Tag: abdominal pain

Rheumatoid arthritis treatment

Rheumatoid arthritis treatment
Robert Kokoska

Rheumatoid arthritis is a condition where involves inflammation
of joints which leads to further swelling and pain. It causes an
upset inside the body where the immune system starts attacking
joint tissue, cartilage and other organs.

However the causes of rheumatoid arthritis are still not known
fully. This type of arthritis is the most common and affects one
in every 100 people. Rheumatoid arthritis affects people of all
ages but mainly effects people within the ages of 30 – 50. Women
are three times more likely to be effected as men. Patients
carrying this form of arthritis most often complain of
fluctuating pain and inflammation of joints, which can get gets
worse during flare-ups.

This article aims to offer an insight into several treatments
that can be used against rheumatoid arthritis.

There are two main kinds of drugs used against rheumatoid
arthritis; first line drugs, fast acting drugs, and second line
which are slow acting drugs.

First line drugs include nonsteroidal
anti-inflammatory drugs (NSAIDs). Examples of NSAIDs are
aspirin, ibuprofen and etodolac. These can be used to reduce
pain and swelling of joints.

Aspirin has long been used to decrease inflammation. It can be
used to treat rheumatoid arthritis by using doses that are
higher then those used during fever. Newer types of NSAIDs are
effective as aspirin and require fewer intakes per day. However
just like all medication, it has its own side effects which
include stomach pain, abdominal pain and a few others. In order
to minimize the side effects of NSAIDs, they are regularly taken
with meals.

Another type of first line drugs includes Corticosteroids. They
are more powerful then NSAIDs and are given either orally or
through an injection to the inflamed areas such as joints.

Corticosteroids are given in small doses, mainly during
flare-ups as it reacts more strongly to inflammation. However it
can have serious side effects on the body if given for an
extended period of time in high doses. These include weight
gain, easy risk of infection, easy bruising and others. The side
effects can be minimized by decreasing the level of doses given
to the patients slowly as the condition of the patient improves.
A sharp decline in the doses given to the patient is discouraged
as it can lead to flare-ups and other symptoms of the disease.

Second line drugs include Disease-modifying
Anti-rheumatic Drugs or DMARDs. These drugs are mainly used to
prevent destruction of joints and deformity. DMARDs are used for
an extended period of time in order to be effective. DMARDs can
often be used with a combination of other second line drugs as
therapy.

Some examples of DMARDs include Sulfasalazine,
Hydroxychloroquine, D-penicillamine and others.

Apart from the above methods, there are some other approaches
that can be used to treat rheumatoid arthritis. The patients can
undertake exercise that can help them improve their physical
condition and improve joint mobility. Additionally it is
important to have a healthy intake of food.

Many often patients with rheumatoid arthritis can experience
weight loss. This can be combined with medication and therapy to
come up with a more potent combination against the condition.
Depending on your position, you can under go either
physiotherapy or occupational therapy. This will help improve
flexibility, mobility, and reduce pain in your joints.

The aforementioned approaches to rheumatoid arthritis have been
used time and again. However it is essential to seek your
nearest doctor to get firm guidance. Each arthritis case shall
be dealt on an individual basis.

With the passage of time, new and more effective treatments
against arthritis are starting to come through. However the only
way to gain the maximum benefit from the existing treatments
will be to remain punctual throughout the course of the
medication. It is important to constantly consult your doctor
and keep him or her up to date with your condition, so that the
doctor can advise you further and give more effective feedback.

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Chicken Pox in Children

A typical childhood disease in children chicken pox is very notorious for being contagious. A kid infected with chickenpox virus will develop numerous itchy blisters which are filled with fluid. These blisters burst later, which lead to crusts formation. Children get approximately five hundred such blisters which grow over a red skin spot. They show up on the face first and then spread to the trunk, scalp and the rest of the body. After a day of appearance, the fluid filled blisters become cloudy and later on, scabby.

The itchiness caused due to chicken pox is really intense and irritating. And the crust, if not treated, can leave marks for life. Within forty eight hours of getting infected, the symptoms begin to surface. It is only after ten to twenty days after contamination, that the pox appears. Symptoms include fever, abdominal pain, headache, loss of appetite and finally the pox rash. The condition can be confirmed by testing the pox blisters and by even taking blood test. The medical history of the child can be helpful in determining the severity of the condition.

The virus blameworthy for infecting a person with chicken pox is varicella-zoster or simply, varicella. The virus spreads through airborne transmission, droplet transmission and direct contact. Not only the infected carry these viruses and should be avoided, also people or kids who have taken the vaccination recently should also be avoided. Since the invention of chicken pox vaccine, there has been a decline in the chicken pox cases. Children who are under the age of ten should be highly prepared as they are more prone to getting infected by this virus. But on the contrary, when older children or adults catch chicken pox, they become sicker when compared to young kids.

A child or a person who has been infected by chicken pox virus becomes host to the virus for lifetime. But the number is kept under control by the bodys immune system. Infants, sometimes, get partial immunity from the blood of their mother, if the mother was already infected by chicken pox. Kids of mothers, who havent been infected by chicken pox, tend to get severe chickenpox. Children who have been administered with chicken pox vaccination get mild chicken pox. Skin condition of children with skin problems like eczema or sunburn can worsen. Such kids can be getting above one thousand and five hundred poxes. Children who have taken steroids can also face bad situation.

Along with the application of the prescribed lotion and intake of oral medication containing antihistamine, the itchiness can be eased by bathing the child in lukewarm water and oatmeal. The antiviral medications should be started within the first day itself. Other people living in the same household as of the patient should also take antiviral medicines recommended by a doctor. It is a must for everyone to take chicken pox vaccination as a part of immunization routine schedule. There is a hundred percent chance of not developing moderate to severe chickenpox and nearly ninety percent chance of not developing mild chicken pox. Chicken pox vaccine is the only vaccine which doesnt demand a booster. But a higher dose can be given to adolescents so as to avoid shingles or herpes zoster. But a doctor should be consulted before opting for the higher dose.

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Appendicitis in Kids

Many children have their appendix removed even before turning the age of fourteen. And the risk starts to peak as they age. Majority of children who get an abdominal surgery is because of appendicitis. Appendicitis is actually appendix inflammation and as a result, a fingerlike tube grows on the lower right part of large intestine. Appendix is located at the closed end of the larger intestine, known as the cecum, and measures up to many inches. Although, doctors say that the appendix isnt of much help to the body, but appendixs inner wall releases antibodies, which are produced by the lymphatic tissues.

Appendicitis can be detected by the onset of pain in the middle portion of the abdomen, the portion above the belly button. After a few hours the area will swell and there will be intense pain when touching the abdomens right side. The patient will begin to vomit and will have nausea. There will low fever and there will be problems will gas and stool passage. Some people, after the onset of these symptoms, will take laxatives or enemas mistaking appendicitis for constipation. But this is extremely dangerous, as these medicines will in turn increase the risk of the appendix bursting. So it is recommended to consult the doctor before going for any kind of medication, even any pain relievers. Besides increasing the risk, they even mask the symptoms and makes diagnosis even more hard. If the childs symptoms are very much similar to that of the appendicitis symptoms, he should be immediately taken to the doctor for further diagnosis. The doctor will first study the childs digestive illnesses history. He should also be divulged information about the symptoms, timing, bowel movements and its frequency. The stool should also be checked for mucus or blood. Children, who can communicate, can be asked to point out the location of pain in the abdomen. Toddlers who havent started talking or who hesitate to do talk will raise their knees close to the chest, hips will be flexed and the abdomen becomes tender.

Although, the actual cause of this abnormal growth of the appendix is not known, but it can result because of some kind of obstruction or infection in the intestines. The obstruction can be created due to thick mucus build-up inside the appendix. Some part of the stool can also enter inside. There will be mucus formation and the stool will harden within resulting in the swelling up of the appendix. If it is an infection, it should be treated immediately, as it can burst and there is a danger of the infection spreading to other parts of the body via bloodstream. That is the reason why even blood test is done, so as to determine whether the infection has spread or not. The urine test is done to check for problems in the urinary tract. The problem is then confirmed with the help of computed tomography or an ultrasound. Sometimes children with pneumonia have the similar symptoms, so to make matters clear even X-ray of the chest is done. Medical attention must be sought within forty eight hours of the start of the abdominal pain. Sometimes, abdomen develops mild inflammation, many weeks before the diagnosis is done.

After the diagnosis is done and appendicitis is determined, appendectomy is performed on the patient. The doctor will immediately order the intake of antibiotics before the surgery is performed. In case of confined appendicitis, it can be treated solely by antibiotics and no surgery is required. This is because the inflammation is very mild and the body itself fights with the infection. But, still as a precautionary measure, such kinds of patients must be kept in observation until their condition becomes stabilized. If the appendix ruptured then appendicle perforation is done. In this procedure, a drain is inserted inside the skin, through the abscess with the help of CT scan or ultrasound which gives the exact location. Some people develop complications later such as wound infection and accumulation of puss inside the appendix.

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Abdominal Pain in Children

Tummy aches are one of the most frequently complained about problems in children. There are many causes attributed with it, and it is a challenge for the parent or the physician to find out the exact problem. Sometimes the pain requires immediate attention and can also be a case of emergency. The causes can be related to food, infections, poisoning, insect bites, etc.

Bacteria and viruses are responsible in case of abdominal pain due to infections. Gastroenteritis and stomach flu are some of the examples of infections that can cause stomach aches. Gastroenteritis is the inflammation and irritation of stomach and the gastrointestinal passage. Extra care must be taken by travelers, as the food and drinks can be contaminated at new locations and can lead to travelers getting diarrhea. Stomach pain due to viral infections ward off quickly, but bacterial infections demand the intake of antibiotics. In both the cases, some children recover very fast by vomiting and excreting. In case of diarrhea, excess drinking fluids should be given to the kid to avoid dehydration.

Food related stomach aches can be caused because of food poisoning, gas production, excess food ingestion and food allergies. Problems because of food poisoning are temporary and can cause bloating. Symptoms of food poisoning are vomiting, diarrhea, abdominal cramps, and nausea. Usually these symptoms surface within two days of consumption of contaminated food. Depending on the severity chill, fever, bloody stools, or damage to the nervous system can follow. In case of a group of people who consumed the contaminated food, this situation is known as an outbreak. Over two hundred diseases are known to be transmitted via food. Food can be poisoned because of toxic agents or infective agents. Infective agents are parasites, bacteria, and viruses. Toxic agents are uncooked food, exotic foods, and poisonous mushrooms. Food can get contaminated because of handling by unclean workers at the local restaurant, too. Parents should check out the cleanliness and should visit a trusted restaurant.

Particular foods can cause the irritation, such as diary products can cause lactose intolerance. If this is the case, the child is allergic to certain food or drinks and swallowing even a small amount can cause vomiting, nausea, diarrhea, cramping, and skin rash. Since these items are harmless otherwise, such kind of allergic reactions are known as hypersensitivity reaction. Sometimes the symptoms can be life threatening and are known as anaphylactic shock or anaphylaxis.

Poisoning can also be due to overdose of medicines and even due to eating non-food stuffs. Insect bites such as black widow spider bite can also lead to pain in the abdomen. It can be accompanied with muscle cramps, weakness, nausea, tremor, vomiting and in severe case it can cause dizziness, faintness, respiratory problems, and chest pain. Also, the heart rate and blood pressure increases.

In very rare cases, abdominal pain can be due to appendicitis. This is a result of blockage and inflammation of tissues. Young kids have a higher rate if complications are considered and should be immediately rushed to the hospital. The pain starts slowly in the abdomen, specifically near the belly button. The pain shifts slowly to the right side of the lower abdomen within a time period of over twenty four hours. Clear symptoms are abdominal pain, vomiting, nausea, fever and loss of appetite. Diabetes can also be a reason of abdominal pain. Small children usually curl up, cry and express pain through facial expression. Some kids will be reluctant to talk, but the parent should try to get clear explanation of the problem. Along with close monitoring of the symptoms, studying the location of pain, pain duration, nature of vomiting, and urinary problems will help. After that a pediatric should be consulted who can further refer to a gastroenterologist. Until help is reached, the child should be made to relax.
Often, lying with face in downward direction can relieve pain due to gas. Incase of vomiting and diarrhea, fluids should be given constantly. Solid food should only be given when the child is comfortable about eating it.

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