Tag: Injury

Using Acid Reflux Medicine to Get Rid of the Annoying

Using Acid Reflux Medicine to Get Rid of the Annoying Heartburns

Alcohol lovers would often love to match their drink with spicy dishes and greasy and fatty foods. The perfect combination makes the drinking perfect to the palate. Unfortunately though, this is bad for the esophagus and the stomach. The alcohol, the spicy dishes and the greasy and fatty foods causes acid reflux or also known as Gastroesophageal Reflux Disease (GERD). Other causes of acid reflux are pregnancy, genetic influences, presence of infection in the gastrointestinal tract, and the Non-Steroidal Anti Inflammatory Drugs (NSAIDs).

The Gastrointestinal System of the body is composed of the following: the oral cavity, the esophagus, the stomach, small intestine, large intestine and the anus. The main function of the Gastrointestinal System is to digest food particles, absorb digestive juices and eliminate undigested materials which are of course the feces.

The acid reflux affects the stomach and the esophagus. This occurs when the liquid from the stomach which contains pepsin, an irritating substance produced by the chief cells goes up to the esophagus passing through the cardiac sphincter. The cardiac sphincter is the opening to the stomach from the esophagus. Its function is to prevent reflux of the substances in the stomach because these substances cause esophageal irritation and ulcer. If the cardiac sphincter fails to close after receiving food from the esophagus, acid reflux occurs.

Acid reflux is a chronic condition. Once a person suffers from it, it becomes a life-long ordeal. Injury in the esophagus also is a chronic condition. Even if the esophagus has healed with treatment and it is being stopped, the injury will return in most patients within a few months. Once treatment for said illness is begun, it usually needs to be continued indefinitely.

Normally, liquid reflux in the stomach occurs to a healthy individual. However, people with the acid reflux or GERD, has more acid in the liquid. This may be caused by the genetic influences, specifically, an increased number of parietal cells which produce pepsin in the stomach.
The body has mechanisms to protect itself from the harmful effects of reflux and acid. Most reflux happens during the day when individuals are upright. In said position, the refluxed liquid is more likely to flow back down into the stomach due to gravity. Moreover, while individuals are awake, they continually swallow, regardless if there is reflux or not. Each time individuals swallow the reflux liquid slide back into the stomach. The last body defense to reflux is the salivary glands in the mouth. These glands produce saliva, which contains bicarbonate. Every time an individual swallows, the bicarbonate-containing saliva slides down the esophagus. The bicarbonate neutralizes the small amount of acid that remains in the esophagus.

Basically, acid reflux medicines inhibit the production or release of pepsin produced by the chief cells and hydrochloric acid produced by the parietal cells in the stomach. Other medicines may not totally inhibit the production but they neutralize the acid.

The acid reflux medicines are the Histamine Blockers or the H2 receptor antagonists. Histamine stimulates a pump in the stomach that releases hydrochloric acid. The H2 receptor antagonists prevent the histamine from stimulating this pump. They block the production of the hydrochloric acid thereby reducing secretion and concentration into the stomach.

One of the acid reflux medicines is the Cimetidine which was introduced in 1975. It has a short half-life and short duration of action. The three most popular H2 blockers are Ranitidine, Famotidine and Nizatidine. They are more potent than Cimetidine because in addition to blocking gastric acid secretions, they also promote healing of the ulcer by eliminating its cause. They also have longer duration of action.

As the clich goes, an ounce of prevention is better than a pound of cure, you can avoid having an acid reflux or GERD by avoiding too much smoking and alcohol, and by eating less of spicy and greasy food. When taking NSAIDs, be sure you take it after meals. Lastly, avoid stress because it stimulates the release of the deadly acid.

Arthritis Of The Foot

Arthritis Of The Foot
Dr. Jeffrey A. Oster, Medical Director Of Myfootshop.com.

Arthritis is a term used to describe a number of diseases that cause inflammation of joints and results in the progressive destruction of joints. Arthritis is actually a collection of many different joint diseases that affect the body and the foot in many different ways. In this article, let’s talk a bit about arthritis and how it affects the foot. We normally discuss treatment alternative for conditions, but due to the scope of this topic, we will not discuss treatment of each of the individual forms of arthritis.

Osteoarthritis

Osteoarthritis is by far and away the most common form of arthritis. Osteoarthritis is known as the wear and tear type of joint disease and will effect most of us at one point in our lives. In our discussion on osteoarthritis, please refer to the nomenclature and anatomy sections below for definitions of the terms that my be unfamiliar to you.
When I think of osteoarthritis (OA), I think of my grandmother’s hands. Those hand have done a lot of work in their time and have a bit of arthritis to show for it. The fingers, crooked and bumpy show many of the changes brought on by osteoarthritis. The bumps on the fingers are called Heberden’s Nodes. Heberden’s Nodes are a very obvious example of how osteoarthritis occurs. If you’ve ever known anyone whose experienced the symptoms of OA, they’ll tell you that a joint will flare for a period of several weeks. It may be mildly painful or even painful to the degree that the joint is unusable. And then suddenly, just as passively as it came, it leaves. Occasional, brief morning stiffness was not unusual for grandma. The pain that had been present in her hands was actually due to a series of small micro-fractures that occurred in the subchondral bone (just beneath the cartilage). It seems that in cases of osteoarthritis, the bone just below the cartilage becomes very fragile. When loads are applied to this fragile bone, it breaks down. The more the joint is used, the more the bone seems to break down.
Over time, as the bone undergoes a series of flare ups, the ability of the bone to support the cartilage becomes unstable. The subchondral bone creates an unstable supporting surface for the cartilage. When the joint tries to complete its’ normal range of motion, the cartilage is irregular and progressively erodes. This moves us into the second phase of OA pain, and that’s when we have joint range of motion that is bone on bone. Cartilage has no nerve endings to sense pain, but bone on the other hand, has plenty. As the joint moves and the bone is eroded, significant pain can be experienced.
This erosive process seen in OA seems to occur at different rates in everyone. In fact, every joint seems to undergo the changes of OA at a different rate. The rate of change does seem to be effected by the history of damage to the joint. In fact the classifications used to describe OA include Primary (idiopathic or no known cause) and Secondary (some known cause for the disease such as trauma). Past injuries seem to accelerate the rate of OA in most joints. We all know someone with that old football injury, right?
The cause of OA is unknown. Many authors have speculated that the cause may be mechanical as described above, but others have described changes such as biologic, biochemical or enzymatic; or even a combination of each of these.
Changes that occur in the foot with OA are numerous. The most common is midfoot pain that is diffuse. The midfoot is a jigsaw puzzle of pieces that are difficult to manage when effected by a systemic disease of this nature. Other finding include atrophy (loss) of the plantar fat pad of the forefoot and heel. The big toe joint is often effected by the changes of OA with bunions and hallux limitus as common complaints.

Rheumatoid Arthritis

Rheumatoid arthritis (RA) is a very complex and debilitating disease that affects approximately 1% of the general population. Women are 2-3 times more prone to develop RA. RA is a process where the body’s immune system attacks the cell lining the joint capsule (synovial cells). The end result is thickening and fibrosis of the joint with destruction of the cartilage.
Symptoms of RA include an abrupt onset of inflammation. The swelling associated with RA may be isolated to one joint or effect several. Symmetrical involvement is typical with both hands or both feet being affected. In comparison to OA, morning stiffness seen in RA may last more than 30 minutes.
The finding of RA in the foot often progresses to subluxation of the joints, particularly the metatarsal phalangeal joints. Atrophy of the plantar fat pad is common.

Psoriatic Arthritis

Psoriatic arthritis (PA) is an interesting form of sero-negative arthritis. PA is associated with psoriasis in many cases, but it is not unusual to find the symptoms of PA in a patient with no previous history of psoriasis of the skin or nail.
The symptoms of PA in the foot include focal swelling of the interphalangeal joint (the toes). The toe will appear to have swollen and become painful with a limited history of injury or pain. X-rays often show slow changes that exhibit erosion called a pencil and cup appearance. This finding is common on the metatarsal phalangeal joint.

Reiter’s Syndrome

Reiter’s Syndrome (RS) is an unusual form of arthritis that is usually found in men.. RS is often described as a sexually transmitted disease due to the history of the disease occurring following sexual intercourse which resulted in a chlamydial infection. It is suggested to treat those with RS, and their sexual partners, for C. trachomatis infections.
The symptoms of RS include burning upon urination (urethritis), dry eyes and joint pain. Joint pain in the back and feet are common. These symptoms occur 7-14 days following sexual intercourse and subside over a period of several months to years. Recurrence of pain is not unusual. About the Author
Jeffrey A. Oster, DPM, C.Ped is a board certified foot and ankle surgeon. Dr. Oster is also board certified in pedorthics. Dr. Oster is medical director of Myfootshop.com and is in active practice in Granville, Ohio.

Deciding Which Doctor to See

If you have more than one doctor, which many people do especially athletes then it is often confusing exactly which doctor you should see. However, if you follow some simple guidelines you should find the decision much easier. Remember, seeing a doctor is a good idea in the event of an injury, however emergencies are usually best treated in an emergency room with follow up through your normal doctor.

You should first consider why you want to go to the doctor. If you have a need rather than just simply a check up then consider exactly what is needed. If you need a simple work up or even a flu shot then seeing a standard family practitioner is usually much easier and faster. However, if you have a sports related injury then it is best to see a sports medicine doctor.

As part of your sports medicine team, you are likely to have numerous doctors all working together with a physical therapist, primary doctor and various other professionals including often a surgeon. Your first stop whenever seeing a sports medicine doctor should always be to your primary physician. After visiting with them, they can determine based off your needs exactly whom you should be referred to see next. This also often has the benefit of allowing some treatment options to get started in the meantime, rather than being forced to wait until the specialist can see you.

However, it is important to note that if you only see a sports medicine doctor and do not have a standard internal medicine or family physician that you should always see your sports medicine doctor unless they recommend you see someone else. With sports medicine doctors covering a large gamut of specialties it is possible to only use sports medicine doctors if preferred.

If you are running a fever, or else have a rash that has appeared, the best doctor to often see is your primary care physician. If however, you have been experiencing leg pain then it is best to see the sports medicine doctor. Anytime you have a problem or injury that has resulted because of sports, or can impact sports it is best to see a sports medicine doctor.

In the event that you have a pressing issue that needs immediate treatment, often the decision over which doctor to see becomes blurred. This is because many times doctors have very long waits before being able to secure an appointment. If you discover that this is your problem, you best bet is to check with both doctors and see who can fit you in sooner. If neither doctor is able to see you fast enough, you may be best to see the emergency room in your area and schedule a follow up visit. While not everyone is pleased with seeing an emergency room rather than their normal doctor it is a necessary action at times where there are serious complications or in the event of an emergency.

While emergencies may mandate the usage of the emergency room, appointments that are not emergencies should be scheduled with the appropriate doctor to ensure that you receive the best care possible. For example, if you are using a sports medicine doctor and also an internal medicine doctor you should schedule your normal yearly check ups with your internal medicine doctor, as well as your yearly flu shot. However, if you are looking into creating a new exercise program or even starting a new sport then a visit to your sports medicine doctor is most appropriate.

As the number of sports medicine doctors offering varying specialties continues to increase the decision over which doctor to choose for visits is likely to become even more confusing, however you are not alone and by carefully considering the purpose of the visit, you should be able to easily determine which doctor is the best choice for your individual needs.

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Combating Muscle Fatigue

Athletes from amateur to professional level all experience muscle fatigue at some point. The people who tend to suffer the most however are surprisingly those who are less active. Many regard professional athletes as much more likely to have complications with muscle fatigue, however in terms of how the muscles use energy those who are less active than professionals are at a distinct disadvantage.

It is very important to understand that when you are working out, you are slowly wearing down the muscles and burning all of the energy that is provided to the muscles as well. Because of the energy that the muscles burn not being able to be replaced into the muscle quite as quickly as it is burned this causes muscle fatigue to become a problem. Sports medicine professionals are all well knowledgeable in exactly how to help professional athletes reduce the problems they experience from muscle fatigue.

In order to really combat the problems of muscle fatigue and keep it from happening, it is important to train the body to supply energy faster. Muscles receive energy in two different forms. The first is from oxygen, which creates aerobic metabolism; this is simply the process of creating adenosine triphosphate from oxygen. The other method is anaerobic metabolism, which is generated from stores of energy that are stored in the muscles themselves.

The problem that occurs most often in muscle fatigue is that anaerobic metabolism does not store huge amounts of energy and aerobic metabolism is a slower method to deliver energy to the muscles. This creates a problem for many people and results in them suddenly experiencing muscle fatigue. Professional athletes and those who are highly active are trained to help their bodies deliver energy from oxygen, which is the aerobic metabolism.

By training the body to efficiently and effectively deliver larger amounts of oxygen to the body it is possible to increase quickly the amount of energy that the muscles have available to use. This reduces the risk of muscle fatigue and allows a workout to continue for much longer. However, it takes several weeks or even months to train the body to effectively speed the flow of oxygen enough to keep from experiencing muscle fatigue based solely from a supply of aerobic metabolism.

In addition to learning ways to improve the flow of energy, it is also important for athletes to learn ways to reduce the use of muscles as much as possible to conserve energy. It is vital that energy management be controlled for athletes because without the control management many athletes would find themselves unable to workout or even complete their workout. This is never an advisable situation for any athlete; however, it can occur quite often.

In order to combat the symptoms and maximize the benefits of muscle energy it is important to work with your sports medicine physician as well as your trainer to ensure you are training your body to be as effective as possible. If you are careful and work closely with your trainer, coach and sports medicine doctor you can gather the best ways to encourage your body to conserve energy, while still increasing the flow of aerobic metabolism to your muscles.

Working towards an appropriate training method will help ensure that your muscles are as strong as possible and greatly reduce the risk of having a problem with muscle fatigue. There is plenty of professional help who can assist you in creating the best training plan possible to strengthen the muscles. Providing the maximum amount of energy to your muscles possible is the best thing you can do in order to ensure you stay as healthy as possible, with as little risk of injury as possible.

It is very important that you always discuss any concerns that you have with your doctor or coach. They can assist you in assuring that you take the proper precautions to ensure your body is carefully trained. If you have any doubts about your overall health, it is essential to talk to your doctor immediately.

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