Obsessive Compulsive Disorder in Adolescents

Obsessive compulsive disorder or OCD starts from adolescence onwards. OCD is feeling of strong obsessions and compulsions which result in intense discomfort and affects daily functioning. Obsessions are thoughts which are persistent and recurrent. They even include unwanted images and impulses which lead to distress and anxiety. These feelings and thoughts are usually irrational or unrealistic. Compulsions are repetitive rituals or behavior such as checking something again & again, or mental acts such as counting. These obsessions & compulsions cause intense distress and anxiety and can interfere with the daily activities, relationships, social activities and academic functioning. The person with OCD thinks that he has no control over his actions. OCDs are relapsing and chronic illness.

The thoughts change as the adolescent grows. Younger children suffering from OCD often have thoughts of harm befalling on them and their family such as thief getting into the house through an unlocked door. This will make the children to recheck the door and windows again and again fearing that they might have left the door unlocked accidentally. Teenagers suffering from OCD fear that they might get fall sick due to germs, contaminated food and AIDS. The adolescent develops certain rituals, such as washing hands innumerable times, in order to get over the fear. These rituals help them to think that they have overcome the problem for the time being and give them temporary relief. If they do not perform these rituals, they become more and more anxious.

OCD is a sign of brain circuitrys unusual functioning and it involves the striatum part of the brain. The brain activity patterns of such people differ from normal people and people with other mental disorders. Researchers have concluded that OCD is usually a family problem and is a disorder of the brain. Streptococcal bacterial infection can create or worsen the condition of OCD. Adolescents with no family history of OCD can also develop it. Most of the adolescents feel embarrassed to talk about their OCDs. They think that people will label them as crazy and this will make them feel ashamed. This will make it difficult for the parents to talk to their children about their OCD, in order to solve them. Parents need to develop good communication skills for this purpose. Parents support is also very important to the adolescent. Cooperation is extremely important along with treatment, because if the problem is not treated the adolescent will grow into a disturbed adult.

Most of the adolescents with OCD can receive effective treatment. The treatment can include psychotherapy and intake of medications such as fluoxetine, clomipramine, fluvoxamine, paroxetine, sertraline and other serotonin reuptake inhibitors. When OCD is caused due to streptococcal infection, the adolescent can be administered with antibiotics to kill the bacterium which is causing it. Exposure and response prevention behavioral therapy is very useful in solving OCD. In this therapy, the adolescent is wontedly exposed to his/her fears which give him/her obsessive thought. After that he/she is trained to avoid these thoughts and the rituals which he/she carries out to tackle the anxiety.

An adolescent having OCD can also have depression, substance abuse, attention deficit hyperactivity disorder, eating disorders, and other types of anxiety disorders. When a person with OCD and other mental illness, is treated, OCD becomes more difficult to treat and even diagnose.

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Modern Ways to Achieve the Perfect Smile

Everyone desires to have a great smile. For a killer smile, one should have sparkling, bright, and shiny teeth.

Today, a lot of people are spending more money just to have their teeth whiter. They make use of the best teeth whitening treatments and undergo procedures to achieve the brilliant white teeth.

Teeth whitening had been an effective procedure to lighten the color of the teeth, without taking away any of the tooth surface. It will not completely whiten the whole set of teeth; it will just lighten the existing color of the teeth.

Only a few are blessed with pearly white teeth, and our teeth normally become discolored as we grow up.

Our teeth can also be stained on the outer part because of the food and drink. Coffee, tea, blackcurrant and red wine have effect on the discoloration of our teeth. Smoking is another cause of teeth discoloration. Most people may encounter staining beneath the surface which is caused by tiny cracks in the teeth or certain antibiotics that absorb the stains.

But what are these teeth whitening treatments and procedures? And are these done?

Bleaching. This is most common form of teeth whitening procedure. Your dentist will advice you if this is the best teeth whitening treatment suitable for you.

Bleaching is done by placing a gel or rubber to shield the soft tissue of your gums. Then, the whitening product will be applied on your teeth by using a special tray which shapes into your mouth like a gum shell.

The teeth whitening product usually contains carbamide peroxide and hydrogen peroxide as the ‘active ingredients’. When these ingredients break down, the oxygen enters the enamel of your teeth thus, making the color lighter. The entire treatment can be completed in three to four weeks time.

For those who wish to undergo to this treatment, you will need at least three visits to the dentist. On your first visit, the dentist will create a mouth-guard and take a caricature or impressions of it. Once the treatment has started, it is recommended that you continue it at home. You have to regularly apply the teeth whitening product over four weeks, for at least 30 minutes at a time.

Most of the known and best teeth whitening products can be applied for up to several hours at a time. The treatment can be done even while you’re sleeping. Ideally, a good result can be attained in as little as one week.

Laser Whitening. This is also called the “power whitening”. Though expensive, a lot of people especially artists consider it as the best teeth whitening method.

During this process, a rubber dam is placed over your teeth to shield the gums, and the whitening product is then painted on your teeth. A laser will be used to stimulate the chemical. The light will help boost the chemical reaction of the bleaching product, thus the color change can be attained more rapidly.

Dentists believe that the result of laser whitening treatment is good. It can make your teeth up to six shades lighter.

Unfortunately, not everyone can get a chance to undergo laser treatment. The dentist will have to check your teeth and ensure that you are fit for the treatment. The total procedure is usually done in an hour.

The effects of this power whitening is said to last up to three years depending on the person. The dentist still advice not to smoke, eat and drink products that may cause a stain in your teeth. Others may find their teeth vulnerable to cold after the treatment. But these symptoms usually vanish within a few days.

These are just two of the famous and best teeth whitening methods available. Despite the fact that they may cost a lot, the effect is still worth it. Through these methods, you’ll surely flash everyone a perfect smile.

Acne in Adolescents

Acne is one of the most common problems in adolescent teens affecting nearly seventeen million people in the United States. Acne is nothing but a disorder involving sebaceous glands and hair follicles. Acne results from the clogging of sebaceous glands leading to the formation of pimples and cysts. The condition usually begins with the onset of puberty. Going by the facts, as teens attain puberty the androgens also called male sex hormones are produced in high number leading to sebaceous glands becoming over active which results in sebum being produced in high proportions.

Sebum, which is nothing but oil is produced by sebaceous glands which travel to the skin surface through hair follicles. But, skin cells block the follicles which results in oil also being blocked. When these hair follicles are blocked it results in the development of skin bacteria known as Propionibacterium Acnes within the follicles which in turn results in swelling of the skin called Acne. If the hair follicles are partially blocked it results in blackheads. If the follicles are completely blocked they result in whiteheads. But if these plugged follicles are not treated they ultimately burst causing the oil, bacteria and skin cells to spill all over the skin resulting in irritation and formation of pimples. Acne can be shallow as well as deep in various individuals depending on the nature of skin and amount of oil produced.

There can be various causes why Acne forms. Apart from rising hormone levels due to puberty it can also be attributed to certain other factors like intake of drugs which contain lithium, barbiturates and corticosteroids. Acne can also be caused due to excess grease and oil in the scalp, due to cooking oil and use of some cosmetics can actually alleviate the acne problem. Acne problem many times is inherited also. Acne problem is worsened if the pimples are squeezed or scrubbed too hard.

Acne can form at any place of the body but they most commonly form in the areas where there sebaceous glands are present in high proportions like face, chest, shoulders, neck and upper back. The symptoms may differ from person to person but commonly seen symptoms are: formation of blackheads, whiteheads, lesions filled with pus and which are very painful and lastly nodules. One may get confused sometimes as symptoms of acne may be like some other skin condition and it is always advised to consult a doctor in this scenario.

There are lots of treatments available today to treat acne. The primary goal of the treatment is to reduce scars and better appearance. There are various treatments and the doctor decides which specific treatment you need based on: the extent of acne problem, age, medical history, overall health, tolerance to specific medications and procedures, expectations and last but not the least what patients prefer.

Treatment of acne is classified into topical and systemic drug therapies which are given based on extent of severity. In some instances the combination of both the methods might be the way to go for acne treatment. Topical medication is nothing but creams, gels, lotions, solutions etc. prescribed to patients for acne treatment. Some of the examples of topical medication are: Benzoyl Peroxide which kills the Propionibacterium Acnes bacteria, antibiotics helps in stopping or slowing down the growth of the bacteria and also reduces inflammation, Tretinoin helps in stopping the formation of new acne lesions and Adapalene reduces formation of comedo.

Systemic drug therapies involve prescription of systemic antibiotics primarily for the treatment of acne problem which is moderate to severe in nature. The examples of antibiotics prescribed are Doxycycline, erythromycin and tetracycline. In some cases an oral drug called Isotretinoin is prescribed for teenagers with severe acne problem which shrinks down the sebaceous glands that produce oil. The results are pretty good and almost ninety percent of the adolescents have success with this oral drug. But the drug has some serious side-affects and thus it is very important that one consults a doctor before use.

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Sore Throat Set off by Acid Reflux

Acid reflux refers to the condition in which the partially digested food containing digestive juices travels back into the esophagus from the mouth.

To describe the mechanical layout of this disease, our digestive system has a circular band of muscle called lower esophageal sphincter. This muscle splits the stomach from the esophagus. When the food enters the stomach, this muscle closes so as to prevent the partially digested materials from traveling back into the esophagus. But when the lower esophageal sphincter is rendered incompetent, the stomach contents are allowed to regurgitate or spit up.

The stomach contents that moves back to the esophagus contains digestive acids since they have undergone digestion in the stomach where digestive liquids are released to facilitate the digestion. Because of the acidic nature of the refluxed materials, inflammation develops in the lining of the throat; thus a sore throat is one of the most common symptoms of this condition.

Sore throat is usually associated with other symptoms, though sometimes it is uncommon, such as the occurrence of pus on the tonsil surface and drooling or frequent spitting. Moreover, a patient with sore throat may also experience difficulty in breathing caused by the narrowing of the air passage through the larynx or pharynx.

The pain or other difficulties caused by sore throat can be abated, if not treated, with simple self-treatments that can be done at home. Gargling is a recommended practice. You may try gargling with warm water mixed with table salt. Drinking a lot of water is also very important. Get extra sleep, for this encourages faster recovery. Popsicles or cold drinks are good for sore throats. Humidifiers or vaporizers can be used to sooth the pain in the throat. And also, sucking on solid candies, which help promote saliva production, works as an alternative remedy. It is known that saliva contains bicarbonates that help neutralize the acids that might have remained in the throat due to the reflux.

But if home-treatments are not enough to ease your condition with the sore throat, medical treatments are available. The intake of medicine is particularly advised for those who experience associated symptoms like difficulty in breathing, dehydration or body water loss, and severe pains. Take antibiotics if you feel that viral or bacterial infections have further developed in the throat. Also, rheumatic fever can be prevented from arising, though this condition is very much uncommon. Corticosteroids, which have an anti-inflammatory effect, can help in case of critical sore throat conditions.

Preventive measures and remedies, of course, are available to minimize the incidence of acid reflux, and sore throat, as well. One practical and immediate treatment is the application of gravity; that is, the person is kept in upright position at most times so to hold the digested materials down. Gravity can help prevent regurgitation, or the traveling of the stomach contents back up to the esophagus.

Eating habits should also be changed to facilitate in the treatment of acid reflux. Usual cases of acid reflux usually take place after a meal. It is recommended that evening meals should be taken earlier and in smaller quantities. This is so that the stomach can get emptied in a shorter period of time as compared to when heavy meals are eaten. Moreover, patients with acid reflux have less chances of regurgitating when they lie down.

Medications are also available. Some drugs act to neutralize the acids in the stomach and some work by blocking the production of acids by controlling the actions of histamine.