Tag: Doctors

The Relationship Of Gilbert’s Disease And Jaundice

Unpopular diseases such as Gilberts disease can be alarming once you are diagnosed with it because you will never know what will happen to you. Upon hearing that you are or you might be suffering from it, it can be hard to accept it because you dont know what to do.

To ease the burden that people with Gilberts disease, doctors try to explain everything about the condition in laymans terms. And one of the easiest ways to understand it is if it is compared to more common diseases that have similarities in it like jaundice.

What Gilberts disease is all about

Gilberts disease was first described by a French gastroenterologist names Augustin Nicolas Gilbert in 1901. Gilberts disease is an asymptomatic (no external symptoms) condition affecting the liver. The condition affect an enzyme in the body called urodine diphosphate glucuronosyltransferase or UGT (abbreviation). UGT aids the liver in breaking down bilirubin which is found also in the blood stream.

Bilirubin is the waste product of the hemoglobin in the blood. Hemoglobin is found in the red blood cells that carry oxygen to other cells in the body to complete the cycle of respiration. After the red blood cells successfully brought the oxygen to the other parts of the body, the blood produces bilirubin. The liver cells then collect all the bilirubin produced by the blood, transfer it to the liver to be broken down into the gut, and turned to bile.

This is where UGT or urodine diphosphate glucuronosyltransferase comes in, it helps the liver cells process the bilirubin in to bile. Gilberts disease affects the production of UGT, this is because it fluctuates the production of UGT in the body. The fluctuating levels of UGT greatly affect the levels of bilirubin retained in the blood. Bilirubin is orangey- yellow in color, which in turn causes a patient to have jaundiced skin.

What is jaundice?

Jaundice is the condition of the blood that has external manifestations. The two most common manifestation of Jaundice is the yellowing of the skin and in the white of the eyes. Jaundice if one of the most common symptoms or manifestations of different liver diseases and sometimes it may be the cause of some discomfort among patients. The heightened bilirubin stores in the body and in the bloodstream causes jaundice but it usually has no serious effects and it can occur in people more than once in their entire lifetime. Mild jaundice is not always caused by diseases of the liver there are times when it may happen under conditions of over exertion, long term stress, intense fasting, and other bodily infections, but the condition is otherwise shows no external manifestations.

It happens when there is a flaw in the liver that averts from removing bilirubin from the blood, to be converted to glucuronic acid (conjugated) or excreted in bile in this case if the person has Gilberts disease.

Lastly, when there is obstruction of the bile ducts that reduces the stream of bile and bilirubin from the liver into the guts. The decreased conjugation, emission, or gush of bile that can result in jaundice refers to cholestasis: however, cholestasis does not always effect in jaundice.

Jaundice or cholestasis, by themselves, causes just a few problems (excluding the conditions of newborns, and jaundice in this case in newborns is different from most other types of jaundice.) Jaundice can make the skin and the whites of the eyes look sclera yellow. As well, stool can turn out to be light in color, even clay-colored because of the lack of bilirubin that usually gives stool its brown color. The urine may become dark or brownish in color. This takes place when the bilirubin that is building up in the blood starts to be excreted from the body in the urine.

Other than those scenarios there is not much to worry about if you have Gilberts disease, you may experience a jaundiced appearance but you can still enjoy a healthy life.

Arthritis and Driving: Tips for Ease

Those suffering from arthritis may find it difficult to walk to the car and back. However, most do not let arthritis stop them from enjoying their life. So, you may head out of the house and hop into your car. This is great, what if you start experiencing pain? How do you treat it on the road or prevent that pain from coming back the next time?

Keep arthritis pain relievers in the car. In one of your cars compartments, have a few pain relief supplies on hand. This may include over-the-counter pain pills, a tube of arthritis cream, or on-the-go heat patches. Whether you experience pain as soon as you get in your car, or later down the road, rely on these over-the-counter products to seek relief. If you live in an area with cold winters, do not keep these items in your car, as they may freeze. Instead, put them in your purse or fanny pack.

Speaking of over-the-counter products, most retail stores sell on-the-go heating patches. These patches stick to your body and warm with skin contact. ThermaCare is a well-known brand. They are ideal when you cant use an electric or microwaveable heating pad. If in pain before you leave the house, but must still leave, like for a holiday party or a doctors appointment, apply an on-the-go heated patch. Relief will last for up to 12 hours. Since they stick directly to the skin, no adjustments should be needed.

Buy a remote car starter. If you live in the northern United States, it is important to warm your car first. Unfortunately, this may mean an extra trip back and forth. It doesnt have to. Instead, purchase a remote car starter. This device allows you to start and warm your car from inside your home. They also make it easier to unlock car doors. Instead of fumbling with the keys, push the button and your car doors unlock! When buying a remote car starter, look for stores that offer free or discounted installation.

Buy no slip steeling wheel covers. Those who suffer from arthritis of the fingers, dread driving. In fact, some may fear the danger they put themselves and others in. If you find it difficult to grip your cars steering wheel, make a new purchase. That purchase should be an easy grip and non-slipable steeling wheel cover. Ask a store employee, family member, or friend to install the cover for you.

Keep a jar opener in the car. If you have arthritis of the hands, you likely already utilize rubber jar openers at home. They make griping, twisting, and turning easier. Keep one in your car. Use it to unscrew your cars gas cap. You can also find arthritis gas cap wrenches available for sale. They slip over your gas cap, have an extended and easy grip handle. These are nice, but they can be hard to find. For the same price, you could easily buy 20 rubber jar openers, which accomplish the same goal.

Keep your car well gassed. As previously stated, there are tools available to make opening and losing the gas cap easier. Even with these tools, it can still be difficult and painful. To prevent the onset of pain, always have a full tank of gas in your car. You wont be forced to put gas in when you are already in pain or more susceptible to it. If you have a full-service gas station in your area, use it.

As you can see, there are many steps that you can take to ease travel and car use. Just because you suffer from arthritis and are prone to pain, it does not mean you need to live your life in fear. Implement the above mentioned steps to reduce pain. If and when it does arrive, turn to your stash of over-the-counter arthritis care products to seek relief.

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The Effective means of Treating Kidney Stones

Doctors say that are generally not harmful. It only becomes harmful and even life threatening when a person suffering from it feels discomforting pain and presence of blood in their urine. Many experts say that the problem why people who are suffering from kidney stones is that they always tend to be complacent in keeping up with a healthy diet and regular exercise. Theydeliberately or not deliberatelywithout realizing that they will suffer and spend more money once the condition gets worse over time.

Today, the most common types of kidney stones among people are the calcium oxalate stones and uric acid stone, which are caused by too much calcium and sodium intake. These types of stones are not really that harmful unless they increase in size fast and block the uteterthe tube that is connected to the bladder and will cause urination problems.

To avoid further complications, it is but natural for people to seek for treatments to spare them from too much pain and expenses. Today, there are so many types of treatments and medications available for people with kidney stones. These forms of treatments vary depending on the severity of the condition. Experts say that people who have mild kidney stones can sort to medication, which are usually prescribed for certain types.

Medication is considered, as the initial form of treatment especially for symptomatic kidney stones which is common among patients. This is used by people who show early signs of kidney stones such as pain with varying degrees. The most common medication includes the Nonsteroidal Antiinflammatory Drugs ot NSAIDs like ibuprofen, naproxen, nifedipine, and tamsulosin, which are effective in speeding up the passage of ureteral stones along the uterer. These come in different brands, come in pill form and can be brought over the counter.

For extreme pains, medication can be through the vein to ensure that it will take effect faster. This process of medication is also ideal for people who have low tolerance in taking oral pills. If NSAIDs cannot be administered directly, fluids can also be given to the patient suffering from the pain of kidney stones through the mouth to ensure that there will be enough supply of fluid for the urine.

Other treatments options

Although medication can be administered at home, there will be times that the patient need to be brought to the hospitalized especially if the pain does not subside immediately. Once hospitalized, the patient will be asked to strain urine in order to cover the stone and collected for laboratory analysis. Here, the type of stone will be determined as well as its size and number through an imaging test. If your kidney stones are smaller than 5 millimeters, you’re safe to take medication.

But if the stone is about 10 millimeters, you will need to undergo a procedure such as: “Shock Wave Lithotripsy (SWL)” which is the most common option of procedure because it can easily remove stones in the renal pelvis and upper ureter.

The “Percutaneous Nephrolithotomy (PNL),” that is ideal for complex and extremely large kidney stones because it involves invasive surgical procedure in the process of removal which are small telescopic instruments passing through the person’s skin.

And the “Ureteroscopy” which is used for removing stones that are obstructed in the middle and lower portion of the person’s ureter with the aid of a tiny telescopic instrument passes through the urethra and bladder and into the ureter and kidney to remove the kidney stones.

Massage Therapy Risks – Fact or Fiction?

True enough, some critics believe that there are also risks involved in massage as a therapeutic technique. Life is not a bed of roses and it follows that for every advantage there is an equivalent disadvantage. How real can the massage therapy risks be? What impact will they pose on the human health? While there are folks who ring the bell to the benefits of massage as a form of therapy, there are likewise those individuals who contest them.

Clear enough, it is safe to assume that there is typically an exception to every rule. Simply put, there are several other health conditions which are not to be addressed by massage alone. There is a much better medical solution that is apt for them.

Explaining the other Side

In several articles, you surely have read about the various kinds of massage therapy. They come in different names and are done in different fashions too. At the same time, they are comprised of different techniques. The point that is being driven is the fact that if massage therapy is applied to a serious medical circumstance such as cancer, the tendency is for the situation to get even worse. In fact, the individual’s life may be actually threatened. Doctors often advice that their attention should be called for prior to taking things further. Any type of massage therapy has to be pre-approved by them. Of course, the patient needs to go through an extensive test to ensure that no sort of danger will get inflicted on him.

A Threat for Cancer Patients

Studies show how this kind of therapy can truly endanger the life of a cancer patient. Cancer is a serious illness that should be addressed following the right healthcare precautions. Some of the risks involve the following:

Bone fractures. Cancer treatments often lead to the weakness of the bones. There is a tendency that during the massage, the application of some pressure may cause the bones to break.

Bleeding. Cancer-afflicted individuals often bleed profusely. For one, the deep tissue massage may cause them the life-threatening internal bleeding.

Spread of the cancer tumors. While this is yet being taken under a heated debate, there are some specialists who claim that a strong pressure on the tumor area will lead it towards metastasis. This may not yet be proven but it still calls for an extreme form of caution.

Lymphedema. This is the term used to refer to the buildup of the lymph in the soft tissues which therefore causes the soreness of the limbs. Some forms of massage therapy can cause this condition especially to someone who has just had the cancerous lymph nodes removed.

Symptoms of flu. Those who have been taking up chemotherapy sessions and at the same time the massage therapy are likely to develop the symptoms of flu.

Pains. Unbearable pains often come after the treatment which nonetheless heightens the patient’s suffering.

Post-surgery effect. Someone who is yet recuperating from a surgery should not get exposed to this kind of therapy since it may lead to the reopening of the incision and the provoking of the internal or external bleeding.

These are just some of the prime massage therapy risks known to the public. Sure enough, some other dangers may surface later on. Thus be very careful and seek for your doctor’s advice prior to consenting to this kind of healing procedure.