Asthma Information

If you frequently experience shortness of breath or you hear a whistling or wheezy sound in your chest when you breathe, you may have asthma—a chronic condition that causes inflammation and narrowing of the bronchial tubes, the passageways that allow air to enter and leave the lungs.

Overview

In the United States, asthma affects an estimated 26 million people — many of whom may not be aware that they have it, especially if their symptoms aren’t severe.

The most common signs of asthma are:

  • Coughing, especially at night, during exercise or when laughing
  • Difficulty breathing
  • Chest tightness
  • Shortness of breath
  • Wheezing (a whistling or squeaky sound in your chest when breathing, especially when exhaling)

Causes

Asthma symptoms may be triggered by exposure to an allergen (such as ragweedpollenanimal dander or dust mites), irritants in the air (such as smoke, chemical fumes or strong odors) or extreme weather conditions. Exercise or an illness — particularly a respiratory illness or the flu — can also make you more susceptible.

A physical display of strong emotion that affects normal breathing patterns — such as shouting, crying or laughing — can also act as an asthma trigger. Panic can prevent a person with asthma from relaxing and following instructions, which is essential during an asthma attack. Scientists have found that rapid breathing associated with strong emotions can cause bronchial tubes to constrict, possibly provoking or worsening an attack.

Asthma symptoms can appear at any time. Mild episodes may last only a few minutes and may be resolved spontaneously or with medication; more severe episodes can last from hours to days.

People with asthma, like those with any chronic condition, may experience significant stress. Because it is a leading cause of work and school absences, asthma can affect a person’s livelihood, education and emotional well-being. Depression may set in when people diagnosed with asthma believe that they are unable to participate in normal activities.

If you’re experiencing breathing difficulties that interfere with your daily activities and decrease the quality of your life, visit an asthma screening event in your area and see an allergist for diagnosis and treatment. An allergist can also help you recognize the early warning signs of an attack and coach you in ways to cope during an emergency.

Asthma Symptoms in Children

Most children with asthma have symptoms before they turn 5. In very young children, it may be hard for parents, and even doctors, to recognize that the symptoms are due to asthma. The bronchial tubes in infants, toddlers and preschoolers are already small and narrow, and head colds, chest colds and other illnesses can inflame these airways, making them even smaller and more irritated.

The symptoms of pediatric asthma can range from a nagging cough that lingers for days or weeks to sudden and scary breathing emergencies.

Common symptoms to watch for include:

  • Coughing, especially at night
  • A wheezing or whistling sound when breathing, especially when exhaling
  • Trouble breathing or fast breathing that causes the skin around the ribs or neck to pull in tightly
  • Frequent colds that settle in the chest

Your child might have only one of these symptoms or several of them. You may think it’s just a cold or bronchitis. If the symptoms recur, that’s a clue that your child might have asthma. In addition, symptoms may worsen when your child is around asthma triggers, such as irritants in the air (smoke or strong odors, for example) or allergens like pollen, pet dander and dust mites.

Goof for Asthama

Fruits and vegetables rich in Vitamin C.

 spinach, broccoli, bell pepper, and kale

orangesstrawberries, blue berries, and melons as they neutralize free radicals

Food to avoid

Milk,

 eggs,

 peanuts,

tree nuts

soywheat,

 fish and shellfish,

Source: https://acaai.org/asthma

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Pillars of Brain Health

Lifestyle has a profound impact on your brain health. What you eat and drink, how much you exercise, how well you sleep, the way you socialize, and how you manage stress are all critically important to your brain health.

Physical Excercise:

What’s Good for Your Heart is Good for Your Brain.What can add years to your life, help you lose weight, boost your mood, improve your sleep, reduce your risk of heart disease and keep your bones and your brain healthy? Exercise!

Build Endurance with Aerobic ExerciseIn addition to improved heart health, regular endurance exercise, like running, swimming or biking, can also foster new brain cell growth and preserve existing brain cells.

CONTROL MEDICAL RISKS. Hypertension, diabetes, obesity, depression, head trauma, higher cholesterol, and smoking all increase the risk of dementia. You can control and reduce these risks. Get your annual check-up, follow your doctor’s recommendations and take medications as prescribed. Get engaged in a brain healthy lifestyle for your body and your mind.

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REST WELL. Sleep energizes you, improves your mood and your immune system and may reduce buildup in the brain of an abnormal protein called beta-amyloid plaque, which is associated with Alzheimer’s disease. Practicing meditation and managing stress may help fend off age-related decline in brain health. Stay positive. Be happy.

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YOUR MIND: USE IT OR LOSE IT. Mental exercise is just as critical as physical exercise in keeping your brain fit and healthy. Mental exercises may improve your brain’s functioning and promote new brain cell growth, decreasing your likelihood of developing dementia. Like your muscles, you have to use your brain or you lose it.

Build Your Brain Reserve
You have something called “brain reserve,” which helps your brain adapt and respond to changes and resist damage. Your brain reserve begins to develop in childhood and gets stronger as you move through adulthood. People who continue to learn, embrace new activities, and 

develop new skills and interests are building and improving their brain reserve.

STAY CONNECTED. Leading an active social life can protect you against memory loss. Spending time with others, engaging in stimulating conversation, and staying in touch and connected with family and friends are good for your brain health. Studies have shown that those with the most social interaction in their community experience the slowest rate of memory decline.

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Shared hobbies are a great way to meet like-minded people. Get active in sports or cultural activities. Volunteer or join clubs. You’ll be surprised at how easy it is to talk to others in a relaxed setting that you both enjoy.

People who remain active and engaged with others through volunteering report being happier and healthier overall.

Food for Brain: The Mediterranean Way
Research shows that a Mediterranean-style diet rich in fish, whole grains, green leafy vegetables, olives, and nuts helps maintain brain health and may reduce the risk of Alzheimer’s disease. Cook and eat fresh food, savor the taste, enjoy dining with family and friends. A Mediterranean regimen is more than just a diet. It’s a lifestyle, a way of living well.

Don’t Forget Fish
Fish is a great source of omega-3, the type of fatty acid your body can’t produce, and it’s good for your brain. At least twice a week, eat five ounces of omega-3-rich fish, such as salmon, cod, haddock, tuna or halibut.
Fish isn’t your thing? Try walnuts, flaxseeds or soybeans instead.

Source: https://healthybrains.org/pillars/

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Low Blood Pressure (Hypotension)

What Is Low Blood Pressure?

Hypotension is the medical term for low blood pressure (less than 90/60).

A blood pressure reading appears as two numbers. The first and higher of the two is a measure of systolic pressure or the pressure in the arteries when the heart beats and fills them with blood. The second number measures diastolic pressure, or the pressure in the arteries when the heart rests between beats.

Optimal blood pressure is less than 120/80 (systolic/diastolic). In healthy people, low blood pressure without any symptoms is not usually a concern and does not need to be treated. But low blood pressure can be a sign of an underlying problem — especially in the elderly — where it may cause inadequate blood flow to the heart, brain, and other vital organs.

Chronic low blood pressure with no symptoms is almost never serious. But health problems can occur when blood pressure drops suddenly and the brain is deprived of an adequate blood supply. This can lead to dizziness or light headedness. Sudden drops in blood pressure most commonly occur in someone who’s rising from a lying down or sitting position to standing. This kind of low blood pressure is known as postural hypotension or orthostatic hypotension. Another type of low blood pressure can occur when someone stands for a long period of time. This is called neurally mediated hypotension. When it leads to passing out, if is called vasovagal syncope.

Postural hypotension is considered a failure of the cardiovascular system or nervous system to react appropriately to sudden changes. Normally, when you stand up, some blood pools in your lower extremities. Uncorrected, this would cause your blood pressure to fall. But your body normally compensates by sending messages to your heart to beat faster and to your blood vessels to constrict. This offsets the drop in blood pressure. If this does not happen, or happens too slowly, postural hypotension results and can lead to fainting.

The risk of both low and high BP normally increases with age due in part to normal changes during aging. In addition, blood flow to the heart muscle and the brain declines with age, often as a result of plaque build up in blood vessels. An estimated 10% to 20% of people over age 65 have postural hypotension.

The cause of low blood pressure isn’t always clear. It may be associated with the following:

What Causes a Sudden Drop in Blood Pressure?

Sudden drops in blood pressure can be life-threatening. Causes of this type of hypotension include:

Postural hypotension, which is low blood pressure when standing up suddenly, can happen to anyone for a variety of reasons, such as dehydration, lack of food, or being overly fatigued. It can also be influenced by genetic make-up, aging, medication, dietary and psychological factors, and acute triggers, such as infection and allergy.

Postural hypotension occurs most frequently in people who are taking drugs to control high BP (hypertension). It can also be related to pregnancy, strong emotions, hardening of the arteries (atherosclerosis), or diabetes. The elderly are particularly affected, especially those who have high blood pressure or autonomic nervous system dysfunction.

Source: https://www.webmd.com/heart/understanding-low-blood-pressure-basics#3

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Dengue Fever

Dengue (pronounced DENgee) fever is a painful, debilitating mosquito-borne disease caused by any one of four closely related dengue viruses. These viruses are related to the viruses that cause West Nile infection and yellow fever.

An estimated 390 million dengue infections occur worldwide each year, with about 96 million resulting in illness. Most cases occur in tropical areas of the world, with the greatest risk occurring in India South East Asia, Africa and Mexico.

Dengue fever is transmitted by the bite of an Aedes mosquito infected with a dengue virus. The mosquito becomes infected when it bites a person with dengue virus in their blood. It can’t be spread directly from one person to another person.

Symptoms of Dengue Fever

Symptoms, which usually begin four to six days after infection and last for up to 10 days, may include

  • Sudden high fever
  • Severe headache
  • Pain behind the eyes
  • Severe joint and muscle pain
  • Fatigue , Nausea
  • Vomiting and Skin rash (appears 2 – 5 days after fever)
  • Mild bleeding (such a nose bleed, bleeding gums, or easy bruising)

Sometimes, symptoms are mild and can be mistaken for those of the flu or another viral infection. Younger children and people who have never had the infection before tend to have milder cases than older children and adults. However, serious problems can develop. These include dengue hemorrhagic fever, a rare complication characterized by high fever, damage to lymph and blood vessels, bleeding from the nose and gums, enlargement of the liver, and failure of the circulatory system. The symptoms may progress to massive bleeding, shock, and death. This is called dengue shock syndrome (DSS).

People with weakened immune systems as well as those with a second or subsequent dengue infection are believed to be at greater risk for developing dengue hemorrhagic fever.

Diagnosing Dengue Fever

Doctors can diagnose dengue infection with a blood test to check for the virus or antibodies to it. If you become sick after traveling to a tropical area, let your doctor know. This will allow your doctor to evaluate the possibility that your symptoms were caused by a dengue infection.

Treatment for Dengue Fever

There is no specific medicine to treat dengue infection. If you think you may have dengue fever, you should use pain relievers with acetaminophen and avoid medicines with aspirin, which could worsen bleeding. You should also rest, drink plenty of fluids, and see your doctor. If you start to feel worse in the first 24 hours after your fever goes down, you should get to a hospital immediately to be checked for complications.

Preventing Dengue Fever

There is no vaccine to prevent dengue fever. The best way to prevent the disease is to prevent bites by infected mosquitoes, particularly if you are living in or traveling to a tropical area. This involves protecting yourself and making efforts to keep the mosquito population down.

Source: https://www.webmd.com/a-to-z-guides/dengue-fever-reference#1

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FEVER Facts

  • Although a fever could be considered any body temperature above the normal 98.6 F (37 C), medically, a person is not considered to have a significant fever until the temperature is above 100.4 F (38.0 C).
  • Most fever is beneficial, causes no problems, and helps the body fight off infections. The main reason to treat a fever is to increase comfort.
  • Fever is the result of an immune response by your body to a foreign invader. Foreign invaders include virus, bacteria, fungi, drugs, or other toxins.
  • Children under 3 months of age with a temperature of 100.4 F (38.0 C) or greater should be seen by a health care professional. They may be quite ill and not show any signs or symptoms besides a fever. Infants younger than 6 weeks of age should be seen immediately by their doctor.
  • Acetaminophen  (Tylenol and others) ibuprofen (Advil and motrin) can be used to treat a fever. Aspirin should not be used in children or adolescents to control fever.
  • The prognosis for a fever depends on the cause. Most cases of fever are self-limited and resolve with treatment of symptoms.
  • A person who is taking immunosuppressant drugs or who has a history of or diagnosis of cancer, AIDS, or other serious illness, such as heart disease or diabetes, should seek medical care if a fever develops.

What is a fever?

The definition of fever is an elevation in body temperature or a high body temperature. Technically, any body temperature above the normal oral measurement of 98.6 Fahrenheit (37 Celsius) or the normal rectal temperature of 99 F (37.2 C) is considered elevated. However, these are averages, and one’s normal body temperature may actually be 1 F (0.6 C) or more above or below the average of 98.6 F. Body temperature can also vary up to 1 F (0.6 C) throughout the day.

Fever should not be confused with hyperthermia, which is a defect in your body’s response to heat (thermoregulation), which can also raise the body temperature. This is usually caused by external sources such as being in a hot environment. Heat exhaustion and heat stroke are forms of hyperthermia. Other causes of hyperthermia can include side effects of certain medications or medical conditions.

Fever should also not be confused with hot flashes or night sweats due to hormonal changes during perimenopause (the time period around menopause). Hot flashes and night sweats cause a sudden and intense feeling of heat, and may be accompanied by flushing (skin redness and tingly feeling) and sweating but are not the same thing as a fever.

What Causes Fever?

Fever is the result of an immune response by your body to a foreign invader. These foreign invaders include viruses, bacteria, fungi, drugs, or other toxins.

These foreign invaders are considered fever-producing substances (called pyrogens), which trigger the body’s immune response. Pyrogens signal the hypothalamus in the brain to increase the body temperature set point in order to help the body fight off the infection.

Fever is a common symptom of most infections such a colds and gastroenteritis (also referred to as stomach flu), and thus a risk factor for fever is exposure to infectious agents. Typical infections that may cause a fever include those of the ear, throat, lung, bladder, and kidney. In children, immunizations (such as vaccine shots) or teething may cause short-term low-grade fever. Autoimmune disorders (including rheumatoid arthritis, lupus, and inflammatory bowel disease), medication side effects, seizures, blood clots, hormone disorders, cancers and illicit drug use may also cause fevers.

A fever can cause a person to feel very uncomfortable. Signs and symptoms of a fever include the following:

  • Temperature greater than 100.4 F (38 C) in adults and children
  • Shivering, shaking, and chills
  • Aching muscles and joints or other body aches
  • Headache
  • Intermittent sweats or excessive sweating
  • Rapid heart rate and/or palpitations
  • Skin flushing or hot skin
  • Feeling faint, dizzy, or lightheaded
  • Eye soars
  • Weakness
  • Loss of apetite
  • Fussiness (in children and toddlers)
  • Also important to note in children are symptoms that can accompany an infection, including cough, ear ache, vomiting and diarrhea
  • With very high temperatures (>104 F/40 C), convulsions, hallucination or confusion is possible. Always seek medical attention for a high fever or if these symptoms occur.

How do health care professionals diagnose a fever?

Along with having generalized symptoms of a fever, taking one’s temperature with a thermometer can confirm the diagnosis of a fever. A temperature greater than 100.4 F in adults or children is considered a fever.

Different tests may be done by a doctor, such a blood and imaging tests, to determine the cause of a fever and if the cause of the fever needs to be treated.

How should someone take a temperature for fever?

Digital thermometers can be used to measure rectal, oral, or axillary (under the armpit) temperatures. The American Academy of Pediatrics does not recommend use of mercury thermometers (glass), and they encourage parents to remove mercury thermometers from their households to prevent accidental exposure to this toxin.

Generally, if the fever does not cause discomfort, the fever itself need not be treated. It is not necessary to awaken an adult or child to treat a fever unless instructed to do so by a doctor.

The following fever-reducing medications may be used at home:

  • Acetaminophen (Tylenol and others) can be used to lower a fever. The recommended pediatric dose can be suggested by the child’s pediatrician. Adults without liver disease or other health problems can take 1,000 mg (two “extra-strength” tablets) every six hours or as directed by a physician. The makers of Tylenol state the maximum recommended dose of acetaminophen per day is 3,000 mg, or six extra-strength tablets per 24 hours, unless directed by a doctor. Regular-strength Tylenol tablets are 325 mg; the recommended dosage for these is two tablets every four to six hours, not to exceed 10 tablets per 24 hours. If your fever is accompanied by vomiting and you are unable to keep oral medications down, ask a pharmacist for acetaminophen suppositories, which are available without a prescription.

https://www.medicinenet.com/aches_pain_fever/article.htm#what_is_the_treatment_for_a_fever

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What are the causes and types of arthritis?

Arthritis means joint inflammation, but the term is used to describe around 200 conditions that affect joints, the tissues that surround the joint and other connective tissue. It is a rheumatic condition.

The most common form of arthritis is osteoarthritis. Other common rheumatic conditions related to arthritis include gout, fibromyalgia, and Rheumatoid Arthritis (RA).

Rheumatic conditions tend to involve pain, aching, stiffness, and swelling in and around one or more joints. The symptoms can develop gradually or suddenly. Certain rheumatic conditions can also involve the immune system and various internal organs of the body. Some forms of arthritis, such as rheumatoid arthritis and lupus (SLE), can affect multiple organs and cause widespread symptoms.

According to the Centers for Disease Control and Prevention (CDC), 54.4 million adults in the United States have received a diagnosis of some form of arthritis. Of these, 23.7 million people have their activity curtailed in some way by their condition. Arthritis is more common among adults aged 65 years or older, but it can affect people of all ages, including children.

Fast Facts

Here are some key points about arthritis. More detail is in the main article.

  • Arthritis refers to around 200 rheumatic diseases and conditions that affect joints, including lupus and rheumatoid arthritis.
  • It can cause a range of symptoms and impair a person’s ability to perform everyday tasks.
  • Physical activity has a positive effect on arthritis and can improve pain, function, and mental health.
  • Factors in the development of arthritis include injury, abnormal metabolism, genetic makeup, infections, and immune system dysfunction.

Treatment aims to control pain, minimize joint damage, and improve or maintain quality of life. It involves medications, physical therapies, and patient education and support. Treatment for arthritis aims to control pain, minimize joint damage, and improve or maintain function and quality of life. A range of medications and lifestyle strategies can help achieve this and protect joints from further damage.

Treatment involves

  • medications
  • non-pharmacologic therapies
  • physical or occupational therapy
  • splints or joint assistive aids
  • patient education and support
  • weight loss
  • surgery, including joint replacement

Natural remedies

A healthful, balanced diet with appropriate exercise, avoiding smoking, and not drinking excess alcohol can help people with arthritis maintain their overall health.

Diet

There is no specific diet that treats arthritis, but some types of food may help reduce inflammation.

The following foods, found in a Mediterranean diet can provide many nutrients that are good for joint health:

  • fish
  • nuts and seeds
  • fruits and vegetables
  • beans
  • olive oil
  • whole grains

Foods to avoid

There are some foods that people with arthritis may want to avoid. Nightshade vegetables (such as eggplant, peppers, potatoes), contain a chemical called solanine that some studies have linked with arthritis pain. Research findings are mixed when it comes to these vegetables, but some people have reported a reduction in arthritis symptoms when avoiding nightshade vegetables.

Self-management of arthritis symptoms

Key strategies include:

  • staying physically active
  • achieving and maintaining a healthy weight
  • getting regular check-ups with the doctor
  • protecting joints from unnecessary stress

 Being organized: Keep track of symptoms pain levels, medication and possible side effects for consultations with your doctor.

Managing pain and fatigue: A medication regimen can be combined with non-medical pain management. Learning to manage fatigue is the key to living comfortably with arthritis.

Stay active: Exercise is beneficial for managing arthritis and overall health.

Balancing activity with rest: in addition to remaining active, rest is equally important when your disease is active.

Eating healthy diet: A balanced diet can help you achieve a healthy weight and control inflammation. Avoid refined, processed foods and pro-inflammatory animal-derived foods and choose whole plant foods that are high in antioxidants and that have anti-inflammatory properties.

Improving sleep: Poor sleep can aggravate arthritis pain and fatigue. Take steps to improve sleep hygiene so you find it easier to fall asleep and stay asleep. Avoid caffeine and strenuous exercise in the evenings and restrict screen-time just before sleeping.

Care for joints: Do not sit in the same position for long time. Take regular breaks to keep mobile.

Source: https://www.medicalnewstoday.com/articles/7621.php

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