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Frequent Headaches and Migraine in Children

Children who get frequent headaches and migraine attacks have chronic illness. Such children and their parents face problem to adjust with school and their rules. Extra preparations and steps should be taken to cope with such illness. Pediatric specialist in migraine and headaches exist should be consulted for treatment and other precautionary & preventive measures. Also the triggers vary from child to child, which should be recognized accurately.

Firstly, it is the strict attendance rule in most of the schools that children with chronic illness find it difficult to deal with. To add to it, majority of the schools have zero tolerance policy regarding medications, even including over the counter medicines. Reports of students getting expelled for merely carrying Advil in school with them are common. Prior to making appointment with the doctor, it is recommended that parents read the policy of the school the child is attending. It is good to ask questions before hand, than feeling sorry later. Some of the schools asks for letter or medical record as a proof, incase the student didnt attend because of a health problem. Some schools consider sick leaves as regular leaves and in this case, the attendance gets affected greatly.

School nurses can be given the prescribed medicine so that they can give the medicine to the child at the required time. If this is the case, things such as medicine storage location and availability of substitute should be checked. Apart from not attending regularly, the child can sometimes be unable to take part in co-curricular activities especially physical education and outdoor recess. Other possible options should be discussed with the teacher. Usually a recommendation letter from the physician will do the needed. In all the cases, some kind of medical identification can be carried by the child at all times. If the child is attending an after school babysitter or program, directly after school, extra measures should be taken. The babysitter or program in charge should be told about the problem in advance. Their cooperation can be asked for timely administration of the medicine and for taking special care of the child. If the child himself is grown enough to understand the matter, the child should be educated about taking medications. They should also be made to understand that it is harmful to take medicines from any un-trustable source even if their fellow students do. Budge them to ask questions and clarify any of their fears of concerns.

Most of the children lack the ability to convey their problem properly. The situation is further aggravated because of different kinds of headaches. They can be related to chronic illness, tension, sinus or fever. Only diagnosis can bring out the correct problem. If the rate of headache becomes more frequent, like more than twice a month, doctors appointment should be taken instantly. Younger kids find it more difficult to explain the problem. If they become cranky, restless, irritating, tired, is having sleeping disorders and is not eating properly, a problem surely exists. Most of the children complain of headaches during exams because of increased stress. Seventy five percent of the children experience headaches because of tension. If so, stress management education, along with counseling, should be given to the kid.

Headaches can be an indication of other problems, too. So, thorough diagnosis is highly recommended. The childs previous medical history provides important clue. Prior to the doctors appointment, notes can be made after referring the medical history. Maintaining a log about the childs headache frequencies, pain location, time of occurrence, symptoms, etc. also helps. If not due to illness, headaches can also be a result of head injury. Sometimes, headache can be hereditary, like in the case of migraines.

Headaches can also be caused because of infections, vision problems, odd levels of blood pressure, neurological problems, muscle weakness, improper ear balance or serious problems such as tumor, blood clots, etc. If the doctor is not able to diagnose the problem, he/she can refer the child to a headache specialist or neurologist. Test such as CT scan or MRI are done if there is a serious problem. After the diagnosis, the doctor prescribes medication or will ask to take over the counter medicines. According to a study, children who face headaches and migraine take overdose of over the counter medicines for immediate pain reliving. In some of the cases, the parents are clueless about this situation. This practice is risky and mostly children above six years are involved in such cases.

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Living With Heart Failure-How Congestive Heart Failure Impacts Your Life

Heart failure, as well as all the risks that accompany it, can be a terrifying prospect for any man, woman or child. The impact of a heart, the body’s central tool for survival, no longer functioning may seem like the beginning of the end. The good news is, by establishing an effective treatment plan with your cardiologist the prognosis, and the chances for you to lead a normal life, increase exponentially.

Heart failure occurs when the heart can no longer efficiently pump blood throughout the body. The blood pools, and while organs are deprived of vital, life giving oxygen and nutrients the excess sodium that would normally be excreted in the urine builds up in the tissues, resulting in fluid retention that leads to organ stress and the dyspnea that is so common in cases of congestive heart failure. Left untreated, the oxygen deprived organs will eventually cease to function and the patient will die.

Fortunately, there are now many ways to combat the mortality factor associated with heart failure. Doctors can prescribe medications to facilitate the flow of blood through the body and take some of the pressure off the heart; blood thinners can decrease the chances of clots forming in the veins. Aside from medicinal means, there are many factors that may be altered in your lifestyle to impact the prognosis of your disease.

It is essential that the body be given sufficient time to rest in a day. While at rest the heart can more easily pump blood throughout the body; just as you would rest an injured leg when it began to pain you, you should rest your heart as well. On the flip side, it is important to establish a daily exercise routine. It doesn’t have to be three hours of aerobics; a half hour walk every day would have a greater impact on your physical being than nothing. Consult with your physician to find the plan that works best for your individual circumstances.

Along with an exercise plan you should work with your doctor to find the best diet plan for you. In most cases a low sodium diet is recommended to help reduce fluid retention. Diuretics can greatly affect the levels of potassium in the body causing hypokalemia, which can lead to muscle weakness, paralysis and a fatal cardiac arrhythmia; therefore, very often if you have been given a diuretic to take daily a potassium supplement will also be prescribed.

Nicotine can create a serious problem for patients with heart failure. It increases the heart rate and blood pressure while having a negative impact on the oxygen level in the blood. All of these things cause the heart to work harder. It is strongly recommended that if you have been diagnosed with heart failure you quit smoking completely.

Hand in hand with smoking are the inherent dangers associated with contracting a case of pneumonia or flu. If you are able you should receive an annual flu shot, as well as the one time dose of pneumococcal vaccine. This will provide some level of protection against pneumococci bacteria, the major cause of bacterial pneumonia. Pneumonia is a problem for the same reasons as smoking; the decreased oxygen levels in the blood cause the heart to work harder in an attempt to compensate and get oxygen to the organs and tissues. If possible, avoid crowded areas during cold and flu season, and stay away from people you know are sick.

Amazingly, something as simple as the clothes you wear can impact your condition if you have suffered heart failure. Tight clothing can cause blood clots and restrict blood flow to the extremities. In addition, in cases of extreme temperature your clothes should be weather appropriate; if the body has to work to maintain its temperature the heart will have to work that much harder.

Sexual relations can usually be continued as before; however, they should occur in as peaceful an environment as possible to prevent undue stress. If your condition is severe it is important that you discuss this with your physician; it may be necessary to forego sexual relations for a time in favor of other, less stressful shows of affection.

Each of these steps will help you continue to live much as you did before being diagnosed. Heart failure will inevitably impact your life; it is entirely up to you how much.

How do Physicians Treat Congestive Heart Failure?

Congestive heart failure is precisely what it sounds like; it is a failure of the heart to properly function, and its effects on the body can be devastating. Physicians do their best to treat the symptoms and give the patient the best prognosis possible; however, no true cure for congestive heart failure currently exists.

Heart failure occurs when the heart is unable to properly pump blood throughout the body; as a result, rather than distributing nutrients and oxygen to the tissues and then excreting the excess fluid into the urine the blood pools. This results in either a systemic or localized edema as fluid builds up in the veins and organs, causing swelling of the extremities as well as the organs themselves (this fluid accumulation is responsible for an excessive amount of stress on the heart as fluid accumulates in the pleural cavity as well as the dyspnea, or difficulty breathing, often symptomatic of heart failure). The swelling and lack of oxygen and nutrients will result in permanent damage to the organs if left untreated, providing a very poor prognosis for the patient.

The first stage of treatment generally consists of the administration of extra oxygen to attempt to return the oxygen levels in the tissues to normal. Once oxygen has been administered and a pulse oximeter reveals blood oxygen levels to be acceptable the focus will shift to attempting to treat the fluid build-up in the body. Diuretics will be administered to assist the excess fluid on its path out of the body via the urinary tract, and nitrates are administered to cause the vessels to dilate, allowing blood to flow more freely without the heart having to work quite as hard. Treatment with diuretics is often accompanied by supplemental potassium, as the body will excrete potassium in the urine and long term hypokalemia may result in muscle weakness or paralysis, as well as an increased risk of fatal cardiac arrhythmia.

Patients will often be sent home from the hospital with diuretics, as well as a medication known as an ACE inhibitor (an angiotensin-converting enzyme inhibitor) which prevents the body from creating angiotensin, a substance which raises blood pressure and causes the blood vessels to constrict. An angiotensin II receptor blocker may also be administered if the patient continues to produce angiotensin. Patients may also be treated with vasodilators other than ACE inhibitors, particularly if they have responded poorly to treatments with ACE inhibitors in the past. Nitroglycerin is a common example of this type of medication.

Digitalis, or Digoxin, may be prescribed to strengthen the force of the heart’s contractions, aiding it to push blood throughout the body. Treatment with a beta blocker is also beneficial in cases of heart failure, preventing the heart from beating more rapidly in an attempt to compensate for the poor movement of the blood in the body and placing more stress on the weakened muscle.

Blood thinners are used to prevent the formation of clots in the body that may be caused by the decreased movement of the blood in the vessels. Coumadin and heparin are the most commonly prescribed blood thinners in use today; however, due to an increased risk of bleeding patients taking these medications should undergo coagulation testing regularly.

Lifestyle changes are just as important as medications in the long term treatment of heart failure. Patients should consult with their doctor to establish an appropriate (low sodium) diet and exercise program, and should do at least some moderate exercise daily. Equally important is taking sufficient time to rest every day. The heart pumps more easily when the body is at rest, which is vital to an already overstressed muscle. The nicotine from cigarettes causes an increase in heart rate, blood pressure, and the tendency for clumping in the blood vessels; patients with heart failure should abstain from smoking. Flu or pneumonia can be very difficult for hearts that are failing as they attempt to compensate for the lack of oxygen in the bloodstream being carried to the organs. It is very important that patients receive an annual influenza vaccine, as well as a dose of the pneumococcal vaccine, which will protect them from the pneumococcal bacteria that cause over eighty percent of cases of bacterial pneumonia. Wearing non-constrictive clothing will assist in preventing blood clots and facilitating blood flow to the extremeties, and in cases of extremely warm or extremely cold temperatures it is important that the patient take all precautions necessary to keep the body at an appropriate temperature..

Researchers are still seeking to find a cure for congestive heart failure; however, until that day comes it is extremely important that patients suffering from heart failure follow the treatment plan outlined by their physician. With careful attention to maintaining their condition, the prognosis associated with heart failure increases dramatically.

Manage the Pain of Osteoarthritis

Manage the Pain of Osteoarthritis
Kamau Austin

Manage the Pain of Osteoarthritis

The Mayo Clinic refers to osteoarthritis as a “wear and tear”
condition that effects people as they age. It is a degenerative
disease and is the most common form of arthritis. It is one of
the most common causes of disability among adults. More than 20
million people in the United States have the disease.
Researchers project that in the next 25 years over 20% of
Americans-beyond the age of 65 will be at risk for
osteoarthritis.

Today, more than half of the population age 65 or older would
show x-ray evidence of osteoarthritis in at least one joint.
Both men and women have the disease with more men getting the
disease before age 45, and more women getting the disease after
that point.

Osteoarthritis may affect any joint in the body and it is
characterized by a breakdown in the cartilage between the
joints. The most common joints affected are the hips, knees,
lower back, fingers and feet.

Osteoarthritis often develops slowly and quite often there are
no symptoms. A person affected with the disease may not know
that they have it until it is revealed during a routine x-ray.

People with osteoarthritis may have one or more of the following
symptoms.

– Pain in a joint during or after use; or after a period of
inactivity, such as after a night’s sleep. – Pain in a joint
during a change in weather. – Swelling or pain in a joint, after
use. – Bony lumps on the end or middle joints of the hands –
Loss of flexibility

Interestingly, the first year of onset of the disease may bring
acute pain, that then fades within a year or so of its
appearance. This is especially true of osteoarthritis of the
fingers.

The exact cause of osteoarthritis is not known but some
researchers believe that we are more susceptible to
osteoarthritis as we age. It may be caused by a combination of
factors, including being overweight,aging, a previous joint
injury, heredity and muscle weakness.

The pain of osteoarthritis can range from that of a minor
inconvenience for some sufferers, to chronic and debilitating
for others. In cases where pain is severe, joint replacement
surgery may be considered.

There is no cure for osteoarthritis, and treatment is geared
towards reducing pain and increasing joint. Treatment may
include medication, physical therapy, occupational therapy and
self-care.

Pharmaceutical medication is used to treat the pain and may
include, over the counter topical pain relievers that are rubbed
into the skin at the effective joint, NSAIDs and acetaminophen
taken internally to help with pain.

Prescription medications may include COX-2 inhibitors such as
Celebrex may be considered for relieving pain, But both Celebrex
and the recently removed from the market durg, Vioxx, are now
linked with some rather serious side effects including, high
blood pressure, and an increased risk of stroke and heart attack.

For some people, a side effect of living with chronic pain is
depression. Since disturbances in sleep may accompany
osteoarthritis, anti depressants may be prescribed because they
can reduce chronic pain a well as help to alleviate sleep
disturbances.

From time to time a doctor may suggest that an osteoarthritis
patient receive injections of corticosteroid, which when
injected into the joint space can offer some relief from pain
and inflammation.

Surgical procedures can provide pain relief and relieve
disability that may result from the deterioration of the joints.
These procedures may include joint replacement; repositioning
bones and fusing bones.

The surgical procedures and prescription medications may be
overkill in the case where the osteoarthritis sufferer has only
mild pain and inflammation. There is much that the mild or
occasional sufferer can do to alleviate their pain ontheir own.

Life-style changes can help the condition so dramatically that
it is sometimes the only treatment the occasional suffered will
need.

Some things that you can do to help with the pain and stiffness
are: – Exercise regularly – Control your weight – Eat a healthy
diet – Apply heat to alleviate pain – Choose appropriate
footwear to help support your back and hip joints. – Apply cold
for occasional flare-ups – Practice relaxation techniques

In all cases osteoarthritis sufferers can benefit from making
some changes in how they approach everyday activities. – Arm
yourself with information and a “can do” attitude: Work with
your health care professional to take control of your treatment
and actively manage your arthritis. – Make use of a brace or
cane if needed. A brace can greatly help to support a painful
knee. And walking with a cane can help support an ailing hip.

– Keep activity within your limits. Osteoarthritis can make you
prone to fatigue and muscle weakness. Take a short nap or rest
when you fell tired. – Avoid straining your finger joints. Use a
kitchen tool or hot water to help with opening jars and bottles.
Kitchen centers and hardware stores are beginning to carry a
supply of kitchen aids to help with simple tasks that may be
difficult for osteoarthritis sufferers.

– Take breaks. Periodically relax and stretch. – Maintain good
posture. Good posture more evenly distributes your body weight
making it easier to support.

Regardless of the approaches that people take to dealing with
their osteoarthritis almost everyone can benefit from the use of
natural supplements. Glucosamine. is a naturally occurring
substance that has been shown to be extremely effective in
treating osteoarthritis.

Phosoplex is a natural supplement takes glucosamine one step
better by combining it with Bio Cell Collagen II, a
concentration of many elements including glucosamine.

The makers of Phosoplex have a valid point when they tell us
“…If we consume only single elements involved in the complex
process of keeping our joints and other connective tissue
healthy we could only expect partial effectiveness.” Phosoplex
with its full spectrum of essential elements provides broader
nutritional support aiding the overall health of individuals
joints.

More information about Phosoplex can be found at
http://www.bodestore.com/phosoplex.html

About the author:
Kamau Austin is a health and fitness enthusiast and advocate. He
is also the publisher of … www.healthandfitnessvitality.com .
He writes on a regular basis on timeless health and fitness tips
at the Fit After Forty Blog. See more useful health and fitness
news and tips at…
http://www.healthandfitnessvitality.com/blogs/fitnessblog.htm