Tag: chest pain

Self-Help Treatment for Panic Attack

Although it is not advisable to diagnose yourself with panic attack, it is really not sensible to wait until your supposed “attack” is over before you do something about it. Here are the things you must know so that when you feel that you are having an attack, you know what to do:

Understand what panic attack is all about. Awareness is the most important weapon to combat panic attacks because when you feel or know that you are under an attack, it is much easier for you to counter the effects of the symptoms that go along with it. Remember this: panic attacks can happen to anyone. It can happen to stressed and depressed person as well as happy and healthy ones. It can happen without warning, without any apparent reason.

Triggers can also cause irrational and exaggerated fear and anxiety. Chemical imbalance in the body (low serotonin and low progesterone levels) can trigger an attack. And while there are so many studies that suggest some causes of panic attacks, the condition is still not fully understood.

Know its symptoms. For most many people, there is no easy telling whether or not they are experiencing a panic attack during the moment of attack since it is difficult for them to rationalize things and to differentiate what is real from the unreal. While this is the case, it is not really an excuse. Here are the symptoms of panic attacks: heartbeat or palpitation, chest pain, hyperventilation or shortness of breath, stomach churning, upset stomach, trembling and shaking, muscle tension, sweating, dizziness and light-headedness, hot or cold flashes, tingling sensation or numbness, fear of dying, going crazy or losing control and feeling detached from the surroundings. Take note that people react to triggers differently, thus symptoms may vary from person to person.

Practice deep breathing. Deep breathing during an attack is the most effective way to reduce the symptoms you are experiencing as well as divert your attention from the fearful thought. Breathe in deeply for 3 slow counts, hold your breath for 3 slow counts, and breathe out for another 3 slow counts. Repeat this process until you feel you are calm. You can also breathe into a paper bag. This reason for this is that re-breathing your carbon dioxide helps correct the blood acid level that had been disturbed by excessive breathing.

Stay positive. While it is easier said than done, staying positive during an attack will speed up your recovery. Let the situation flow while keeping in mind that it will going to pass. An attack peaks for 5 to 10 minutes and rarely extends for more than half an hour so do not think that you are going crazy (or going to die) even if it feels that you are going crazy (or going to die).

Avoid unnecessary stress. While you cannot avoid every stressful situation and it is also unhealthy to turn your back on situations that need to be addressed, avoiding unnecessary stress help reduce the chances of you experiencing an attack. Stay away from people who stress you out, from relationship that causes stress, and situations that get you tensed.

Learn to say “no” if you have other much important things to do; do not work for extended hours; do not accept additional work if you know you cannot do it properly, etc.

Panic Attacks — Signs of Vulnerability

Panic attacks do not come from nowhere, though the possibility of them coming out of the blue cannot be discounted. Nonetheless, there is always that something that triggers the occurrence of such attacks. Experts believe that the causes are multi-factorial and pre-disposing factors are many. Included are the following:

Genetics. Panic attacks run in the family. If you great grandfather had it, there is a relative possibility that you might develop the disorder as well. In typical cases, those people who have relatives with panic attacks are twice more likely to experience either acute or chronic but intermittent episodes of panic disorder than normal people. Nonetheless, there are people who have family history of panic attacks that do not develop the disorder.

Medical causes. There are several medical conditions that could allow for the development of panic disorder and panic attacks. Among them are mitral valve prolapse, hypoglycemia, hyperthyroidism, abrupt withdrawal from medication usage, and use of stimulants. Mitral valve prolapse, otherwise known as MVP, is a heart disease that affects the mitral valves, the part of the heart that prevents the backflow of blood. The symptoms of this disease are shortness of breath and chest pain along with others. Not only do these symptoms resemble those of panic attacks but research by the American Heart Association confirmed that there is a direct link between MVP and panic attacks.

Hypoglycemia, on the other hand, is a condition characterized by a lower level of blood glucose. Meanwhile, hyperthyroidism is also a condition that is somehow linked with panic attacks. This condition is marked by the overproduction of thyroid hormones namely T3 and T4 hormones. Abrupt withdrawal from certain medications is also believed to be a cause of panic attacks since this triggers sudden changes in the body. Another factor that may lead to the development of panic attacks is the use of stimulant substances such as beverages with high caffeine content and marijuana.

Medications. The body’s reaction to foreign materials with medical properties is not always necessarily positive. There are cases when the substances found in the drugs produce the right conditions in the body conducive to the arousal of panic attacks. For example, methylphenidate which is more commonly known as Ritalin is used for patients of ADHD or Attention Deficit Hyperactivity Disorder as well as narcolepsy could cause panic attacks for some people.

Gender. This seems to be a predisposing factor towards the development of panic disorder. According to studies females are 50% more likely than their counterparts to develop the disorder.

Major life events. Substantial events in life that lead to extreme changes can create the right environments for the occurrence of panic attacks. This may be because such drastic changes create tensions in the homeostasis of a person’s life, thus upsetting the previous order of things and forcing the person to confront the changes. If the person fails to respond accordingly, the tension may persist and he might be overcome by it. Thus, producing a number of symptoms that could be characterized under psychological disorders, panic attacks included.

Phobias. Although the statistics are not established yet, it seems clear that people who have severe cases of phobias are more susceptible to developing panic disorders. This could be due to the fact that phobias cause elevated levels of fear to start with.

Pneumonia in Children

Pneumonia is the infection of the either one lung or both. When both the lungs get infected it is known as double pneumonia. When the pneumonia is mild enough that the visit to the doctor can be avoided and the child can carry out daily activities normally, it is known as walking pneumonia.

The lungs are an important part of the respiratory system. The air which is breathed in contains oxygen, which is filtered by the lungs. This oxygen then is carried around the body with the help of blood which is passed from the breathing tubes by the alveoli. Capillaries or the minute blood vessels are surrounded by small air sacs known as alveoli. There are over six hundred million alveoli in the human body. The air which is taken in is supplied to the alveoli; the oxygen extracted from the air is dissolved in the blood. Then it is the job of the red blood cells to distribute the oxygen to all the body parts. Oxygen is vital in the proper functioning of the human body and insufficient supply of oxygen can damage the organs and sometimes can be life threatening. This functioning is disturbed when the lungs get infected by pneumonia.

Pneumonia does not allow the lungs to function properly, because the infection produces fluid which obstructs the alveoli. In turn the oxygen does not penetrate deep inside the lungs and lesser oxygen is supplied to the blood. The breathing is affected and the condition worsens when both the lungs get infected with pneumonia.

People of all ages from infants to old could get affected with pneumonia. It is a myth among people that getting wet makes the person catch pneumonia. But it is actually the virus or the bacteria which causes the infection. When a person infected with flu or cold faces a deterioration in his/her condition, he/she can be infected with pneumonia. This happens because the irritation caused by the flu or cold helps the pneumonia germs to get into the lungs easily and move around to spread the infection.

The virus or bacteria which cause pneumonia can cause damages, whose severity can depend on the health of the child. If the infection is caused by bacteria, the child will get sick very soon and can get high temperature fever accompanied with chills. Pneumonia caused by virus develops very slowly and it takes longer time to go away. The child can also experiences cough, chest pain, headache, and or muscle ache. It can also make it difficult to breath, so the child will start to breath faster which may make him cough out gloppy mucus. The child would have to totally abstain from eating.

When given the right treatment, the child can recover fully. The doctor will first examine the heartbeat and breathing with the help of the stethoscope. The stethoscope also helps to check the lungs, the sounds made by the lungs help to determine if it contains any fluids. Sounds such as crackling or bubbling are indications of pneumonia. Chest X-ray will be taken too. White patchy area will show fluid buildup. By looking at the X-ray, the doctor can also determine whether the infection is caused by bacteria or virus. If it is caused by bacteria, antibiotics will be prescribed. And if it is difficult for the child to swallow the medicine or to retain it inside, he/she will be injected with IV fluid. And if virus is responsible for the infection, antibiotics wont work. Fever reducers, along with cough medicine, will be given in this case. The medicines will be of no use, if the child doesnt take adequate rest and plenty of liquids.

Shots can be taken to prevent pneumonia. These series of shots are called pneumococcal. Regular flu shots can also prove helpful, especially for kids who have asthma or other kinds of lung infection. Rest and sleep also strengthens the immune system. Washing hands regularly can keep harmful germs at bay.

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What Evidence of Congestive Heart Failure is a Diagnosis Based

What Evidence of Congestive Heart Failure is a Diagnosis Based on?

While all cardiac conditions carry similar symptoms of chest pain and difficulty breathing, congestive heart failure generally presents with a very specific set of symptoms and lab results, giving doctors a very firm set of clues upon which to base a definite diagnosis.

Dyspnea, or difficulty breathing, coupled with severe pitting edema (when the body retains fluid to the point of holding the imprint of an object that is pressed into the skin for several minutes) are generally the first pieces of evidence pointing to congestive heart failure. Heart failure results in the heart not being able to efficiently pump blood throughout the body; as a result, fluid accumulates rather than being excreted and causes the body to swell as if it were a water balloon. Non-pitting edema, or fluid retention that does not hold an imprint, is not caused by heart failure and indicates that another diagnosis needs to be made. The patient may produce a frothy pink sputum when they cough.

In addition to the symptoms related to the fluid accumulation general weakness and malaise, particularly during times of physical exertion are frequent complaints of patients suffering from congestive heart failure, and should not be ignored. This is caused by a lack of nutrients and oxygen from the blood to the body tissues, and may result in permanent damage to the organs if they are left without these vital elements for a prolonged period of time. Anuria, or a lack of urination, is also evidential of heart failure as fluid accumulates in the tissues rather than being properly excreted. Patients may suffer from a changed mental status due to toxins accumulating in the body.

Once the physician suspects heart failure based on the physical evidence, blood samples will be sent to the laboratory. Beta-natriuretic peptide, or BNP, is an excellent screening tool in suspected cases of heart failure. This hormone is produced in greater quantities by the failing heart muscle as fluid levels rise, with a level between one hundred and five hundred pg/mg suggesting congestive heart failure and greater than five hundred being fairly diagnostic; however, an elevated BNP should not be considered to be sufficient evidence upon which to base a positive diagnosis, as conditions such as renal failure, ventricular strain, tumors or hypoxia can also cause BNP levels to rise. Arterial blood gases may be tested to determine the degree of hypoxemia. A decreased erythrocyte sedimentation rate, proteinuria (protein in the urine), and a mild azotemia (elevated blood urea level) can be seen in early to moderate disease. An increased serum creatinine, hyperbilirubinemia (increased bilirubin in the blood) and dilutional hyponatremia (decreased serum sodium levels) are evidence the patient is suffering from a more advanced case of heart failure.

Radiology will also wish to perform imaging studies to evaluate the condition of the heart. A chest x-ray will generally reveal cardiomegaly (enlargement of the heart) and pleural effusion (fluid around the heart). An echocardiogram may be performed to evaluate the internal structures of the heart to evaluate for any structural abnormalities, as in the case of mitral stenosis. This provides evidence to determine the underlying cause of congestive heart failure, particularly in suspected cases of valvular heart disease.

Physicians are like detectives, if you will. Once these tests have all been run they will gather these pieces of evidence together and put them together to form a fairly accurate picture of the patient’s condition, allowing for an accurate diagnosis leading to proper treatment.