Tag: depression

Diabetes in adolescents

Diabetes is a rapidly growing, serious health problem among youngster today. Above thirteen thousand adolescents are diagnosed for type 1 diabetes, every year in America. There has also been an increase in the number of teenagers with type 2 diabetes, which was more common among adults above forty and who were overweight. Clinics are reporting that nearly half of the new childhood diabetes cases are of type 2. Adolescents, who are obese and had type 2 diabetes in the family history, are at a greater risk of developing diabetes.

Diabetes is a disease where the human body is incapable of producing or utilizing insulin. Insulin is a hormone produced by the body in order to get energy by converting starches, sugar and other items. Since the insulin isnt used properly in diabetic people, the blood sugar level increases. This glucose buildup is found in blood and is then passed onto the urine and comes out of the body and the major source of body energy is lost.

Diabetes is a serious chronic disease and should be handled at proper time; otherwise it can create serious problems. It can pose a risk and can damage parts of the human body such as eyes, teeth, gums, blood vessels, nerves, and kidneys. This is the reason why diabetes is responsible in most of the cases of adult blindness, kidney failure and lower limb amputations. And if left untreated, it can cause stroke, heart disease and eventually, death. These problems are not only faced by adults, but also adolescents who get diabetes in their childhood. The important factor in treatment of diabetes is to keep the blood sugar level normal at all times.

There are basically two types of diabetes that will affect an adolescent. It is type 1 diabetes and type 2 diabetes. Type 1 diabetes affects the immune systems function as the systems attacks the pancreas insulin producing cells, also known as the beta cells. Because of this, the pancreas loses the ability to manufacture insulin. This is the reason why people with type 1 diabetes take insulin everyday. The symptoms are weight loss, increase in urination & thirst, blurred vision, tiredness and constant hunger. And if the adolescent isnt treated at the right time, he/she can slip in to diabetic coma which can endanger his/her life. In type2 diabetes, the body is incapable of properly using the insulin produced by the body and requires insulin from an external source, too. The symptoms of type 2 diabetes are similar to type 1 diabetes. The teenager feels sick, tired, nauseated, and thirsty. The wounds will recover very slowly; he/she will get infections frequently, will develop blurred vision and will experience weight loss.

Parents play a vital role in determining the problem. They should constantly observe their child for eating disorders or signs of depression. Although cigarette, drugs and alcohol should be avoided by all adolescents and children, it is even more important that youngster with diabetes should stay away from these things as they can worsen the situation. A person with diabetes, who switches to smoking, is at risk of developing cardiovascular diseases and circulatory problems. Consumption of alcohol can cause hypoglycemia or low blood sugar. It is the duty of the parents to make their child aware of the possible risk they would face if they start to smoke, drink alcohol or take drugs.

Children and adolescents, who have diabetes, face many challenges while trying to lead a normal life. They have to think twice before doing simple things as going to a party, playing sports and even when staying over with friends. This is because they require to intake oral medication or insulin. Their blood sugar level must be checked many times through out the day. Also, at gatherings, they have to avoid many food items. Because of this they will feel different from the crowd and can feel left out. Not only does diabetes pose behavioral challenges, but also emotional challenges.

Along with doctor consultation, a psychologist must also be consulted who can deal with the emotional challenges of the adolescent. The family should also play an active role in making the youngster feel better. The family should work in collaboration with physician, dietitian and diabetes educators. Teachers, counselors, school nurses, day care providers, and other community members can provide extended support and guidance. They can provide help with transportation, mental health counseling, health education, social services and financial services.

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Word Count 743

Treatment and Care for Alzheimers Patients

Many breakthroughs and important discoveries have been found throughout the years of research and testing regarding the cure and treatment of Alzheimers disease. Despite that though, there continues to be no known cure or prevention for Alzheimers. Furthermore, once the disease has started, there can be no repairing or slowing down the damage of abnormal deposits of proteins in the brain.

People with Alzheimers have abnormal deposits of protein in their brains. These brain protein coat the brain and interacts with the neurons, neurotransmitters and nerves, causing damage and massive atrophy. Eventually, the brain will continue to shrink and the otherwise wrinkled surface will start to smoothen out. This is basically what causes the degeneration in the mind and in the person’s body.

There however are some drugs and treatments that seem to relieve symptomatic conditions slightly in some cases. These drugs and Alzheimers treatments are especially important during the onset and early stages of the illness when the sufferer can still be aware of what he or she is going through.

For instance, a person with Alzheimers at the early stages may suffer from depression or restlessness and certain drugs and Alzheimers treatments can be administered to help with this somewhat. Also, there have been some cases where memory loss at the beginning of dementia can still be improved somehow. Other possible symptoms that can be momentarily alleviated are sleep disorders and hallucinations.

Beyond these, the proper Alzheimers treatment of caregivers for patients is a highly specialized skill and needs to be administered by a professional. This will mean that the patient will eventually have to be entrusted in institutionalized care for the proper Alzheimers treatment needed.

Of course, loved ones of the Alzheimers patient will want to administer care personally but the care and Alzheimers treatment needed by the patient will be full time and specialized so it is best for a professional caregiver to ensure dignity is maintained throughout the course of the person’s disease.

Despite the present lack of Alzheimers treatment and cure, hope should never be abandoned. After all the technological advancements that have been made in the field of science and medicine, it probably won’t be long before the proper Alzheimers treatment and cure will be discovered.

If not the cure or Alzheimers treatment, then perhaps the methods of prevention against Alzheimers will be found to help other individuals not fall into this predicament. Perhaps in the near future, there will be vaccines for Alzheimers disease much like we all have vaccines against diseases like small pox and the like. All those diseases in the past posed a challenge to humanity then just like Alzheimers does now.

In the meantime, if you or someone you know and care about suffers from Alzheimers, it is best to consult a professional for possible options for instance for eventual institutional care, or for support groups or counseling advice that can be given to the patient and to his or her friends and relatives.

There may be some misconceptions and even some difficulty in accepting the situation of this disease whether it is on the side of the patient or from the people around him or her. For instances such as these, the right counseling and guidance is needed as part of the proper Alzheimers treatment.

Depression in Adolescents

Depression in adolescents is a disorder which occurs due to persistent sadness, loss of interest, loss of self worth and discouragement. Depression is normally a temporary reaction towards situations of stress. Depression is a normal part of the maturation process of adolescents. It is even induced due to production of sex hormones. Adolescent females are depressed twice more than adolescent boys according to a study.

Adolescent behavior is normally marked with good and bad moods. The transition from a good mood to bad mood and vice-versa, can take minutes, hours and even days. That is the reason why true depression is very difficult to find out. Depression in adolescents can be caused due to bad school performance, break up with boyfriend or girlfriend, and failing relations with friends and family. These causes can lead to persistent depression. Other serious causes are chronic illness, obesity, child abuse, stressful lifestyle, poor social skills, unstable care giving and depression in family history.

Symptoms of depression in adolescents are eating disorders, weight change, irritable mood, excessive sleeping in daytime, excessive temper, criminal behavior, memory loss, fatigue, self preoccupation, sadness, difficulty in concentrating, worthlessness feelings, loss of interest, self hatred, obsession with death and thought & attempts of suicides. When these symptoms are being noticed for more than two weeks, it is important to get treatment for the adolescent. Depression not only affects interpersonal relationships, but school performance as well. Depressed adolescents are more prone to take onto drugs and alcohol as an attempt to overcome their depression. Such problems require intensive treatment.

The doctor will take blood test and perform physical examination to determine the cause of depression. The adolescent can also be tested for substance abuse such as smoking, heavy alcohol consumption, marijuana smoking, and usage of other drugs. After the physical examination, psychiatric evaluation is also done to understand the cause of sadness, loss of interest and irritability. Depression can also lead to the development of other psychiatric disorders such as schizophrenia, mania and anxiety. It is also important to determine whether the adolescent poses a risk for himself/herself and others. Family and school personnel can provide valuable information about the adolescent to the doctor.

Treatment for depression for adolescent is similar to the treatment of depression for adults. Along with the treatment, the adolescent are given antidepressant medication and psychotherapy. Antidepressant medications include tricyclics, Prozac, selective serotonin reuptake inhibitors or SSRI. Some of the medicines increase the risk, so it is a good idea that parents discuss the possible risks with the doctor. Only some of the antidepressant medications are meant for children and adolescents. Adolescents with severe depression need to be hospitalized as they are more prone to kill themselves.

Family and school support is necessary to tackle the depression of the adolescent. Parents can get their children admitted in emotional growth schools, boot camps or wilderness programs, to solve the behavioral problems. These programs consist of non medical staff and confrontational therapies. But care must be taken as some of the programs can in turn harm children who are depressed and sensitive. Adolescents, who get caught due to criminal offense, should be taken special care of by their parents. It is best that the child face the consequences and learn a lesson from it. Depressed adolescents respond well to treatment if they are treated comprehensively and early. More than half of the adults are known to have depression when they were in their teens.

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Word Count 578

Steroid Use Causing Problems in Sports Medicine

There are always athletes who feel the need to use steroids while playing sports. While many organizations prohibit the usage, the doctors in the sports medicine field tend to be the real people who are fighting the effects of steroids on a daily basis.

Some of the most prevalent symptoms that sports medicine doctors are forced to deal with include mood swings, violent behavior, depression, and psychoses. The good news is that all of these symptoms are reversible with treatment once the use of the steroids stops; however some other conditions are not as easily reversed.

The use of steroids can alter numerous systems in the body, and how they react in terms of permanent or temporary is very important in terms of working to treat the effects. As the number of athletes guilty of using steroids is steadily decreasing there are fewer problems that doctors are trying to counter, however the use of steroids is still happening which causes the problems to still persist even if at a slower level.

While sports medicine doctors do not typically treat reproductive issues, they are finding themselves engaged in more aspects as the use of steroids can hinder several components. For example, in men it can alter the libido, as well as cause male pattern baldness and even cause impaired spermatogenesis amongst the other problems that include testicular atrophy and gynecomastia. However, of all of the problems, only male pattern baldness is entirely non-reversible with treatment. However, there are times when even gynecomastia is unable to be successfully treated once steroid use has been discontinued.

Women tend to have greater reproductive problems with the use of steroids with the risks causing problems with menstrual cycles, an altered libido, deepened voice, pattern baldness, and even clitoral enlargement. The good news is that the libido as well as menstrual cycle can be restored, while the other results of steroid use at this point are not a reversible complication. This means that each year, women who stop taking steroids are still left with the results to deal with, much more so than men are.

Steroids also have the unfortunate problem of negatively affecting the cardiovascular system, which in athletes much be as healthy as possible in order to achieve the best results. With increased LDL cholesterol levels, reduced HDL cholesterol levels, as well as complications with hypertension, elevated triglycerides and even the potential of arteriosclerotic heart disease the use of steroids has several devastating effects on the athletes overall health.

While there are rare and few doctors who will encourage the use of steroids, a well trained doctor will be able to identify signs that an athlete is using steroids and will do their best to help discourage their usage. While obviously the final choice on using steroids lies with the athlete, a good sports medicine doctor should be able to identify based on signs, which athletes are using.

Because of the risks associated with the cardiovascular system as well as musculoskeletal system, using steroids can actually cause more harm to the body than it can provide in benefits. In addition to the complications associated with the cardiovascular system that were already discussed, it can create complications with tendon degeneration, which is potentially not reversible. This creates a huge problem with weakened tendons that are much more susceptible to injury even after steroid use has stopped. Overall, steroid use represents a huge problem to sports medicine doctors all around the world.

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