermia

The two most common forms of hyperthermia are heat exhaustion and heat stroke. Of the two, heat stroke is especially dangerous and requires immediate medical attention.
Heat stress occurs when a strain is placed on the body as a result of hot weather.
Heat fatigue is a feeling of weakness brought on by high outdoor temperature. Symptoms include cool, moist skin and a weakened pulse. The person many feel faint.
Heat syncope is a sudden dizziness experienced after exercising in the heat. The skin appears pale and sweaty but is generally moist and cool. The pulse is weakened and the heart rate is usually rapid. Body temperature is normal.
Heat cramps are painful muscle spasms in the abdomen, arms or legs following strenuous activity. Heat cramps are caused by a lack of salt in the body.
Heat exhaustion is a warning that the body is getting too hot. The person may be thirsty, giddy, weak, uncoordinated, nauseated and sweating profusely. The body temperature is normal and the pulse is normal or raised. The skin is cold and clammy.
Heat stroke can be life-threatening and victims can die. A person with heat stroke usually has a body temperature above 104 degrees Fahrenheit. Other symptoms include confusion, combativeness, bizarre behavior, faintness, staggering, strong and rapid pulse, and possible delirium or coma. High body temperature is capable of producing irreversible brain damage.

Diagnosis of Hyperthermia

Diagnosis is based on the medical history (including symptoms) and physical exam.

hyperthermia : Hyperthermia: Too Hot for Your Health

Now that Li Ming is retired, she likes to work in her garden—even in hot weather. Then last summer, an unusual heat wave hit her area. The temperature was over 100°F, and the humidity was at least 90%. By the third day, her daughter Kim came over because Li Ming sounded confused on the phone. Kim found her mom passed out on the kitchen floor. Li Ming's large fan wasn't enough to fight the effect of heat and humidity. She had heat stroke, the most serious form of hyperthermia.
Almost every summer, there is a deadly heat wave in some part of the country. Too much heat is not safe for anyone. It is even riskier if you are older or if you have health problems. It is important to get relief from the heat quickly. If not, you might begin to feel confused or faint. Your heart could become stressed and maybe stop beating.
Your body is always working to keep a balance between how much heat it makes and how much it loses. Too much heat causes sweating. When the sweat dries from your skin, the surface of your body cools, and your temperature goes down.
But being hot for too long can be a problem. It can cause several illnesses, all grouped under the name hyperthermia (hy-per-ther-mee-uh).
  • Heat syncope is a sudden dizziness that may happen when you are active during hot weather. If you take a kind of heart medication called a beta blocker or are unused to hot weather, you are even more likely to feel faint. Drinking water, putting your legs up, and resting in a cool place should make the dizzy feeling go away.
  • Heat cramps are the painful tightening of muscles in your stomach, arms, or legs. Cramps can result from hard work or exercise. While your body temperature and pulse usually stay normal during heat cramps, your skin may feel moist and cool.
These cramps are a sign that you are too hot. Find a way to cool your body down. Rest in the shade or in a cool building. Be sure to drink plenty of fluids, but not those with alcohol or caffeine (coffee, tea, and some sodas). Caffeine can cause you to be dehydrated.
  • Heat edema is a swelling in your ankles and feet when you get hot. Putting your legs up should help. If that doesn’t work fairly quickly, check with your doctor.
  • Heat exhaustion is a warning that your body can no longer keep itself cool. You might feel thirsty, dizzy, weak, uncoordinated, and nauseated. You may sweat a lot. Even though your body temperature stays normal, your skin feels cold and clammy. Some people with heat exhaustion have a rapid pulse. Rest in a cool place and get plenty of fluids. If you don’t feel better soon, get medical care. Be careful—heat exhaustion can progress to heat stroke.
Heat stroke can be life threatening! You need to get medical help right away. Older people living in homes or apartments without air conditioning or fans are at most risk. So are people who become dehydrated or those with chronic diseases or alcoholism.

hyperthermia : Malignant hyperthermia

Malignant hyperthermia is an inherited disease that causes a rapid rise in body temperature (fever) and severe muscle contractions when the affected person receives general anesthesia.
This condition is not the same as hyperthermia that is due to medical emergencies such as heat stroke or infection.

Causes

Malignant hyperthermia is inherited. Only one parent has to carry the disease for a child to inherit the condition. It may be associated with muscular diseases such as multiminicore myopathy and central core disease.

Symptoms

Symptoms include:
  • Rapid rise in temperature to 105 degrees F or higher
  • Muscle rigidity and stiffness
  • Dark brown urine
  • Muscle ache without obvious exercise to explain sore muscles
  • Bleeding

Exams and Tests

Malignant hyperthermia is often discovered after a patient is given anesthesia during a surgical procedure.
There may be a family history of malignant hyperthermia or unexplained death during anesthesia.
The person may have a rapid and often irregular heart rate.
Tests that may be done include:
  • Chem-20
  • Genetic testing to look for defects in the RYR1 gene
  • Muscle biopsy
  • Myoglobin in the urine

guillain barre syndrome : What causes Guillain-Barré syndrome?

guillainbarresyndrome Guillain Barre Syndrome
No one yet knows why Guillain-Barré - which is not contagious - strikes some people and not others. Nor does anyone know exactly what sets the disease in motion.
What scientists do know is that the body's immune system begins to attack the body itself, causing what is known as an autoimmune disease. Usually the cells of the immune system attack only foreign material and invading organisms. In Guillain-Barré syndrome, however, the immune system starts to destroy the myelin sheath that surrounds the axons of many peripheral nerves, or even the axons themselves (axons are long, thin extensions of the nerve cells; they carry nerve signals). The myelin sheath surrounding the axon speeds up the transmission of nerve signals and allows the transmission of signals over long distances.
In diseases in which the peripheral nerves' myelin sheaths are injured or degraded, the nerves cannot transmit signals efficiently. That is why the muscles begin to lose their ability to respond to the brain's commands, commands that must be carried through the nerve network. The brain also receives fewer sensory signals from the rest of the body, resulting in an inability to feel textures, heat, pain,and other sensations. Alternately, the brain may receive inappropriate signals that result in tingling, "crawling-skin," or painful sensations. Because the signals to and from the arms and legs must travel the longest distances they are most vulnerable to interruption. Therefore, muscle weakness and tingling sensations usually first appear in the hands and feet and progress upwards.
When Guillain-Barré is preceded by a viral or bacterial infection, it is possible that the virus has changed the nature of cells in the nervous system so that the immune system treats them as foreign cells. It is also possible that the virus makes the immune system itself less discriminating about what cells it recognizes as its own, allowing some of the immune cells, such as certain kinds of lymphocytes and macrophages, to attack the myelin. Sensitized T lymphocytes cooperate with B lymphocytes to produce antibodies against components of the myelin sheath and may contribute to destruction of the myelin. Scientists are investigating these and other possibilities to find why the immune system goes awry in Guillain-Barré syndrome and other autoimmune diseases. The cause and course of Guillain-Barré syndrome is an active area of neurological investigation, incorporating the cooperative efforts of neurological scientists, immunologists, and virologists.

guillain barre syndrome

guillainbarresyndrome Guillain Barre SyndromeGuillain Barre Syndrome is a rare and severe disease. It occurs after an acute infectious procedure. Guillain Barre Syndrome initially affects the peripheral nervous system. Normally it is acute form of paralysis in lower body area that moves towards upper limb and face. Gradually patient loses all his reflexes and goes through a complete body paralysis. Guillain Barre Syndrome is a life threatening disorder and needs timely treatment and supportive care with intravenous immunoglobulins or plasmapheresis. Unfortunately many people lose their lives without proper and prompt medical treatment. Dysautonomia and Pulmonary complications are the basic reason for death other fatal complications.

Although Guillain Barre Syndrome is a fatal and complicated disorder of peripheral nervous system, however there are many symptoms and signs that enable you to suspect the disease at beginning. Guillain Barre Syndrome is a result of antigens that weakened the immune system. These infectious antigens attack the nervous system and damage the nerves. This auto-immune infection turns the peripheral nerves in inflammation of conduction block and myelin. The primary result would be minor muscle paralysis. Though autonomic disturbances or sensory occurs on acute complications. The most severe and obvious complication of Serum sickness is Guillain Barre Syndrome (GBS). Guillain Barre Syndrome is type of auto-immune disorder by low hypersensitivity reaction. Nausea, vomiting, loss of appetite, stomach pain, migraines, low grade fevers and chills are quite apparent symptoms of GBS. The regular headaches and migraines are result of Central Nervous System Disorder. Constant exhaustion, tiredness and pain in the back of head are early signs of Guillain Barre Syndrome. The disease initially appears in lower limb and affects the muscle reflexes. Paralysis in lower limb and legs are commonly called rubbery legs or tingling and numbness in legs. Afterwards this syndrome travels in upper part of the limb. Generally in short span of time facial muscles and arms get affected and become completely paralyzed. Normally the lower cranial nerves get damaged and lead to bulbar weakness. It affects the swallowing and breathing resulting in constant drooling. In acute cases of Guillain Barre Syndrome patients complains of temporary Bladder dysfunction. The obvious indication of GBS is pain; it is quite similar to the aching that you get after over exercise or jogging.
Constant severe pain in muscles and mild fever are common symptoms of Guillain Barre Syndrome. Usually there are many other signs like orthostatic hypotension, hypertension and unusual fluctuations in blood pressure. Prompt medical procedure ensures fast recovery and fewer complications. However If you start the treatment at late or at complicated stage then chances of recovery are very low. Success of any Guillain Barre Syndrome Diagnosis depend upon the medical reports and findings like fast growing muscle paralysis, absence of fever, a possible pro-active incident and areflexia. Normally CSF and ECD are most common treatments used to confirm and cure the disease. Sometime these treatments failed to detect early symptoms of Guillain Barre Syndrome. Generally after a week or two patients recognize the signs and then report the syndrome. At the moment there is no effective cure for Guillain Barre Syndrome. Though there are many possible medical procedures to diagnose, that may help in reducing the fatal aspect of this severe disease.
CSF is commonly used and quite successful for the findings and evidences of Guillain Barre Syndrome. Average CSF findings contain information and details of albumino-cytological dissociation. Compared to infectious symptoms, CSF is a high level protein 100 – 1000 mg/dL instead of the supplementary pleocytosis. Continuous usage of the pleocytosis may boost the immune system to resist the infections. Research has proven that high quantity of protein and pleocytosis in the CSF is essential for the diffusion of white blood cells in the myelin. In early stages of Guillain Barre Syndrome anti-inflammatory drugs and painkillers combined to offer instant relief in severe pain. Often doctors suggest blood thinners to control and prevent blood clotting.

Chromosome 1, 1p36 deletion syndrome

,Disease characteristics. 1p36 deletion syndrome is characterized by typical craniofacial features consisting of straight eyebrows, deep-set eyes, midface hypoplasia, broad and flat nasal root/bridge, long philtrum, pointed chin, large, late-closing anterior fontanel (77%), microbrachycephaly (65%), epicanthal folds (50%), and posteriorly rotated, low-set, abnormal ears. Other characteristic findings include brachy/camptodactyly and short feet. Developmental delay/intellectual disability of variable degree are present in all, and hypotonia in 95%. Seizures occur in 44% to 58% of affected individuals. Other findings include structural brain abnormalities (88%), congenital heart defects (71%), eye/vision problems (52%), hearing loss (47%), skeletal anomalies (41%), abnormalities of the external genitalia (25%), and renal abnormalities (22%).
Diagnosis/testing. The diagnosis of 1p36 deletion syndrome is suggested by clinical findings and confirmed by detection of a deletion of the most distal band of the short arm of chromosome 1 (1p36). Conventional G-banded cytogenetic analysis, FISH, or array GH can all be used to detect deletions; however, the complexity of some deletions may only be revealed by array GH.
Management. Treatment of manifestations: rehabilitation/educational program with attention to speech/communication, use of sign language, motor development, cognition, and social skills; ACTH for infantile spasms; routine antiepileptic drugs (AEDs) for other seizure types; special feeding techniques and/or devices including gastrostomy tube for feeding difficulties; standard pharmacotherapy for non-compaction cardiomyopathy; standard care for eye/vision problems, skeletal anomalies, hearing loss, hypothyroidism, and renal abnormalities.
Surveillance: systematic follow-up for adjustment of rehabilitation/education and medical treatment as needs change over time.
Read more :

What is 1p36 deletion syndrome?

What are the genetic changes related to 1p36 deletion syndrome?

Can 1p36 deletion syndrome be inherited?


1p36 deletion syndrome : Can 1p36 deletion syndrome be inherited?

,Most cases of 1p36 deletion syndrome are not inherited. They result from a chromosomal deletion that occurs as a random event during the formation of reproductive cells (eggs or sperm) or in early fetal development. Affected people typically have no history of the disorder in their family.
About 20 percent of people with 1p36 deletion syndrome inherit the chromosome with a deleted segment from an unaffected parent. In these cases, the parent carries a chromosomal rearrangement called a balanced translocation, in which no genetic material is gained or lost. Balanced translocations usually do not cause any health problems; however, they can become unbalanced as they are passed to the next generation. Children who inherit an unbalanced translocation can have a chromosomal rearrangement with extra or missing genetic material. Individuals with 1p36 deletion syndrome who inherit an unbalanced translocation are missing genetic material from the short arm of chromosome 1, which results in birth defects and other health problems characteristic of this disorder.

What other names do people use for 1p36 deletion syndrome?

  • chromosome 1p36 deletion syndrome
  • distal monosomy 1p36
  • monosomy 1p36 syndrome
Read more :

What is 1p36 deletion syndrome?

What are the genetic changes related to 1p36 deletion syndrome?

Can 1p36 deletion syndrome be inherited?

 

 



1p36 deletion syndrome

,1p36 deletion syndrome (also known as monosomy 1p36) is a congenital genetic disorder characterized by moderate to severe intellectual disability, delayed growth, hypotonia, seizures, limited speech ability, malformations, hearing and vision impairment, and distinct facial features. The symptoms may vary, depending on the exact location of the chromosomal deletion.
The condition is caused by a genetic deletion (loss of a segment of DNA) on the outermost band on the short arm (p) of chromosome 1. It is one of the most common deletion syndromes. It is estimated that the syndrome occurs in one in every 5,000 to 10,000 births. Knowledge of the disorder has increased a great deal over the last decade, mainly because more patients have been accurately diagnosed and described in international medical literature.

Characteristics

The facial features of 1p36 deletion syndrome have been considered to be characteristic, although few patients have been diagnosed solely on the basis of facial appearance. These features may include microcephaly, small, possibly slanted, deep-set eyes, a flat nose and nasal bridge, anomalous, low-set and small ears, a small mouth with down-turned corners and a pointed chin. Distinguishing features in another study were a large or late-closing anterior fontanelle (up to 85% of patients) and facial asymmetry.

History 
The first cases of 1p36 deletion syndrome were described in the 1980s. However, since many of these individuals also had other chromosomal imbalances, symptoms varied widely. The reason it took so long to recognize the condition as a distinct chromosome deletion syndrome is that the deletions causing the disorder are too small to be detected in a routine chromosomal analysis. FISH (fluorescent in situ hybridization) and DNA-based technology known as MLPA (multiple ligation probe amplification) used in testing have aided in diagnosing an increasing number of cases since the 1990s.

Friday, June 17, 2011

What Are the Symptoms of an Abscessed Tooth?

To eliminate infection, the abscess may need to be drained. Achieving drainage may be done through the tooth by a procedure known as a root canal. Root canal surgery may also be recommended to remove any diseased root tissue after the infection has subsided. Then, a crown may be placed over the tooth.Picture of an abscessed tooth 

A toothache that is severe and continuous and results in gnawing or throbbing pain or sharp or shooting pain are common symptoms of an abscessed tooth. Other symptoms may include:
  • Fever
  • Pain when chewing
  • Sensitivity of the teeth to hot or cold
  • Bitter taste in the mouth
  • Foul smell to the breath
  • Swollen neck glands
  • General discomfort, uneasiness, or ill feeling
  • Redness and swelling of the gums
  • Swollen area of the upper or lower jaw
  • An open, draining sore on the side of the gum
If the root of the tooth dies as a result of infection, the toothache may stop. However, this doesn't mean the infection has healed; the infection remains active and continues to spread and destroy tissue. Therefore, if you experience any of the above listed symptoms, it is important to see a dentist even if the pain subsides.

How Is an Abscessed Tooth Diagnosed?

Your dentist will probe your teeth with a dental instrument. If you have an abscessed tooth, you will feel pain when the tooth is tapped by your dentist's probe. Your dentist will also ask you if your pain increases when you bite down or when you close your mouth tightly. In addition, your dentist may suspect an abscessed tooth because your gums may be swollen and red.
Your dentist may also take X-rays to look for erosion of the bone around the abscess.


How Is an Abscessed Tooth Treated?

Strategies to eliminate the infection, preserve the tooth, and prevent complications are the goals of treatment for an abscessed tooth.
The tooth may also be extracted, allowing drainage through the socket.
Finally, a third way to drain the abscess would be by incision into the swollen gum tissue.
Antibiotics are prescribed to help fight the infection. To relieve the pain and discomfort associated with an abscessed tooth, warm salt-water rinses and over-the-counter pain medication like ibuprofen (such as Advil or Motrin) can be used.
The inflammation and pain of abscesses may be relieved with a low-level laser, making the patient more comfortable to receive the injection in a more painless way.