Caffeine and Pregnancy: How much is too much

One of the first things most of us women prepare to say goodbye to once we see those two pink lines on our pregnancy tests is caffeine. Many women will stop their caffeine habit cold turkey out of the sheer fear of doing some sort of damage to the new life growing inside of them. These women will swear off anything that has caffeine in it from coffee, and soda to even chocolate. Then there are some of us who will still drink caffeine but cut back. Instead of drinking five cups of coffee a day, we might cut back to at least one cup of coffee to get us through the day.

Our mothers and grandmothers will probably tell us that they drank the same amount of caffeine pregnant as they did when they were not pregnant and their children turned out fine. However a lot more research has been done since their time and studies are showing that too much caffeine can cause some complications such as preterm labor and/or low birth weight.

So how much caffeine is too much caffeine? Doctors are telling their patients that a moderate amount of caffeine will not harm their babies. Even though caffeine does cross the placenta, anything less than 300 milligrams a day (an 8 ounce cup of strong coffee) will not do any harm. Anything over 300 milligrams puts your baby at risk and studies have also shown that women who drink more than 300 milligrams of caffeine a day during their first trimester have a slightly higher risk of a miscarriage.

Studies have also shown that women who had over 500 milligrams of caffeine a day had babies who had faster heart rates and faster breathing rates. These babies also spent more time awake in their first few days of life rather than peacefully sleeping after their long journey.

There are a number of other reasons why we women might want to cut back on the amount of caffeine we drink during pregnancy. For starters, it has no nutritional value. If there is ever a time for us to be aware of our nutritional needs it is when we are pregnant. Second, caffeine is a stimulant which will increase your heart rate and can cause insomnia and headaches which can put some stress on your growing little one. Third, caffeine can cause heartburn. If you have been pregnant before you know that heartburn can be a burden to begin with, and caffeine just makes it worse. Lastly it is a diuretic which means it can cause you to lose fluids which can put you at a risk of becoming dehydrated.

While it is not necessary for you to give up all caffeine through out the duration of your pregnancy, you should learn how to drink it in moderation or don’t drink it at all. If you can not handle having only one cup of coffee a day, then you might be better off drinking no coffee at all. Stick with caffeine free sodas and even decaf coffee. Remember though that decaf coffee still contains small traces of caffeine so make sure you take that into consideration.

Stress, High Blood Pressure, and Acupuncture

When a person is under stress, their body starts what is known as a stress response. A number of chemicals are released into the bloodstream, the heart beats faster, breathing becomes more rapid, and muscles tense up. If the person is planning on running away from a large animal, these are all very good responses. For the businessman at his desk taking a phone call, these are not good reactions. The body easily takes care of an occasional response like this, the chemicals are cleaned out, and the body becomes relaxed once again. However, when this reaction occurs a number of times a week, the stress starts to affect the resting state of the body. Muscles no longer entirely relax, and the frequent release of these chemicals create other problems. Chronic stress can cause such problems as sleeplessness, stomach and digestion problems, panic attacks, and pain of some sort (such as frequent headaches). Long term problems related to stress include strokes, high blood pressure, and colitis or other bowel problems.

A person may try to handle stress on his or her own, by finding something to mask it. Alcohol, caffeine, cigarettes, and even lots of sugar can make the person feel better. One of the most common “pills” after a stressful moment is a cup of coffee and a doughnut, or possibly a cigarette. Physicians can also prescribe medications to combat some of these symptoms, both psychological and physical. Antidepressants, one of the more common medications for this, only offer short-term relief at best.

The obvious answer is to remove the source of stress. However, many times that simply is not possible. Is there another solution? One of the most successful results from acupuncture is the relaxation of the patient, followed by the removal of tension from the body. This relaxation response produces a decreased heart rate, lowered blood pressure, and increased energy and possible tissue regeneration. There is frequently a feeling of well being and self-confidence. As the acupuncture treatment stimulates and redirects the vital energy of the body, each muscle and organ system begins to function the way that it should. Acupuncture is not only used to relieve the stress response of a patient, but also in a number of cases it has made the doctor prescribed antidepressant unnecessary. With wider use of acupuncture, there could be a substantial reduction in the consumption of drugs such as Prozac.

Standard acupuncture techniques using needles are very effective to combat chronic stress. If this were more widely accepted by Americans under routine stress, we would have a much healthier population. In addition, acupuncture treatments that use low levels of electricity have been found to be even more successful in lowering blood pressure. Several researchers that use electric stimulation have been able to regrow tissue in animals, and this without any scars. The combination of using acupuncture therapy for blood pressure management and possible healthy tissue regrowth is a very exciting topic for people with heart and circulatory problems

Acupuncture is one of the most successful treatments for this American problem. Not only do the symptoms decrease, but the acupuncture treatment results in a healthier body as well.

Long Term Anxiety Characterized as Generalized Anxiety

Generalized Anxiety Disorder (GAD) is characterized by long-term anxiety, excessive worry, and tension, even though there appears to be no reason to feel this way. This disorder affects about 6.8 million American adults (and twice as many women as men). The disorder usually develops gradually. It can start at any age but the highest-risk years are between childhood and middle age, a rather large time span. Evidence shows that genes play a modest role in GAD.
Those who suffer from GAD will go through the day feeling worried and aprehensive. They often anticipate disaster in even minor situations and are usually overly concerned about various issues such as health, money, family problems, or difficulties at work. It may even be hard getting started in the morning because of the thought of what lies ahead of them for the day.

If you find you have been over-worrying about many every-day problems for at least 6 months, you may be diagnosed with GAD. Although you may realize that your concerns are exaggerated, the problem still persists. Not being able to relaxe, startling easily, having difficulty concentrating are all symptoms of generalized anxiety disorder. Other problems include having trouble falling asleep or staying asleep. Physical symptoms that often accompany the anxiety include fatigue, headaches, muscle tension, muscle aches, difficulty swallowing, trembling, twitching, irritability, sweating, nausea, lightheadedness, having to go to the bathroom frequently, feeling out of breath, and hot flashes.

The level of severity of your GAD can vary greatly. If you are diagnozed with a mild case, you can function socially for the most part and hold down a job with little difficulty. If your GAD is severe, you can find it difficult even to complete what may seem like the simplest activities.

GAD is usually treated with medications and/or psychotherapy. You may benefit most from a combination of the two. It may take some trial and error to discover exactly what treatments work best for you.

Medications include antidepressants like fluoxetine (Prozac), paroxetine (Paxil), escitalopram (Lexapro), sertaline (Zoloft), venlafaxine (Effexor) and imipramine (Tofranil); Buspirone (BuSpar); and Benzodiazepines like clonazepam (Klonopin), lorazepam (Ativan), diazepam (Valium), chlordiazepoxide (Librium) and alprazolam (Xanax). Benzodiazepines are for the most part only used for relieving acute anxiety on a short-term basis (for example, when you are having an attack). However, they have a tendency to be addictive and some pretty serious side effects like drowsiness, reduced muscle coordination and impaired balance and memory.

Psychotherapy, often referred to as talk therapy and psychological counseling, deals with trying to work out the underlying life stresses and concerns that may cause your GAD. Once these have been identified, it is possible to and make behavior changes that can reduce your anxiety. One of the most recognized types of psychotherapy is cognitive behavioral therapy (CBT). Basically, short-term cognitive behavioral therapy aims to teach you specific skills that you can then use to identify negative thoughts and behaviors and substitute them with positive ones.

The above information about generalized anxiety disorder does not substitute medical advice given by a health professional.

Sleep Apnea: A Weighty Issue

Sleep apnea is the condition for where there are pauses in breathing during sleep. These are defined by medical terminology when an individual literally stops breathing. There are two types of apneas Central and Obstructive. This is a common problem among the morbidly obese which requires them to wear an oxygen mask so they can breathe since that’s due in part of their weight bearing down on their chest crushing their rib cage and lungs.

According to medical reports the population at risk are obese middle-aged males since physiology doesn’t make women potential sufferers of sleep apnea. The problem is that people who do fall asleep due to sleep apnea will go through brief periods where people think they’re not going to wake up. Keep in mind that this is very serious because if it’s not properly diagnosed it can be life threatening. People with excessive weight usually morbidly obese constantly have to deal with frequent episodes of paused breathing. Snoring is a common problem with the morbidly obese and constant gasping for air while sleeping is another problem. Obstructive sleep apnea can be dangerous to the heart because it’s prolonging and deprivation of oxygen to keep the circulation flowing efficiently.

Other symptoms that are deemed non-specific are headaches, irritability, moodiness, difficulty concentrating, Noctoria (getting up in the middle of the night to urinate), increased urination, decreased sexual drive, increased heart rate, anxiety, depression, esophageal reflux (acid reflux disease), and profuse heavy sweating at night.

Sleep apnea has also been linked to congestive and congenital heart failure usually found in people who are diagnosed as morbidly obese because of the excessive weight on them. This is from severe and prolonged cases meaning the individual(s) were not being treated and had let the condition get to the point that it’s no longer treatable.

Individuals born with Down’s Syndrome are likely to develop obstructive sleep apnea since 50% of the population that has this genetic condition are likely to be diagnosed because of having an enlarged head, adenoids, tonsils, tongue, and narrowing of the nasopharnyx. Pharyngeal flap surgery has also been noted to cause sleep apnea in patients because of the obstruction in the breathing pattern after surgery which if not monitored can be life threatening. There are different treatments for people with sleep apnea and doctors and ENT (Ear Nose and Throat) specialists take the following into consideration for designing a treatment plan for those who are diagnosed with this condition.

The factors that are considered are an individual’s medical history, severity of the disorder, and the specific cause for the obstruction. Some treatments also incorporate a lifestyle change, avoiding alcohol and medications that can relax the nervous system.

Other lifestyle changes is losing weight and quitting smoking, and incorporate things like elevating themselves while sleeping so that they can breathe using slanted pillows. The weight issue is the biggest lifestyle concern because that causes some people to be confined to beds where they can’t move and be active contributing further into a person’s weight gain.

Usually if someone who’s morbidly obese and loses about 50 pounds within a couple months their condition improves, but it’s usually up to a steady support system to get someone on a set routine and healthy eating plan that helps to get their weight down so they can qualify for other treatments to help them maintain weight loss which is either through gastric bypass which has to be strongly enforced since this surgery is irreversible and you have to eat differently and undergo a major lifestyle change.

The other option is lap band, which is reversible, but again to maintain the weight loss to improve sleep and breathing patterns comes with monitoring what one eats and exercise to help improve breathing patterns.